What is gastric lavage procedure?
Gastric lavage involves placing a tube through the mouth (orogastric) or through the nose (nasogastric) into the stomach. Toxicants are removed by flushing saline solutions into the stomach, followed by suction of gastric contents.
How is gastric lavage nursing performed?
Gastric lavage involves the passage of a tube (such as an Ewald tube) via the mouth or nose down into the stomach followed by sequential administration and removal of small volumes of liquid. The placement of the tube in the stomach must be confirmed by pH testing a small amount of aspirated stomach contents, or x-ray.
How do I file a gastric lavage?
Essential documentation Document patient teaching provided. Record the date and time of lavage, the size and type of gastric tube used, the method used to verify correct tube placement, the volume and type of lavage fluid instilled, and the volume of lavage fluid returned, including its characteristics such as color.
What is gastric lavage indications?
Gastric lavage is indicated for the ingestion of potentially life-threatening substances, such as cyanide, calcium-channel blockers, colchicine, chloroquine, and tricyclic antidepressants. It should never be used in patients with nontoxic ingestions.
When is gastric lavage being done?
Gastric lavage must be performed soon after ingestion to be at all effective in removing drugs from the stomach. For this reason, many clinicians do not lavage patients who have overdosed if more than 1 hour has elapsed since ingestion. Gastric lavage may result in major morbidity (e.g., esophageal perforation).
What is gastric lavage nursing?
Gastric lavage is the washing out of the stomach via a nasogastric tube or stomach tube. Lavage is ordered to wash out the stomach (after ingestion of poison or an overdose of medication, for example) or to control gastrointestinal bleeding.
What equipment is needed for gastric lavage?
Clockwise from top: ice pack and water, air-cooling blanket, Foley catheter, and intravenous fluids. Sample display of equipment useful for cooling via gastric lavage. Clockwise from top: ice water, nasogastric tube, endotracheal tube, and lavage bag.
When is gastric lavage used?
Gastric lavage (for swallowed sputum) is useful for collecting specimens from patients who, for a variety of reasons, are unable to produce sputum by other means. Gastric lavage is the specimen of choice from infants and children (up to 12 years) suspected of having pulmonary tuberculosis.
What equipment is needed for stomach lavage?
Nasogastric tube. Ice water. Endotracheal intubation equipment, if airway needs to be protected (see Rapid Sequence Intubation) Y connector.
Is stomach pumping painful?
Does it hurt? The amount of pain felt will vary among patients. More often than feeling pain, a person might feel like they need to gag or start retching. During the procedure, your eyes will probably water, and it will probably be irritating.
What is a gastric lavage?
Gastric lavage is the process of emptying the stomach of the contents it contains. It may be performed in an emergency, such as when a person ingests some type of poison. If a child consumes a household cleaner, their stomach must be emptied of the poison as quickly as possible.
How do you connect a closed gastric lavage system?
To correctly connect a closed system, attach the Y-connector to the end of the patient’s tube. Attach the suction tubing to one end of the Y-connector and the saline solution to the other. Follow these steps to perform the gastric lavage:
How do you do a gastric lavage with saline solution?
Attach the suction tubing to one end of the Y-connector and the saline solution to the other. Follow these steps to perform the gastric lavage: While the suction is on, clamp the suction tubing with the Kelly clamp. Slowly open the roller clamp on the saline solution to instill the amount of solution ordered by the physician.
When is gastric lavage not recommended?
The use of gastric lavage is sometimes required but should not be taken lightly. Here are a few points to consider before proceeding with gastric lavage: If an antidote is available, gastric lavage should not be performed. If a patient has a decreased level of consciousness and an unsecured airway, gastric lavage may pose more risk than benefit.