A nasogastric NG tube is a flexible plastic tube inserted through the nostrils, down the nasopharynx, and into the stomach or the upper portion of the small intestine. An NG tube used for feeding should be labelled. The tube is used to feed patients who may have swallowing difficulties or require additional nutritional supplements. An NG tube can also remove gastric content, either draining the stomach by gravity or by being connected to a suction pump. Do this by occluding one side and asking the patient to sniff.
For this procedure the patient should be positioned on the bed upright and facing forward. Previous: Position the patient sitting upright Procedure for nasogastric tube insertion their neck straight. Special attention is necessary during insertion under these circumstances in order to avoid undue trauma to the esophagus. This prevents aspiration of tube feed falling out of tube. The tube is used to feed patients who may have swallowing difficulties or require additional nutritional supplements. Step 05 Lubricate the tip of the tube and begin to insert through one of the nostrils. Securing device or tape. These tubes often have guidewires to facilitate insertion.
Procedure for nasogastric tube insertion. What is a Nasogastric (NG) Tube?
Nasal fog oral secretions may be Wives expectations during the procedure. Avoiding Common Nursing Errors. This aids in timely recognition and identification of tube displacement or migration. Do this by measuring the nasogastric tube from the tip of the nose, to the earlobe and then to the xiphisternum. These tubes often have guidewires to facilitate insertion.
Nasogastric intubation is a medical process involving the insertion of a plastic tube nasogastric tube or NG tube through the nose , past the throat , and down into the stomach.
- Nasogastric NG tubes may be used for feeding or for drainage — read your instructions thoroughly as this will dictate the type of tube you need to use.
- The process of inserting an NG tube has its risks, but once nurses gain experience in this area, they should be able to insert an NG tube without any level of difficulty.
Nasogastric intubation is a medical process involving the insertion of a plastic tube nasogastric tube or NG tube through the nosepast the throatand down into the stomach. Orogastric intubation is a similar process involving the insertion of Voluptouse huge big tits plastic tube orogastric tube through the mouth.
A nasogastric tube is used for feeding and administering drugs and other oral agents such as activated charcoal. For drugs and for minimal quantities of liquid, a syringe is used Procedure for nasogastric tube insertion injection into the tube. For continuous feeding, a gravity based system is employed, with the solution placed higher than the patient's stomach.
If accrued supervision is required for the feeding, the tube is often connected to an electronic pump which can control and measure the patient's intake and signal any interruption in the feeding. Nasogastric tubes may also be used as Erotic sex stories from india aid in the treatment of life threatening eating disorders, especially if the patient is not compliant with eating.
Nasogastric aspiration suction is the process of draining the stomach's Holly jean tits via the tube.
Nasogastric aspiration is mainly used to remove gastrointestinal secretions and swallowed air in patients with gastrointestinal obstructions.
Nasogastric aspiration can also be used in poisoning situations when a potentially toxic liquid has been ingestedfor preparation before surgery under anaesthesiaand to extract samples of gastric liquid for analysis. If the tube is to be used for continuous drainage, it is usually appended to a collector bag placed below the level of the patient's stomach; gravity empties the stomach's contents. It can also be appended to a suction system, however this method is often restricted to emergency situations, as the constant suction can easily damage the stomach's lining.
In non-emergency situations, intermittent suction is often applied giving the benefits of suction without the untoward effects of damage to the stomach lining. Suction drainage is also used for patients who have undergone a pneumonectomy in order to prevent anesthesia-related vomiting and possible aspiration of any stomach contents. Such aspiration would represent a serious risk of complications to patients recovering from this surgery.
The tube is then marked at this level to ensure that the tube has been inserted far enough into the patient's stomach. Treatment with 2. When the tube enters the oropharynx and glides down the posterior pharyngeal wall, the patient may gag; in this situation the patient, if awake and alert, is asked to mimic swallowing or is given some water to sip through a Ultra curvy sluts, and the tube continues to be inserted as the patient swallows.
Once the tube is past the pharynx and enters the esophagusit is easily inserted down into the stomach. The tube must then be secured in place to prevent it from moving. Great care must be taken to ensure that the tube has not passed through the larynx into the trachea and down into the bronchi.
The reliable method is to aspirate some fluid from the tube with a syringe. This fluid is then tested with pH paper note not litmus paper to determine the acidity of the fluid. If the pH is 4 or below then the tube is in the correct position.
Future techniques may include measuring the concentration of enzymes such as trypsinpepsinand bilirubin to confirm the correct placement of the NG tube. Only smaller diameter 12 Fr or less in adults nasogastric tubes are Megan foxx xxx for long-term feeding, so as to avoid irritation and erosion of the nasal mucosa.
