The nasogastric tube is a thin and flexible tube, which is placed in the hospital from the nose to the stomach, which allows the maintenance of food and the administration of medicines in people who cannot swallow or eat normally, due to some type of surgery in the mouth and throat zone or as a consequence of degenerative diseases.
Feeding through a tube is a relatively simple process, however, it is important to have some precautions to prevent the tube from getting out of place and to prevent food from reaching the lungs, which could cause pneumonia by aspiration, for example.
The ideal in the technique of tube feeding, is that the person in charge of the care is trained in the hospital, with help and guidance of a nurse, before the person is discharged. In the cases of autonomous persons with a probe, the feeding task can be carried out by the person himself.
6 steps to feed a person with a probe
Before starting the technique for nasogastric tube feeding, it is important to sit down or lift the back with a pillow to prevent food from returning to the mouth or lungs. Luego must follow the following steps:
1. Place a cloth under the nasogastric tube to protect the bed or the person from food leftovers that may fall from the jar.
2. Fold the end of the nasogastric tube, pressing well so that it does not enter the air into the tube, as shown in the image, and remove the cover, placing it on the cloth.
3. Insert the 100 ml nozzle into the opening of the probe, unfold the tube and push the plunger to aspirate the liquid that is inside the stomach.
If more than 100 ml of liquid can be removed from the previous meal (around 100 ml), it is recommended to feed the person later, when the container is less than 50 ml, for example. The aspirated container must always be placed again in the stomach.
4. Fold the end of the nasogastric tube again and press it well so that it does not enter the tube and remove the tube. Put the cover back on before unfolding the probe.
5. Fill the jar with the crushed and glued food, and put it back in the probe, bending the tube before removing the cover. Food cannot be very hot, not very cold, and can cause a thermal shock or burns when arriving in the stomach. Along with food, medicines can also be diluted, making it possible to crush the tablets.
step 5 and 6
6. Unfold the tube again and slowly press the plunger of the jar, emptying 100 ml for approximately 3 minutes, to prevent food from entering the stomach too quickly. Repeat this step until all the food is finished, folding and covering the probe with the tapa each time you remove the jar.
After feeding the person
After feeding the patient, it is important to wash the jar and put at least 30 ml of water in the tube, to wash the tube and prevent it from becoming clogged. However, if water is not supplied through the tube, the tube can be washed with approximately 70 ml to avoid dehydration.
In addition to food, it is very important to remember that 4 to 6 vases of water per day must be offered through the probe, or when the person has sed.
Material needed for tube feeding
To correctly feed a person with a nasogastric tube, it is important to have the following material:
The feeding jar must be washed after each use and must be changed every less than 2 to 2 weeks for a new one, purchased at the pharmacy.
In addition, to prevent the tube from getting clogged and changing it, you should only use liquid foods such as soups or meringue, for example.
Care after feeding through the tube
After feeding the person with a nasogastric tube, it is important to keep the person seated or with the back raised for at least 30 minutes, to allow easier digestion and avoid the risk of vomiting. However, if it is not possible to keep the person seated for a long time, it is necessary to turn to the right side, to respect the anatomy of the stomach and avoid the reflux of food.
In addition, it is important to give water through the tube regularly and maintain the patient’s oral hygiene because, when it is not fed through the mouth, the bacteria continue to develop, causing cavities or canker sores, for example. See a simple technique to brush the teeth of a person who is in bed.
How to prepare food to use on the probe
Feeding by nasogastric tube, called enteral diet, can be performed with all types of food, however, it is important that the foods are well cooked, crushed in the blender and then glued to remove pieces of fiber that can obstruct the tube.
Once fiber is removed from food, it is common for the doctor to recommend the use of a nutritional supplement, which can be added and diluted in the final preparation of the food.
There are also some list formulas to pass them through the probe such as Ensure, Pediasure, Enterex or Glucerna, for example, which are bought in pharmacies in the form of octopus to dilute in water or liquids that come in individual bottles. See more about enteral nutrition.
Sample menu of licuada y colada diet
Below is a 3-day example menu for a person who has a nasogastric tube, it is important to use and paste all the foods to avoid tube obstruction:
|main foods||Day 1||Day 2||Day 3|
|breakfast||liquid avena atoll||liquid maicena atoll||liquid rice cream|
|Morning meal||cutter yoke||liquid yogurt||Durability yoke|
|Almuerzo and Scene||Liquefied zanahoria, papa and pollo soup with 1 tablespoon of olive oil + orange juice||Liqueurized calabaza, chayote, potato, name and pavo soup with 1 tablespoon of olive oil + Jugo de durazno||Sweet soup of papa, zanahoria, arracacha (apio criollo), cilantro and pavo with 1 tablespoon of olive oil + Jugo de guayaba|
|afternoon snack||liquid gelatin||piña yoke||liquid yogurt|
|Merienda de la night||liquid yogurt||liquid gelatin||manzana yoke|
The items in the menu vary according to the age, sex and the age of the associated illness, because it must be calculated by a nutritionist in order to prepare an individualized nutritional plan and with the appropriate items to preserve the nutritional status of the individual.
In addition, it is important to give the patient water through the probe, approximately 1.5 to 2 liters throughout the day and not use the water alone to wash the probe.
When changing the probe or going to the hospital
The majority of nasogastric tubes are very resistant and because of this they can remain in the surrounding area for about 6 weeks or according to the doctor’s indication.
Furthermore, it is important to go to the hospital when the probe is salted from the site or is obstructed, so that it can be changed and reinserted again.
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