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Administration of Medication through a Nasogastric Tube - Nursing Care Gastrointestinal and Urinary Systems

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CAUTION:
Do not use force.
(6)
Clamp nasogastric tube and remove syringe.
(7)
Reconnect nasogastric tube to the drainage tubing.
(8)
Release clamps and observe for flow of drainage upon reestablishment
of suction.
(9)
Record time, amount, and type of solution used on the I&O worksheet.
d. Care of Irrigation Equipment.
(1)  Following a one-time irrigation, remove equipment. Dispose of used
equipment properly.
(2)  If equipment is kept at the bedside for repeated irrigation at scheduled
intervals, rinse syringe in tap water, and keep syringe and solution bowl between folds
of the wrapper. Replace with clean equipment daily.
1-36. ADMINISTRATION OF MEDICATION THROUGH A NASOGASTRIC TUBE
a. Pour required liquid medication into medicine cup. (Pills must be crushed and
capsules opened.)
b. Unless contraindicated, add 15-20 ml of water. Stir thoroughly, using a clean
tongue blade.
c. Place medication, tongue blade, a cup of water, and a 30-50 ml catheter tip
syringe on a tray, and take to the patient's bedside.
d. Clamp the drainage tubing and the nasogastric tube. Disconnect the
nasogastric tube from the drainage tubing.
NOTE:
If suction drainage is not in use, it will be necessary to check the placement
of the nasogastric tube by other means. Gentle aspiration with a syringe to
check for stomach contents will verify that the tube is in the stomach.
e. Remove the plunger from the syringe. Insert the syringe tip into the
nasogastric tube and pour the medication into the syringe. Release the clamp, allowing
the medication to flow into the nasogastric tube.
f. Follow the medication with 30 ml of water to clear the tube. Replace clamp.
MD0918
1-31



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