Gastric lavage
Gastric lavage or stomach pumping involves the evacuation of the stomach's contents and cleaning it of foreign substances. This technique should be done within the first 4 hours of ingesting the substance.
Purpose
- Therapeutic
- Evacuatory
Gastric lavage - Contraindications
- In gastric ulcer during the painful period
- Cancer gastric
- In poisoning with caustic substances
- In hepatitis chronicles
Materials needed for gastric lavage
- Protective aprons
- Faucher gastric tube
- One 5 L mug with water at 25-26 degrees C
- Container for discharged liquid
- Palnie
- Prosop
- Kidney tray
- Guyon syringe
Preparing the patient for gastric lavage
- Explains the technique and its necessity
- Obtain patient consent and cooperation
- Place the patient in a chair with the back straight
- It protects the patient with the apron
- She is given a kidney tube and told to keep it under her chin to capture saliva
Gastric lavage technique
- Assistance wash hands and disinfecting
- Dress disposable gloves and protective apron
- Use the probe for easy gliding in the pharynx and esophagus
- He sits to the right of the patient and fixes his head with his left hand
- Grab the rounded end of the probe
- Ask the patient to open the mouth and insert the probe at the root of the tongue
- Invite the patient to swallow, while introducing the probe.
- To ensure that the probe has reached the stomach (and not the trachea), we insert the free end of the probe into a glass of water: the appearance of air bubbles confirms penetration into the airway and the probe is removed.
- When the 40-50 cm step has reached the level of the dental arch, it is a sign that the probe has reached the stomach.
- We check with the syringe if the probe is in the stomach by aspirating
- After it has reached the stomach, a Guyon syringe filled with drinking water is attached to the end of the tube.
- Water is introduced into the stomach and then the stomach contents are aspirated for analysis
- Remove the syringe and put a funnel through which 300-500 ml of warm water is poured (a tablespoon of salt can be added).
- Raise the pallia over the patient's head, and before emptying the fluid from the pallia, lower the probe to the patient's chest and pour the contents into the basin.
- Repeat the administration of a new amount of fluid, followed by its extraction, until a quantity of 3-5 litres is reached.
- Remove the hatch from the end distal of the probe and clamp it with a hemostatic clamp
- ECarefully extract it using the same methods as when inserting it, only in reverse (compress the distal end to prevent the stomach contents from leaking into the pharynx where it could be aspirated by the patient and cause aspiration bronchopneumonia), when it has reached the patient's mouth, with gentle and quick movements it will be removed.
- The patient is offered a glass of water to rinse his mouth.
Accident / Incident
- When the feeling of vomit and nausea is removed probe indicating deep breathing.
- The probe may enter the larynx - coughing occurs, the patient's face becomes cyanotic - the probe is immediately removed.
- The probe is plugged with food debris - unplugging is done by blowing air.
- Aspiration bronchopneumonia can occur if the probe is not thought through at extraction.
See also
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