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Skill 2 Gastric Lavage and Gavage

The document outlines the steps to perform gastric lavage and gavage. It provides 24 steps for performing the procedures, gathering equipment, determining tube placement, administering feeding or irrigation, and post-procedure tasks like documentation. It also includes a skills checklist to evaluate performance of the steps.

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191 views2 pages

Skill 2 Gastric Lavage and Gavage

The document outlines the steps to perform gastric lavage and gavage. It provides 24 steps for performing the procedures, gathering equipment, determining tube placement, administering feeding or irrigation, and post-procedure tasks like documentation. It also includes a skills checklist to evaluate performance of the steps.

Uploaded by

The Living Sonneteer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Chinese General Hospital Colleges

Second Semester, Academic Year 2020 to 2021

N-109 MCN 2 RLE


Skills Checklist
Skill 2: Gastric Lavage and Gavage

Name: ______________________________ Section: __________ Date: __________

Check the corresponding box based on the following grading criteria:


3 – Activity performed correctly.
2 – Activity performed correctly but with supervision.
1 – Activity performed incorrectly.
0 – Activity not performed.

Activities 3 2 1 0 Remarks
1. Informs patient of purpose of gavage or lavage.
2. Washes hands thoroughly.
3. Gathers equipment at bedside:
A. Gastric Gavage: Measuring container with correct amount
of warm feeding solution, bulb or asepto syringe (50 cc),
a glass of water (30-60 cc), stethoscope, drape or towel,
emesis / kidney basin and pulverized medicines (if
ordered) in separate measuring cups to be dissolved in
little amount of water at the bedside.
B. Gastric Lavage: Clean gloves, asepto syringe with a
rubber bulb, normal saline (temperature varies with the
purpose of the irrigation), measuring container, measuring
cup, stethoscope, emesis/kidney basin, drape or towel.
4. Assists the patient to Fowler’s or sitting position (if
contraindicated, slightly elevates patient to right side-lying
position).
5. Places towel over the chest area. Has kidney basin at hand in
case patient vomits. (If infant, provides a pacifier if
available).
6. Pinches or clamps the tubing. Opens the free end of the
tubing.
7. Attaches the end of the asepto or bulb syringe to the NGT
tube.
8. Determines the patency and placement of the NGT by:
A. Gently introduces a little air into the tube using the bulb
or asepto syringe and auscultate for a gurgling sound with
the stethoscope on the epigastric area.
B. Aspirates for stomach contents by applying negative
pressure using the bulb or plunger of the asepto syringe.
C. Repinches or clamps the tubing and measures the amount
of stomach contents.
D. Removes the bulb or the plunger, returns aspirated
stomach contents. Releases pinch or clamp from the
tubing to let aspirated stomach contents to flow by
gravity. If more than half the last feeding or irrigation is
withdrawn or with coffee ground aspirate, refer.
Gastric Gavage
9. Pinches proximal end of feeding tube and fills syringe barrel,
pour additional formula into syringe barrel when it is three
quarters empty with feeding formula and let flow by gravity.
Does not let the syringe barrel become empty during feeding.

N-109 MCN 2 RLE Skill 2: Gastric Lavage and Gavage


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Activities 3 2 1 0 Remarks
10. Adjusts the height of the syringe to desired flow rate (12 – 18
inches from the insertion site). If formula is thick or fails to
flow, raises the container a bit or applies slight pressure on
the plunger or bulb of the syringe.
11. Follows tube feeding with 30 cc of water to clear the tubing.
12. Gives pulverized medicines dissolved in little amount of
water separately and individually through the tube before,
during or after formula feeding depending on the drug
indication. Follows with few cc of water to clear the tubing.
Do not mix pulverized medicines with feeding solutions.
Gastric Lavage (Follow steps 1 to 8.)
13. Pinches proximal end of the tube and instills about 50 ml of
normal saline solution (amount and temperature vary upon
doctor’s order) into the syringe barrel.
14. Pinches the proximal end of the tube when the barrel empties.
15. Connect the bulb or plunger of the syringe using negative
pressure to slowly aspirate the normal saline solution.
16. Pinches the tube and removes the asepto syringe from the tip
of the tube then discards the aspirated content in the kidney
basin or measuring container (checks to see that the amount
drained, equals/approximates amount instilled).
17. Repeats inflow and outflow cycle until the return flow
appears clear.
18. Clamps end of tube. Removes the asepto or bulb syringe.
19. Closes and secures tubing. Removes towel and kidney basin.
20. Instructs client to remain in upright position for 30-60
minutes.
Post-Procedure
21. Washes, rinses and dries equipment & returns to bedside.
22. Washes hands.
23. Documents the following:
A. Gastric Gavage: type and amount of formula given, time
of feeding, amount and characteristic of residual, client’s
tolerance/response to the feeding and medications given.
B. Gastric Lavage: type, color and consistency of the drained
gastric contents, intake and output, client’s
tolerance/response to the procedure.
24. Monitor for breath sounds, bowel sounds, gastric distention,
diarrhea / constipation, intake and output, daily weight and
laboratory results. Check vital signs urine output, level of
consciousness.
Total Score (87)
Transmuted Grade

Student’s Signature: ____________________ Instructor’s Signature: ____________________

N-109 MCN 2 RLE Skill 2: Gastric Lavage and Gavage


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