Information that should be provided to the caregiver of a patient with a nasogastric (NG) tube includes:
a. keeping the head of the bed lowered for feedings.
b. keeping unused formula at room temperature.
c. aspirating every 4 hours when receiving continuous drip feedings.
d. providing half of the feeding if the residual exceeds 250 mL.
C
Patients and caregivers need to document intake and output (I&O), daily weights, amount of gastric fluid aspirated before each feeding (or every 4 hours if receiving continuous feeding), date and time of feedings, amount and type of formula, any additives, and date and time administration sets are changed. Instruct the patient or caregiver that the patient should sit up in a chair or have the head of the bed elevated at least 30 to 45 degrees while receiving feedings or medications, or when the tube is flushed. Refrigerate unused formula. If gastric aspirates are greater than or equal to 200 mL, instruct the patient or caregiver to return gastric contents and delay tube feeding for 1 hour. If aspirates remain greater than or equal to 200 mL after an hour, instruct the patient or caregiver to contact the home health nurse or health care provider.
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