Gastric lavage at home and in the hospital: techniques, algorithm
The technique of gastric lavage, the indications and contraindications to the procedure
Probing and irrigation of the stomach are measures of the urgent help at various
Gastric lavage at home and in the hospital: techniques, algorithm
The technique of gastric lavage, the indications and contraindications to the procedure
Probing and irrigation of the stomach are measures of the urgent help at various poisoning. It prevents the spread of toxic substances throughout the body, reducing the risk of their penetration into the blood stream.
Gastric lavage is a procedure aimed at evacuation of gastric contents for diagnostic purposes (receiving wash water for the detection of microorganisms, poisons) or for the rapid removal of toxins from the body.
When shown to wash out the stomach
The main indications for the procedure, the ingress of toxic substances in the digestive tract. The most frequent cases when it shows the urgent cleansing of the stomach – food poisoning. It develops when the use of poor quality, spoiled food.
Improper food storage, failure to comply with the temperature regime conducive to the rapid reproduction in cooked dishes pathogens. They can cause severe poisoning. Also the source of infection is food prepared in violation of the rules of heat treatment. This applies to meat and fish. In food intoxication gastric lavage is the first stage of emergency assistance to victims.
Indications for the procedure:
- getting chemical compounds in the stomach;
- acute alcohol intoxication;
- poisoning poisonous mushrooms;
- overdose drugs.
The stomach was washed with patients with functional disorders of the gastrointestinal tract when food stagnates and begins the process of fermentation. The procedure is also performed for diseases of the digestive system characterized by increased production of mucus, atrophic, hypertrophic gastritis, disruption of gastric glands.
How to wash the stomach using a probe
Gastric lavage with a probe technique is performed by medical staff not only in the hospital but at home, when you call an ambulance.
- thick tube for gastric lavage;
- additional tubing made of rubber;
- plastic funnel with a volume of 0.5 l;
- tube of glass;
- two tanks, one for solution or clean water, one for wash water, each with a capacity of 10 l;
The water temperature for washing is 25-34 °C. the High degree of liquid is invalid, it will facilitate the rapid absorption of toxins into the blood. Manipulation is performed in medical gloves, protective aprons.
Prepare a jar with a cap or vial with a tight stopper. It is going the first portion of the wash water and sent for analysis.
The technique of gastric lavage thick probe:
- For the procedure the patient is seated on a chair, when a serious condition is placed on the left side. Assess his condition, measure pulse, blood pressure.
- A patient’s chest to cover the protective oilcloth.
- To allow the probe to enter correctly and accurately, it is necessary to measure its length. The first way is from the ear lobe to xiphoid process of the sternum, and the second from the incisor teeth to the navel. On the probe to check the label.
- Advance preparation: collect system (probe to lengthen a rubber tube, connecting them by a glass hollow tube, attach a funnel), the free end of the lubricating liquid paraffin. Thoroughly wash and disinfect hands, wear disposable gloves. If the patient is restless, the procedure was carried out by two medical professionals.
- To the probe was advanced in the esophagus, you need to keep swallowing.
- The system works on the principle of communicating vessels. Water is poured into the funnel, the vessel raise above the head. Once the liquid is at the mouth, the funnel quickly lowered to the pelvis. The water will go in the opposite direction only in the case if the system remained liquid.
- Part of the first portion is poured into the tube and send it for study in the laboratory.
- The manipulation to continue exactly until the water is clear, clean, without impurities.
After the procedure the whole system, as well as rinsing and washing water is subjected to disinfection. The tool soak in a special container. Gastric contents to fill with a disinfectant powder.
Probe gastric lavage for some patients is a severe procedure, so the patient needs to rest the first 2 hours. If there are no serious contraindications, in stable condition after recovery and Wellness, you can return to normal daily routine.
Before gastric lavage should explain to the patient that the probe is not to squeeze lips, to bite, to try to pull hands. Medical personnel must ensure that the patient ceased to breathe deeply throughout the procedure.
If the washings noticed streaks of blood or there is a suspicion of bleeding, immediately stop the procedure.
How to wash out the stomach on your own at home
Gastric lavage is not an indication for hospitalization. With a slight poisoning and consistently good health, the procedure can be done at home. Will also be useful to know algorithm of action of cleansing the stomach for emergency care when transporting the person to a medical institution long (the victim is outside the city or in a remote locality).
How to wash out the stomach at home without a special probe? To make washing possible, causing vomiting.
The technique of gastric lavage:
- The victim to sit down, cover with a cloth or towel.
- The victim needs a quick drink, 2-3 minutes, water or a solution volume of 0.7-1 litre
- Two fingers to wrap cotton cloth, 