a. Simple suction by the use of a syringe
b. An electric suction machine
The continues method is indicated when it is absolutely necessary and desirable to keep the stomach and duodenum empty and at rest.
Equipment
• Aspiration tube (Ryle's tube)
• Aspiration syringe if this method is used
• Gallipots with lubricant e.g. liquid paraffin or vase line, to lubricate the nostrils
• Gauze swabs in a bowl
• Sodium bicarbonate solution or saline to clean the nostrils
• Litmus paper
• Water in a galipot to test the right position of the tube in the stomach
• Two test tubes and laboratory forms of necessary
• Saline or plain water in a galipot to be injected, in case the stomach content is too thick to come out through the syringe.
• Rubber mackintosh and towel to protect the patient’s chest.
• Receiver for soiled swabs
Procedure
1. Explain procedure to patient, in order to gain her/his cooperation
2. Prop up in an upright position with help of back rest and pillow
3. Cleanse and lubricate the nostrils
4. Lubricate the Ryle's tube with water
5. Insert the tube as directed in nasal feeding and ask the patient to swallow as the tube goes down.
6. Instruct patient to open her or his mouth to make sure the tube is in the stomach
7. After being sure that the tube is in the right position, inject about 15-20 cc. of saline or water in to the stomach.
8. Draw plunger back to with draw the fluid collect specimen, If needed
9. If the Ryle's tube is to be left in site then a spigot or clamp is used to close the end, but if it is for one aspiration and to be removed immediately, it should be withdrawn very gently to avoid irritating the mucous lining.
N.B
1. Special care of the nose and mouth to prevent dryness should be considered
2. Always measure the amount withdrawn accurately noting color, contents and smell
3. Record on the fluid chart properly
4. Report any change in patient condition regarding pulse, Temperature, B.P fluid out put.
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