Medication Administration via Gastrostomy Tube via Syringe

Medication Administration via Gastrostomy Tube via Syringe


Administering medication through
gastrostomy tube via syringe. Things to consider. Be sure to take steps to ensure patient
privacy when performing the procedure. The most significant risk
with giving liquids via a gastrostomy tube is
possible aspiration into the lungs. Be sure the student
is positioned properly with head elevated
at least 30 degrees. Encourage the student
to assist in the procedure as much as he or she is able to help
the student learn self-care skills. Procedure for
medication administration. Check for authorization forms or record. Review the medication
administration form, the medical provider form, and
the parent or guardian consent form. Check for the five rights —
right student, correct time, the medicine container
matches authorization forms and medication
administration record, the dose on medication container
matches authorization form and records, the medication is in the correct route
as identified on medication container, authorization forms,
and medication record. Ensure that the medication
has not expired. Explain the procedure to the student
at his or her level of understanding. Wash hands. Gather equipment and
place on a clean surface. Position child either sitting or supine
with head up at least 30 degrees. The most significant risk
with giving liquids via a gastrostomy tube is
possible aspiration into the lungs. Be sure the student
is positioned properly with head elevated
at least 30 degrees. Put on gloves. Put a towel or washcloth under
the student’s gastrostomy tube. Observe abdomen for
signs of malposition or obstruction of gastrostomy tube,
such as difference in external tube length compared to baseline measurements
or abdominal distention. Compare external tube length
to tube length measurements obtained after initial
placement of the tube. Contact parents or guardian
and healthcare provider if there is a discrepancy
in measurements. If student has abdominal distention,
do not administer the medication. Instead, contact parent or guardian
and healthcare provider. Measure the medication
and water in a separate measuring device,
such as a cup. Draw up medication in syringe. Fill the extension tubing
with water using a syringe with at least 5 cc or
milliliters of water. Open port on the
gastrostomy access port. Attach the extension tube filled
with water to the access port. Open medication port on the extension
tube and insert syringe with medication. Slowly push the plunger
into barrel of syringe, instilling all the medication
into the tube. Close clamp extension tube. Detach the syringe
from the extension tubing. Draw up prescribed water into syringe
and insert into the extension tubing. Open clamp. Gently and slowly
push the water into tubing until all water has
gone into the tube. Re-clamp extension tubing. Detach syringe and cap access port. Remove extension tubing and
replace plug on gastrostomy tube. Secure medication. Wash syringe and extension tubing
with soap and warm water and put in home container. Check with your school nurse
about the length of time to re-use any
of the equipment. Remove gloves.
Wash hands. Document medication administration
on medication administration record. Follow up with parents or guardian
and healthcare provider as needed.

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