Eating with NGT? - page 2

Ok, I am working on my care plan for tomorrow morning and I'm having a hard time figuring out what a lot of the information I got from the chart means. My patient has a NGT and I kept seeing Boost VHC and juice listed as their PO... Read More

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    Quote from Kara RN BSN
    To give meds to your patient who was NPO with a NGT youd have to crush them (if crushable) and mix in sterile water.
    Just wanted to address this little bit -- unless the patient is on neutropenic precautions, you do not need to use STERILE water to administer meds via NG or PEG tube -- tap water is sufficient.

    You don't sterilize the water that you drink or the food that you eat, so the stuff that goes in an NG or PEG tube doesn't need to be sterilized, either.

    Quote from mlauren
    So after making it through my rotation today I realized why we were misunderstanding each other. Excuse me for being an idiot for a moment. I was very very tired. Still am actually, but anyways the patient was on intermittent cyclic feedings for supplemental nutrition and eating PO during the day. I had not read the part that said his NGT was intermittent, so that's why I was questioning PO foods/liquids. Of course you guys knew what that meant without me having to say, but I (being new to this did not assume that it was intermittent. So I was just completely and utterly confused by him eating PO. Thanks for helping me last night! It was a rough one, but I'm learning
    Do you mean that they put the NGT down and pulled it back up every time they needed to do a supplemental feeding? Or do you mean that the FEEDINGS were intermittent, while the NGT remained in place all the time?

    The term "NGT" does not mean "feedings" -- it just pertains to the hose itself, the NasoGastric Tube. As was stated before, NGTs can be used to put stuff down into the stomach *or* to suction stuff up out of the stomach. You're going to confuse yourself in the future (and on exams!) if you just associate NGTs with "feeding tubes" because that is not their sole function.

    NGTs are JUST a hose to the stomach -- nothing more. What the patient needs them for is what decides what we do with the hose, whether we are using it to put stuff in or take it out. NGTs can be hooked up to suction, or they can be hooked up to feeding bags, or they can be capped off and not hooked to anything at all until they are needed.

    Changing the way your mind interprets the phrase "NGT" will help you think of ALL of the possible reasons/uses for the device in a patient's treatment.
    KelRN215 likes this.

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    Yes, I meant they were taking it out and putting it back in at night for feedings. I understand what you mean about NGTs not just being for feedings. I looked that up over my break, because we didn't talk anything about suction during my 1st semester. Seems like I'm teaching myself most of the time. :/ Thank you for the help though. All of you are awesome!

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