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This topic has 5 replies, 5 voices, and was last updated 2 years, 4 months ago by Anonymous.

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6th September 2018 at 1:39 pm #9783

michaela.mullally
Participant

Dear all, following a NG never event along with amalgamation of 3 hospitals I am scrutinising my own practice.
Do you advise checking pH of gastric aspirate when administering medications whilst feed is running?
If so how do you address subsequent high pH readings?
I have never taught pH testing of gastric aspirate when feed is running and am now worried I have got it all wrong.
I have always taught test before feed set up and ensure the tube is secure before administration of medications when feed is running but not to aspirate every time.
any advice or opinions gratefully received
thanks
micky
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7th September 2018 at 12:50 am #9785

tracey.jones
Participant

Hi Micky,

Fully in accordance with your practice of checking before feed set up. If the feed is running, you will just get the pH of the feed…or have I missed something too?

Tracey

11th September 2018 at 10:00 am #9812

charlie.crabtree
Participant

pH testing while feed is running is not beneficial as you only aspirate feed. We advocate surrogate measures, so need to record cm marking at nostril to ensure no change; and then check that there isn’t any coiling of tube in mouth, and no evidence of coughing, vomiting, retching, respiratory distress, drop O2 sats.

Charlie

11th September 2018 at 10:15 am #9815

diane.barrett
Participant

Hi,
We advise check cm markings, no coiling in mouth etc. We also have a flow chart for high pH or no aspirate obtained which uses the same checks to try to stop delays in feeding.
They still do stupid things!
Di

11th September 2018 at 4:02 pm #9827

michaela.mullally
Participant

Thanks for the advice guys
Micky

1st October 2018 at 12:12 pm #10011

Anonymous
Inactive

Hi Micky
Don’t doubt yourself.
We never check pH when the feed is running – it will just give you the pH of the feed.
As others have said, it is all about the markings at the nose, coiling at the back of the throat etc.

Liz
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