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

Share:

More Posts

Heart Attack Symptoms

Español Not all heart attacks begin with the sudden and crushing chest pain that comes when the blood flow to heart gets blocked. Heart attack

Sun Safety

Skin cancer is the most common cancer in the U.S. Too much sun can cause skin cancer. Spending time outside is a great way to

Leave Fireworks to the Experts

Summer is synonymous with barbecues, parades and fireworks. The National Safety Council advises everyone to enjoy fireworks at public displays conducted by professionals, and not