Nasogastric Feeding Tube Maintenance

A nasogastric feeding tubes are sometimes placed in patients during and after surgery to help the patient remove gas and fluids from the digestive system. After a patient has surgery, the intestine slows down operations and the feeding tube is used to eliminate harmful fluids from the person that can cause nausea and vomiting. A feeding tube is also commonly used on coma patients and those who have trouble swallowing.

Oral and Nasal Care

• Good oral and nasal care a required of patients with feeding tubes. Area should be kept clean and dry. Tape on tube should be replaced every other day or when loose to reduce irritation of nose. Be sure your hands are clean before handling the feeding tube. Swabbing around the tube in the nostril will help to keep this area clean. A patient must brush their teeth at least twice a day to keep mouth and teeth healthy and kill bacteria.

Flushing

• Nasogastric feeding tubes should be flushed with 50 cc of warm water before and after feedings. This will prevent the tube from getting clogged. It also helps to ensure the patient will not get dehydrated.

Reasons for Feeding Tubes

• Feeding tubes can be used to remove fluids and gas from the stomach, to prevent nausea and vomiting during surgery and to prevent pressure on stitches after surgery. Feeding tubes may also be used to give liquids, medicines or blended foods.

Warnings

• Be sure to elevate the head of the bed at least 30 degrees to prevent the patient from aspirating. Petroleum jelly can be used around nostril to reduce nasal irritation.