gastric lavage
DESCRIPTION
Gastric Lavage. Prepared by : Salwa Maghrabi Teacher Assistant Nursing Department. Outlines. Definition of gastric lavage . Gastric lavage for gastrointestinal bleeding : Indications . Contraindications . The procedure . Complications. Cont’ outlines. - PowerPoint PPT PresentationTRANSCRIPT
GASTRIC LAVAGE
Prepared by: Salwa Maghrabi Teacher Assistant Nursing Department
OUTLINES Definition of gastric lavage . Gastric lavage for gastrointestinal
bleeding: Indications .Contraindications .The procedure .Complications.
CONT’ OUTLINES Gastric lavage for removal of
toxic substance :Indications Contraindications .Procedure .Complications .
OBJECTIVES Define gastric lavage .Enumerate the indications of
gastric lavage .Mansion the contraindications
and cautions of gastric lavage .Apply the procedure .
Definition of gastric lavage
Therapeutic procedure for washing out of the stomach with sterile water or normal saline .
Gastric lavage 1 -Gastrointestinal Bleeding
Contraindications and cautions
1.Knock the clot Bleeding Shock
2.Absent gag reflex.
3.Perforated viscus
Contraindications and Cautions Cont’
4 .Use of ice.
5. Confused , obtunded , sedated or resisting the procedure patient
The Procedure
The Procedure Cont ’
Gastric tubeIrrigation try Adhesive
tape
Lubricating jelly Cetacaine spry
60 ml syringe with catheter tip
Normal saline Bite block
Suction equipment
The Procedure Cont ’Preparatory Phase
The Procedure Cont ’
The Procedure Cont ’
2.Mallory-Weiss tear
3.Aspirating of gastric content
4.Systemic hypothermia
1.Perforation of esophageal
varices
Complications
esophageal varices
Mallory-Weiss tear
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Gastric Lavage2 -Removal of Toxic Substance
Used for removal of toxic substance or poisons from the stomach .
Most effective if the procedure is completed within 60 min. of ingestion .
1- Ingest corrosive material or sharp objects.3- Ingest substance that may cause seizures or
abrupt central venous system depression.4- Patient at risk for gastrointestinal bleeding or
perforating secondary to pathology , recent surgery.
5- Not confirm the benefits of gastric lavage.
6- Increase the chance of drug absorption.8- there is no end clear point for the procedure .9- the traditional method of installing air while
auscultating over the epigastrum to confirm the placement is not reliable.
The Equipment :1- Cardiac and pulse oximetry monitoring .2- Orogastric tube :
• 36 to 40 Fr for adult .• 24 to 32 Fr for children .
3- Lavage tubing setup.4- Tubing clamp.5- Activated charcoal
Cardiac monitor Pulse oximetry
Activated charcoale
Preparation Phase: 1.Restrain the patient.2.Obtain intravenous equipment .3.Assess the patient level of
consciousness.4.Assemble the lavage tubing and
prime it with fluid.5.Insert a large orogastric tube .
Procedural steps 1- Aspirate the stomach content .2- Unclamp the tubing between the fluid and the
patient ,and instill 200- 300 ml of warmed fluid.
3- Unclamp the tubing between the patient and the drainage source and allow the fluid to drain into the bucket by use of gravity .
Cont’ Procedural steps 4- Repeat steps 1 and 2 until the fluid return is
clear of stomach content.5- if prescribed , instill activated charcoal .
1. Tracheal placement of lavage tube .2. Aspiration 3. Pneumonia .4. Hypoxia .5. Laryngospasm .6. Fluid and electrolyte imbalance .7. Vagal stimulation leading to bradycardia
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