Long-term nasal feeding patients should prevent nasal and esophageal ulcers, gastric bleeding, lung infection and gastrointestinal bacterial infection.
1) Lower gastric tube is a mechanical and invasive operation that directly contacts the mucosa of patients, which is easy to damage the mucosa and induce infection. Operators should be skilled, reduce the number of repeated intubation, use accurate operation methods and lying position, and improve the success rate of one-time intubation.
2) Check whether the gastric tube is out, loose or stuck in the mouth before nasal feeding.
3) Ensure aseptic operation during nasal feeding, keep tableware clean, and replace gauze and syringe once a day.
4) The food should be cooled to 38-40 degrees, placed on the inside of the forearm, and do not burn before injection. The temperature of nasal feeding food is too high or too low, which may burn or frostbite mucosa.
5) Do oral care every day, keep your mouth clean and prevent oral infection.
3. Replacement time of indwelling gastric tube: the indwelling time of gastric tube is too long or the texture of gastric tube itself leads to adhesion between gastric tube and mucosa, and the oppression of gastric tube on mucosa may also lead to mucosal ischemia and necrosis. According to the requirements of basic nursing, patients with long-term indwelling gastric tube need to be replaced every 7 days, but clinical research shows that the suitable indwelling time of silicone tube is 2 1-30 days. Frequent replacement of gastric tube not only brings pain to patients, but also increases the chance of infection; Too long indwelling time can induce nasopharyngeal mucosa damage, cause local infection, and even make nasopharyngeal bacteria descend to the lungs along the catheter to cause lung infection. If we strengthen the nursing in the tube and keep the gastric tube unobstructed, we can reduce the stimulation of repeated intubation on nasopharyngeal mucosa, relieve pain, reduce the chance of infection and save manpower and material resources.