PRESENTED BY ,
SHIRIN
GASTROSTOMY
FEEDING
TABLE OF CONTENTS
DEFINITION
INDICATIONS
CONTRAINDICATIONS
ARTICLES REQUIRED
PROCEDURE
COMPLICATIONS.
DEFINITION
Gastrostomy is the creation of an
artificial external opening into the
stomach for nutritional support or
gastric decompression when the
patient is not able to swallow
through esophagus.
DEFINITION
Gastrostomy is performed because
a patient temporarily or permanently
needs to be fed directly through a
tube in the stomach.
INDICATIONS
Oesophageal stricture
Oesophageal atresia
Birth defects of the GIT
Problems with sucking or
swallowing
Major neck surgeries
Neurological swallowing disorders
Any condition which requires
prolonged tube feeding for more
than 4 weeks.
CONTRAINDICATIONS
Previous gastrectomy
Gastric disease with impaired gastric
emptying
Intestinal obstruction.
ARTICLES REQUIRED
Sterile gloves
Disposable gavage bag
Tubes
60 ml syringe
Stethoscope
Feeds
IV stand
Administration set
PROCEDURE
Identifythe patient needs and verify
the physicians order
Assess gastrostomy site for
breakdown ,irritation or drainage
Wash hands properly
Prepare the feeding container to
administer formula continuously
Connect tubing to container as
needed or prepare ready to hang the
container
PROCEDURE
Check placement of gastric tube and
aspirate gastric secretions and check
gastric residual contents
PROCEDURE
There are two methods of feeding :
(A) BOLUS OR INTERMITTENT
FEEDING :
pinch proximal end of the tube and
elevate to 18 inches above the
patients abdomen
Fill it with the formula .allow syringe
to empty slowly and refill it until the
prescribed amounts have been
delivered.
PROCEDURE
(B) CONTINUOUS DRIP METHOD :
Hang gavage bag to the IV
pole .connect end of the bag to the
proximal end of the tube .
Connect infusion pump and set rate .
Change gastrostomy exit site
dressing as needed, inspect every
shift.
PROCEDURE
Evaluate the patients tolerance to
tube feeding
Monitor blood glucose, I/O and
weight etc.
Record the procedure .
COMPLICATIONS
Peritonitis
Infection
Aspiration
Perforation
Gastric wall necrosis
Intra abdominal abscess.