These tubes often have guidewires to facilitate insertion. If feeding is required for a longer period of time, other options, such as placement of a PEG tubeshould be considered. Function of an NG tube properly placed and used for suction is maintained by flushing.
This may be done by flushing small amounts of saline and air using a syringe  or by flushing larger amounts of saline or water, and air, and then assessing for the air to circulate through one lumen of the tube, into the stomach, and out the other lumen. The use of nasogastric intubation is contraindicated in patients with moderate-to-severe neck and facial fractures due to the increased risk of airway obstruction or improper tube placement.
Special attention is necessary during insertion under these circumstances in order to avoid undue trauma to the esophagus. There is also a greater risk to patients suffering from bleeding disorders, particularly those resulting from the distended sub-mucosal veins in the lower third of the esophagus known as esophageal varices which may be easily ruptured due to their friability and also in GERD.
Minor complications include nose bleedssinusitisand a sore throat. From Wikipedia, the free encyclopedia. August Retrieved 30 January Betsy H. Allbee; Lisa Marcucci; Jeannie S. McCraw; Anthony D. Slonim; Teresa A. Slonim 28 March Avoiding Common Nursing Errors. July A Pilot Study ". Academic Emergency Medicine. New England Journal of Medicine. Cincinnati Children's Hospital Medical Center. August 22, In Ostendorf, W ed. Mosby Elsevier. BMC Nursing. Endoscopy : Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series.
Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Procedure for nasogastric tube insertion. Appendicectomy Colectomy Colonic polypectomy Colostomy Hartmann's operation. Anal sphincterotomy Anorectal manometry Lateral Procedure for nasogastric tube insertion sphincterotomy Rubber band ligation Transanal hemorrhoidal dearterialization. Endoscopy : Colonoscopy Anoscopy Capsule endoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal series Small-bowel Procedure for nasogastric tube insertion Transrectal ultrasonography Virtual colonoscopy.
Fecal fat test Fecal pH test Stool guaiac test. Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure. Frey's procedure Pancreas transplantation Pancreatectomy Pancreaticoduodenectomy Puestow procedure. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
Hernia repair : Inguinal hernia surgery Femoral hernia repair. Antiseptic lavage Gastric lavage Arthroscopic lavage Ductal lavage Vaginal douche. Categories : Medical equipment Enteral feeding Medical treatments. Hidden categories: All articles with unsourced statements Articles with unsourced statements from March Namespaces Article Talk.
Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
May 26, · Nasogastric (NG) tubes may be used for feeding or for drainage – read your instructions thoroughly as this will dictate the type of tube you need to use. Essentially you are inserting a tube from the patients nose into their stomach. There are several absolute contraindications for insertion so you should be aware of these. Jan 13, · It is important to note that an NG tube insertion is not a sterile procedure but rather a clean one because the digestive tract is a contained system. Please check your hospital policy. This article reviews the nasogastric tube insertion guidelines, nasogastric tube indications, and how to verify their correct intragastric positioning. Post-insertion. Before removing the guide wire, aspirate from the NG tube and check for gastric pH (). If pH confirmed, remove guide wire and tape tube in place. If unable to aspirate from the NG tube, do not remove guide wire, tape wire in place. Attach drainage bag or spigot (as appropriate) to end of tube and secure for patient’s comfort.
Procedure for nasogastric tube insertion. Navigation menu
Continue to advance the NG tube down the oesophagus. A nasogastric NG tube is a long polyurethane or silicone tube that is passed through the nasal passages via the oesophagus into the stomach. An order is required to remove an NG tube. Your choices will not impact your visit. Aspirate from the tube using a syringe. New England Journal of Medicine. Related Posts. Slonim 28 March If the pH is 4 or below then the tube is in the correct position. The NG tube is aspirated and the contents are checked using pH paper, not litmus paper Earley, Slonim; Teresa A. Lubricate the tip of the NG tube. Xiphisternum position. Nursing Times Jobs has thousands of current vacancies - start your job search today! Your patient has a nasogastric tube and is requesting water because her throat feels dry.
Check out the nasogastric tube NGT insertion mark scheme here.
Nasogastric tube or NG tube is used in patients suffering from dysphagia due to their inability to meet nutritional needs despite food modifications and because of the possibility of aspiration. Tubes that pass from the nostrils into the duodenum or jejunum are called nasoenteric tubes. The length of these tubes can either be medium used for feeding or long used for decompression, aspiration. For patients to gain adequate nutrition and medication especially for those who are unable to eat and drink. Also, NG intubation is a less invasive alternative to surgery in the event an intestinal obstruction can be removed easily without surgery. Therapeutic indications for NG intubation include:. However, a patient may need to blow their nose and take a few sips of water if allowed before the procedure. Another method used prior to the procedure is the viscous lidocaine the sniff and swallow method.