Skill code: ST-0219
Skill title: Performing nasogastric tube feeding - bolus method
Digital skill: No
Skill status: Approved (30)
Skill category: Nursing (3)
Skill responsible structure: Riga Stradiņš University (16)
Skill Category Responsible Person: diana.grase (7)
Skill description:
Indications: an unconscious patient (for example, a patient on artificial
lung ventilation); swallowing disorders; lack of appetite due to illness (eg,
cancer, sepsis, HIV); obstruction of the upper respiratory tract or
esophagus; psychological problems (such as anorexia); psychiatric problems
(such as severe dementia).

Contraindications – shock, non-functioning digestive tract; bleeding from
the gastrointestinal tract; acute abdominal clinical picture, etc.

*Purpose of the procedure*: the student knows how to feed the patient through
a nasogastric tube using the bolus method.

The bolus method can provide:
1. With the gravity method - a syringe (50 - 100ml) without a piston is added
to the lumen of the probe. The feeding mixture is poured into the syringe and
the rate of introduction is adjusted by raising the syringe higher or
lowering the syringe lower.

2. With a syringe - the feeding mixture is drawn into the syringe and
injected into the stomach with the help of a plunger.
3. With a feeding pump – the required dose is administered with the help of
an enteral feeding system and a pump.

Using the bolus method, up to 300 ml of feeding solution can be administered
at one time, over a period of 5-20 minutes. The introduction is repeated at
regular intervals (up to 6 times a day).



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Skill description author: diana.grase (7)
Skill code number: 219
Skill description id: {Empty}