Nasogastric tube complications

Antiplatelet agents, anticoagulants, and invasive procedures such as the insertion of a central line or the placement of a nasogastric tube should be avoided for 24 hours after the infusion of alteplase to prevent bleeding complications. Bladder catheterization should also be avoided for 30 minutes post-infusion. 

Treatment consists of prevention or elimination of hypoglycaemia. In newborns and infants, this can be achieved by the continuous application of formula diets, if required via nasogastric tube feeding. The administration of allopurinol may also be advisable. A starch diet (e.g. uncooked com starch) is then used to ensure that glucose is released and resorbed slowly in the intestinal tract. (173, 177) After puberty, the course of disease is usually less pronounced. In the long term, espiecially in adenoma-related complications, liver transplantation may be indicated. (185)... 

Cooperative patients with intact airway protective reflexes may drink the solution. However, the large volume and taste often limit even the most motivated patient s ability to comply. If the patient is unable or unwilling to drink this solution, it should be administered through a small-bore nasogastric tube after placement is confirmed. Unconscious patients with protected airways may receive WBI. Prewarming the irrigant to a temperature of 37°C avoids the potential complication of hypothermia. The endpoint of WBI is the arrival of clear rectal effluent and/or resolution of toxic effect. 

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