Childr Health Information

Nasogastric (NG) Tube Feedings (Bolus)

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Topic: Tests & Procedures


Tube feeding is a way to feed children who are not able to suck or swallow well enough to provide good nutrition. Your child may have a problem with his heart, esophagus (feeding canal) or mouth – such as a cleft palate or with breathing or lung problems. Most children are able to eat normally after their medical problems improve.

HOW DO I INSERT THE TUBE?
1. Determine the insertion length by measuring from the tip of the nose to the ear lobe and to the bottom of the breastbone (Figure two).
Figure 2 ___________
Cut adhesive tape here
2. Mark the tube with tape or a felt tip marker.
3. Moisten the tube with water or a water-soluble lubricant.
4. Position your child with his head slightly elevated, face looking forwards, and neck straight. Clean or suction nostrils, if necessary before inserting the tube.
5. Insert the tube in the nose and toward the back of the throat. As the child swallows gently push the tube down the esophagus (feeding canal) until you reach the tape or pen marker on the tube (Figure three).
6. Secure the tube with Opsite onto the cheek.

HOW DO I KNOW THE TUBE IS IN THE RIGHT PLACE?
1. Draw up three to five cc’s of air into a syringe. Connect the syringe to the feeding tube.
2. Place a stethoscope over the child’s stomach and rapidly inject the air (Figure 5). Listen for a “whoosh” sound. If unable to hear or get any return remove or re-insert. Pull back on the plunger of the syringe andwatch for stomach contents/formula.
_ _ _ _ _ _ _ _ _ _ _ _

WHAT IS THE PROPER WAY TO GIVE THE NG TUBE FEEDING?
1. Your child should be sitting or have his head slightly elevated, if in bed.
2. Check for placement of the tube by injecting air before putting any liquid down the tube.
3. Check for residuals (the amount of formula left in the stomach from the last feeding) by attaching a large syringe to the tube and pulling back on the plunger. Note the amount. Give this material back to your child – do not throw it away; it contains important nutrients. Remove the syringe. If more than 1/3 of the feeding is still present, call your doctor for a possible change in feedings.
4. Remove the plunger from the syringe; put the syringe into the open end of the feeding tube. Pinch the tube closed. Pour formula into the syringe. Release the tube and let the feeding begin to flow.
5. The feeding should flow slowly by gravity. It should take about 20 minutes to complete.
6. When the feeding is finished, the tube may be flushed with about five to 10cc of water to clear it of formula.
7. Medications should be given with water and flush before feeds started.
8. Formula should be room temperature.
Do not mix medications with formula.

WHEN SHOULD I CALL MY DOCTOR?
Call your doctor if:
• Your child has diarrhea longer than two days
• Your child has constipation longer then three days
• Your child complains of an upset stomach
• Your child vomits the feedings
• Your child has problems with choking
• Your child’s breathing is suddenly difficult

PDF: Child Health Information - NASOGASTRIC (NG) TUBE FEEDINGS (Bolus)

Derechos de autor(c) de The Children's Medical Center, ano 1999. Este material unicamente tiene fines educativos. No puede ser reproducido, distribuido ni modificado sin previa autorizacion de The Children's Medical Center of Dayton, One Children's Plaza, Dayton, Ohio, 45404-1815. Llame al 937-641-3666 para solicitar autorizacion o para obtener un juego maestro para copias. Para obtener mas informacion puede visitar www.childrensdayton.org (consulte la seccion de informacion legal).

La informacion contenida en este material es unicamente informacion de tipo general. No debe considerarse como completa. Para obtener mas informacion acerca de los complementos para leche materna, por favor pidala a su doctor.
Corregido: 1994, 1999, 2002

The information contained in this handout is for general information only and should not be considered complete. For specific information about bathing your baby, please ask your doctor or nurse practitioner.

Additional information may be located in the Family Resource Center, 2nd floor, near the Outpatient Surgery Center. Hours of the center vary; please contact the Family Resource Center at 937-641-3700.

Copyright(c) The Children's Medical Center of Dayton. This material is for educational purposes only. It cannot be reproduced or distributed without permission from Dayton Children's.
Revised: 1994, 1999, 2002

 

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