Question

A patient has been receiving medications through a nasogastric (NG) tube.They also receiving continues tube feeding through the NG tube.What steps must you take ,as the nurse ,prior to administering the medication? Describe the steps of administering medication through a NG tube.The family has been present with the patient and the client has been getting ice chips and there is a valid doctor order for this.The family asks you why ,since the patient is able to get ice chips ,the patient cant receive medication orally instead of through the tube.What is your response?

Answer 1

1)Prior to administer the medication - Put the patient in semi fowler's position.

a) Check the medication - As a nurse you should always check the prescribed medications.Medications to be admisnistered must be crushed properly so that it can go easliy in NG tube.Checking the NG tube position -

b)Check the NG tube position- First do hand wash,before putting any formula,water or medication down the NG tube,you should check to ensure the tip of the tube is actually in the stomach.This is done by removing some gastric fluid from the tube witha syringe and testing

c)Flushing the tube - Tube is first flush with 30ml of water before medication are given then in between medication to flush so tube with 5 to 10ml of water after all mediactions are given you are going to push the tube once more with 30 to 60 ml of water and then flushing allow the drain with gravity instead of solutions to prevent air.

d)Managing and preventing a blocked NG tube -

2)The doctor has ordered ice chips as a mouth care.Because one nostril is blocked,patient tend to mouth breathe.This causes dehydration of the nasal and oral mucosa,and patients will complain of thirst,Mouth care will help to relieve the dryness.