What is a nasogastric procedure?
What is a nasogastric procedure?
Nasogastric intubation is the insertion of a flexible tube into the nasal passage, through the throat and esophagus into the stomach. It is a minor procedure that provides access to the esophageal passage and the stomach.
How do you nurse a patient with nasogastric tube?
Nursing Considerations
- Provide oral and skin care. Give mouth rinses and apply lubricant to the patient’s lips and nostril.
- Verify NG tube placement. Always verify if the NG tube placed is in the stomach by aspirating a small amount of stomach contents.
- Wear gloves.
- Face and eye protection.
How do you measure NGT before insertion?
Estimate the length of insertion by measuring the distance from the tip of the nose, around the ear, and down to just below the left costal margin. This point can be marked with a piece of tape on the tube.
Where do you Auscultate NGT placement?
Auscultation with insufflation of air A stethoscope is placed over the epigastrium to listen for a whoosh sound as 10–30 mL of air is insufflated through the NGT. However, sounds may be transmitted to the epigastrium whether the tube is positioned in the lung, esophagus, stomach, duodenum, or proximal jejunum.
How uncomfortable is a nasogastric tube?
Nearly all the respondents felt that NG tube insertion was uncomfortable or painful for awake and alert patients (98%). Although 93 percent reported use of some measure to reduce this discomfort, only 28 percent felt what they do is adequate and only 39 percent expressed satisfaction with their current practice.
What is nasogastric intubation used for?
Uses. 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 for injection into the tube.
Is nasogastric tube insertion a sterile procedure?
Insertion of a NG tube is a clean procedure, so the nurse must wash their hands before the procedure and put on non-sterile gloves and an apron (National Nurses Nutrition Group (NNNG) 2012).
Can you eat with a nasogastric tube in place?
You may be able to still eat and drink whilst you have NG tube as long as you do not have any swallowing difficulties. How long is the feed attached for? You may be fed during the day and night or just overnight.
How do you check placement of NG tube?
Methods of confirming NG tube position
- Auscultation of air insufflated through the feeding tube (‘whoosh’ test)
- Testing the acidity/alkalinity of aspirate using blue litmus paper.
- Interpreting the absence of respiratory distress as an indicator of correct positioning.
- Monitoring bubbling at the end of the tube.
When do we use nasogastric tube?
A nasogastric tube is a narrow-bore tube passed into the stomach via the nose. It is used for short- or medium-term nutritional support, and also for aspiration of stomach contents – eg, for decompression of intestinal obstruction. A wide-bore tube is used if drainage is needed; otherwise, a finer-bore tube is used.
What is a nasogastric intubation?
Nasogastric Intubation and Enteral Feedings Nasogastric intubation is the insertion of a nasogastric (Ng) tube to manage gastrointestinal (gi) dysfunction and provide enteral nutrition via Ng. Nurses also give enteral feedings through jejunal and gastric tubes.
How do you get a nasogastric (NG) tube in your nose?
Look inside the nose for any obvious obstructions. Place a towel or blue pad over the patient’s chest to keep it clean. Choose the side for tube insertion and spray topical anesthetic in this nostril and the pharynx at least 5 minutes before tube insertion.
What happens during ng intubation for esophageal tube feeding?
During NG intubation, your doctor or nurse will insert a thin plastic tube through your nostril, down your esophagus, and into your stomach. Once this tube is in place, they can use it to give you food and medicine.
How do you fix a nasogastric tube that won’t stay in?
The nasogastric tube may coil in the oropharynx, mouth, or hypopharynx. Cool the tube in cold tap water or ice water for 5 minutes to make the tube stiffer and then reinsert it. A larger bore tube may be inserted more easily.