Inject small quantities of warm water or saline into the stomach
8
Secure the tube and start the drain
9
Empty the stomach contents
10
Repeat lavage until the effluent is clear
11
Disinfect the gastric lavage tube and other equipment used
12
Assess patient's vital signs and comfort
13
Record the procedure in the patient's medical records
14
Approval: Physician
Check patient's medical history
To ensure the safety and efficiency of the gastric lavage procedure, it is important to check the patient's medical history. This includes any relevant allergies, previous surgeries, or medical conditions. The medical history will provide valuable information to guide the procedure and minimize potential risks.
Obtain a written informed consent
Obtaining a written informed consent is a crucial step in the gastric lavage procedure. It ensures that the patient understands the risks, benefits, and alternatives of the procedure and provides their authorization to proceed. This task involves explaining the procedure in clear and understandable language, addressing any concerns or questions the patient may have, and documenting their consent for legal and ethical purposes.
Administer a mild sedative
Administering a mild sedative is an important step in ensuring the patient's comfort during the gastric lavage procedure. This task involves carefully assessing the patient's condition and determining the appropriate sedative dosage. It is essential to monitor the patient's vital signs throughout the administration and provide post-sedation care to ensure a smooth procedure.
1
Midazolam
2
Diazepam
3
Lorazepam
4
Propofol
5
Other
Intubate the patient
Intubating the patient is a critical step in the gastric lavage procedure. This task involves inserting an endotracheal tube to secure the patient's airway during the procedure. It requires expertise and precision to ensure proper placement of the tube and to prevent any complications. This task also includes monitoring the patient's oxygen saturation levels and ventilatory status.
1
Capnography
2
Chest X-ray
3
Pulse Oximetry
4
Auscultation
5
Visual Inspection
Inflate the stomach with air
Inflating the stomach with air is an important step in the gastric lavage procedure. It helps visualizing the stomach and facilitates the insertion of the gastric lavage tube. This task involves carefully monitoring the inflation process to avoid over-inflation or discomfort for the patient. It is crucial to maintain clear communication with the patient and assess their comfort levels throughout the procedure.
Insert the gastric lavage tube
Inserting the gastric lavage tube is a key step in the gastric lavage procedure. This task involves carefully threading the tube through the patient's oropharynx and into the stomach. It requires precision and gentle maneuvering to ensure proper placement and avoid any complications. This task also includes assessing the patient's tolerance and providing guidance for swallowing and breathing during the procedure.
Inject small quantities of warm water or saline into the stomach
Injecting small quantities of warm water or saline into the stomach is an integral part of the gastric lavage procedure. This task involves maintaining a slow and controlled injection process to avoid discomfort or excessive fluid pressure. It is crucial to monitor the patient's reaction and adjust the flow rate or volume as needed to ensure their safety and comfort.
Secure the tube and start the drain
Securing the tube and starting the drain are important steps in the gastric lavage procedure. This task involves carefully fixing the gastric lavage tube to ensure it stays in place and remains functional throughout the procedure. It also includes initiating the suction or draining mechanism to remove the stomach contents effectively. Attention to detail and proper monitoring are essential to prevent dislodgement or malfunction.
1
Gravity Drainage
2
Intermittent Suction
3
Continuous Suction
4
External Pump
5
Other
Empty the stomach contents
Emptying the stomach contents is a significant step in the gastric lavage procedure. This task involves monitoring and recording the drained effluent to assess its clarity and content. It is essential to maintain a controlled drainage process to minimize the risk of aspiration or excessive fluid loss. Proper disposal of the stomach contents is also a crucial aspect of this task.
1
Blood
2
Bile
3
Food Particles
4
Medication Residue
5
Other
1
Flushed down the drain
2
Collected for lab analysis
3
Sterilized and discarded
4
Other
Repeat lavage until the effluent is clear
Repeating the lavage procedure until the effluent is clear ensures thorough gastric cleansing. This task involves assessing the clarity of the drained fluid and determining if additional lavage cycles are required. Monitoring the patient's vital signs and comfort levels is crucial during this process to prevent any complications. Clear communication with the patient is also vital to address any concerns or discomfort.
1
1
2
2
3
3
4
4
5
More than 4
Disinfect the gastric lavage tube and other equipment used
Disinfecting the gastric lavage tube and other equipment used is essential to prevent the spread of infection and maintain a sterile environment. This task involves following proper disinfection protocols and using suitable disinfectants or sterilization methods. It is crucial to ensure that all surfaces of the equipment are adequately cleaned and dried before storing for future use.
Assess patient's vital signs and comfort
Assessing the patient's vital signs and comfort is a crucial step after the gastric lavage procedure. This task involves monitoring and recording the patient's blood pressure, heart rate, respiratory rate, and oxygen saturation levels. Additionally, assessing the patient's comfort level, pain, or any adverse reactions is essential. Promptly addressing any issues or complications ensures the patient's well-being and recovery.
1
Comfortable
2
Mild Discomfort
3
Moderate Discomfort
4
Severe Discomfort
5
Pain
Record the procedure in the patient's medical records
Recording the procedure in the patient's medical records is essential for documentation and reference purposes. This task involves accurately documenting the details of the gastric lavage procedure, including the steps performed, any complications or special considerations, and the patient's response. Proper documentation ensures continuity of care, enables future analysis, and supports medical decision-making.
Approval: Physician
Will be submitted for approval:
Administer a mild sedative
Will be submitted
Intubate the patient
Will be submitted
Inflate the stomach with air
Will be submitted
Insert the gastric lavage tube
Will be submitted
Inject small quantities of warm water or saline into the stomach
Will be submitted
Secure the tube and start the drain
Will be submitted
Empty the stomach contents
Will be submitted
Repeat lavage until the effluent is clear
Will be submitted
Disinfect the gastric lavage tube and other equipment used
Will be submitted
Assess patient's vital signs and comfort
Will be submitted
Record the procedure in the patient's medical records