Dobhoff tube medication administration Did you know
Dobhoff tube medication administration..Dobhoff feeding tubes are often necessary for people who have swallowing disorders to maintain the necessary nutrition.
dobhoff tube medication administration
They can also be used during and shortly after surgical procedures to prevent vomiting and aspiration of stomach contents. Definition See also: A Dobhoff feeding tube is a nasogastric tube that is inserted into the nose and through the esophagus into the stomach.
Next, it is fixed to the nose with adhesive tape to prevent slipping out of the stomach and into the lungs. Applications Dobhoff feeding tubes are used to administer medications, liquids, vitamins, and foods. The use is usually temporary during a hospitalization, during a surgical procedure, and during episodes of extreme nausea.
However, people who have swallowing disorders may need them for a prolonged or permanent period. Placement A health professional, usually a nurse, will place your Dobhoff feeding tube.
She will measure the appropriate length for the tube and immediately use a permanent marker to mark where it can come out of the nose, to assist in visual verification of proper placement. It is lubricated and inserted quickly until it is in the stomach.
A sample of fluid will be removed from the stomach to ensure that the tube has passed into your stomach, and not into your lungs by accident. Watch out When taking care of your Dobhoff feeding tube, always wash your hands before cleaning and before administering fluids.
Remove the tape while securing the tube in place, and wash the skin underneath with soap and water. Dry the skin well before applying the new tape. Check the inside of the nostril for redness, swelling or develop ulcers.
A very small amount of Vaseline is safe to put in the nostril to prevent and treat irritation. Rinse the tube with 30 ml of water every 8 hours to prevent blockages. warnings If the line measuring the end of the tube moves farther into the nostril or farther from the nostril, discontinue use of the tube and contact the medical provider immediately.
Such movement could indicate that the tube is no longer in the stomach and will have to be checked for placement before continued use. If liquids will not pass through the tube, it could be blocked. Nausea, vomiting, and diarrhea are also signs of a blocked tube.
This also requires immediate medical assistance. A nurse or doctor may be able to remove the blockage without having to place a new tube.
Prepare the medication
If the medication is a pill, reduce it to a fine powder with the crusher. If the medication
is in capsules, open the correct amount of capsules. Pour the powder from the pills or capsules into
a small amount of water and let it dissolve.
Pills in the form of coated tablets or prolonged-release tablets should not
crushed or placed in the feeding tubes. Do not open any capsules or dissolve any
medication until you have consulted with the doctor, pharmacist or nurse.
Measure each medication in a separate glass or place it in a separate syringe. Do not mix any
medicine with formula or with another medicine.
Some medications are too thick to be administered through a feeding tube.
safe way. If the medication is thick, add water until a watery and diluted liquid is obtained.
If your child should take medications on an empty stomach and is receiving feeds
continuous, stop feeding at least 30 minutes before giving the medication. Wait 30
minutes after administering the medication to start feeding again.
Administer the medication
If your child is receiving feedings, stop them.
If your child has a button tube, connect the extension tubing after preparing it with water.
Remove the plunger from the end of the syringe. Fix the syringe to the end of the tube or tubing
The purpose of this document is not to replace the care and attention of your doctor or other professional medical services. Our objective is
that you play an active role in your care and treatment; for this purpose, we provide information and education. Consult your
doctor if you have questions or doubts about your health or about alternatives for a specific treatment.
Copyright © 2013 St. Jude Children’s Research Hospital www.stjude.org Page 3 of 4
Revised in January 2014 (Revised 01/14)
Loosen the feeding tube.
Rinse the tube with _____ ml of water.
Rinse the feeding tubes by gravity. Holding the syringe
above your child’s stomach will allow the fluid to flow
inside the tube by itself. Never use the plunger of the syringe to
force the entry of water into the tube.
Most medicines must be introduced in the port
gastric (port G). This is the port that goes to your child’s stomach. If you have
doubts about which is the port where the medicine should be introduced,
ask the pharmacist or the nurse.
Administer the medication using the gravity method.
If you need to administer more than one (1) medication, do so
separately. Pass some water through the feeding tube after
each medication If the medication does not fall by gravity, make sure that
your son is calm. If the child is crying, the medication may not be able to enter.