Nasogastric, Orogastric, Or Gastrostomy administration

- Nasogastric, Orogastric, Or Gastrostomy administration
  - In children
    - Use elixir or suspension (rather than tablet) preparations of medication whenever possible.
    - Dilute viscous medication or syrup with a small amount of water if possible.
    - If administering tablets, crush tablet to a fine powder and dissolve drug in a small amount of warm water.
    - Never crush enteric-coated or sustained-release tablets or capsules.
    - Avoid oily medications because they tend to cling to side of tube.
    - Do not mix medication with enteral formula unless fluid is restricted. If adding a drug:
      - Check with pharmacist for compatibility.
      - Shake formula well, and observe for any physical reaction (e.g., separation, precipitation).
      - Label formula container with name of medication, dosage, date, and time infusion started
    - Check for correct placement of nasogastric (NG) or orogastric (OG) tube
    - Attach syringe (with adaptable tip but without plunger) to tube.
    - Pour medication into syringe.
    - Unclamp tube, and allow medication to flow by gravity.
    - Adjust height of container to achieve desired flow rate (e.g., increase height for faster flow).
    - As soon as syringe is empty, pour in water to flush tubing.
      - Amount of water depends on length and gauge of tubing.
      - Determine amount before administering any medication by using a syringe to fill completely an unused NG or OG tube with water. Amount of flush solution is usually 1.5 times this volume.
      - With certain drug preparations (e.g., suspensions), more fluid may be needed.
    - If administering more than one drug at the same time, flush tube between each medication with clear water.
    - Clamp tube after flushing unless tube is left open.
  - Advantages
    - Ability to administer medications around the clock without disturbing the child
  - Disadvantages
    - Occlusion, clogging
    - Adequate flushing

About Transportation Safety

HIGHLIGHTS Motor vehicle crashes are a leading cause of death in the US. Deaths from crashes in 2020 resulted in over $430 billion in total

Older Adult Health

Print Data are for the U.S. Life expectancy at 65 years Both sexes: 18.9 years Men: 17.5 years Women: 20.2 years Source: Mortality in the

Preventing Another Broken Bone

After you break a bone, recovery is your first priority. But you might want to find out whether this broken bone is a sign of

Kids and Their Bones

Osteoporosis is a bone disease that develops when bone mineral density and bone mass decreases, or when the quality or structure of bone changes. This

Frontline ER - Dallas

Frontline ER - Houston

Insurance Information

Charge Master