Set of activities performed by the nurse when faced with a patient with a gastroin- testinal tube.
Objectives:
– Maintain the gastrointestinal tube in good condition and functioning. – Avoid possible complications produced by the tube (pressure ulcers, dry oral mucosa, etc.). – Educate the patient and family in the care of the nasogastric tube.
Equipment:
– Suction and drainage equipment. – Cure cart.
Material:
– Anti-allergic plaster. – Nasogastric tube. -Cotton swabs – Vaseline cream. – Non-sterile gloves. – Commercial mouthwashes. – Nursing records.
Procedure:
– Perform hand washing. – Prepare material. – Preserve the patient’s privacy. – Inform the patient. – Ask the patient and family to cooperate. – Put on non-sterile gloves. – Teach the patient and family how to move to avoid displacement or pulling. – Perform oral hygiene with rinses 3 times a day. Lubricate lips with vaseline, if necessary. – Perform nasal hygiene with cotton swabs. – Change fixative dressing every 24 hours and mobilize the tube to avoid injury to gastric mucosa and nostril. – Wash the tube with water (50 ml) every 8 hours, after meals and when it is going to remain closed. After the administration of medication, wash with 20-25 ml of water. – Observe every 8 hours the quantity, color, and consistency of the drained fluid. – Provide skin care around the tube insertion area. – Change the tube: PVC or polyethylene every 7-14 days, silicone or polyurethane every 2-3 months. – Leave patient in proper position. – Collect the material. – Remove gloves. – Wash hands. – Record in nursing documentation: procedure, reason, appearance of surrounding skin, amount and characteristics of fluid drained, incidents, and patient response.
Observations:
The probe will not be mobilized in case the patient has undergone esophageal and gastric surgery.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]
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