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    Nasogastric Tube

    Uploaded by

    Drmirfat Alkashif
    This document provides information and instructions for inserting and removing a nasogastric tube. It defines a nasogastric tube as a flexible tube passed through the nose and esophagus into the stomach. The document lists indications such as administering nutrients or draining the stomach, and contraindications like sinusitis. It describes types of tubes, provides a step-by-step procedure for insertion and removal, and objectives for a clinical training on nasogastric tubes.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Nasogastric Tube

    Uploaded by

    Drmirfat Alkashif
    21 views9 pages
    This document provides information and instructions for inserting and removing a nasogastric tube. It defines a nasogastric tube as a flexible tube passed through the nose and esophagus into the stomach. The document lists indications such as administering nutrients or draining the stomach, and contraindications like sinusitis. It describes types of tubes, provides a step-by-step procedure for insertion and removal, and objectives for a clinical training on nasogastric tubes.

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    Nasogastric tube

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    This document provides information and instructions for inserting and removing a nasogastric tube. It defines a nasogastric tube as a flexible tube passed through the nose and esophagus into the stomach. The document lists indications such as administering nutrients or draining the stomach, and contraindications like sinusitis. It describes types of tubes, provides a step-by-step procedure for insertion and removal, and objectives for a clinical training on nasogastric tubes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views9 pages

    Nasogastric Tube

    Uploaded by

    Drmirfat Alkashif
    This document provides information and instructions for inserting and removing a nasogastric tube. It defines a nasogastric tube as a flexible tube passed through the nose and esophagus into the stomach. The document lists indications such as administering nutrients or draining the stomach, and contraindications like sinusitis. It describes types of tubes, provides a step-by-step procedure for insertion and removal, and objectives for a clinical training on nasogastric tubes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 9

    College of Applied Medical Sciences

    Department of Nursing Sciences

    (Nasogastric Tube )
    Clinical - Clinical Training - NRSG481

    Under the supervision : Mirfat Mohammed Al-Kashef

    Student name : Bashayer Mordi Abdulhadi – ID:438720006


    Level 8
    Nasogastric
    Tube
    Objectives :
    1- Definition of a nasogastric tube
    2- Indications
    3- Contraindications

    4- Types of NG tubes
    5- Procedure of insert NG tubes
    6- Removing an NG Tube
    Definition of a nasogastric tube :
    is a flexible tube of rubber or plastic that is passed through the
    nose, down through the esophagus, and into the stomach. It can
    be used to either remove substances from or add them to the
    stomach. An NG tube is only meant to be used on a temporary
    basis and is not for long-term use.

    Indications:
    1- Administering nutrients or medication .

    2- Removing liquids or air from the stomach .

    3- Provide diagnostic information (e.g. to collect gastric contents


    for analysis)

    4- Drainage or lavage in drug overdosage or poisoning

    Contraindications :
    1- Severe facial trauma

    2- Sinusitis

    3-Deviated septum
    Types of NG tubes

    Double lumen tube (salem) Single lumen tube (Levin)


    How to insert NG tubes:
    1-Wash your hands.
    2- Preparing the necessary equipment
    - Clean non-sterile gloves - NG tube - Emesis basin
    -Towel - Facial tissues - A cup of water
    - PH paper - Syringe - Stethoscope
    -Dressing or tape for fixation
    3-Identify the patient
    4-Introduce yourself to the patient.
    5- Explain the procedure to the patient
    6- Apply clean non-sterile gloves.
    7- Determine the length of tube to be inserted.(from the tip of the nose to the
    earlobe to Below the sternum

    8- Position the patient sitting with the head slightly bent back

    9- Place a towel on the patient’s chest and provide facial tissues and an
    emesis basin.
    10- Lubricate NG tube and gently insert the NG tube into the nostril (avoid
    forcing the NG tube if significant resistance is encountered)
    11- As tip of tube passes into pharynx, encourage patient to swallow or drink
    the water to facilitate passage of tube into esophagus .
    12- Continue to advance the NG tube down the esophagus , once you reach
    the desired nasogastric tube insertion length.
    13- Check placement of the tube:
    − X-ray confirmation

    − Testing pH of aspirate
    − Audible bubbles with a stethoscope when air is injected into the tube
    14- Fix the NG tube to the nose with a dressing or tape .,then secure the tube
    to the patient’s gown with a safety pin, allowing enough tube length for
    comfortable head movement.

    15- Document the procedure , and report any unexpected findings to the
    appropriate health care provider.
    16- Reassure the patient the NG tube will become more comfortable over the
    next few hours.
    17- Offer the patient paper towels to clean their face and nose .
    18- Dispose of used equipment
    19- Wash your hands
    Removing an NG Tube:

    An NG tube should be removed if it is no longer required. The process of


    removal is usually very quick. Prior to removing an NG tube, verify physician
    orders.

    Steps
    1-Wash your hands.

    2- Preparing the necessary equipment.


    - Clean non-sterile gloves
    - Facial tissues
    - Syringe
    3- Identify the patient
    4-Introduce yourself to the patient.
    5- Explain the procedure to the patient
    6- Apply clean non-sterile gloves.
    7- Place waterproof pad or towel on patient’s chest
    8- Disconnect tube from feed if present.
    9- Remove tape or securement device from nose and unclip NG tube from
    patient’s gown.
    10-Clear NG tube by inserting 10 to 20 ml of air into tube.
    11-Instruct patient to take a deep breath and hold it and gently pull o ut tube in
    a swift, steady motion, wrapping it in your hand as it is being pulled out.
    Dispose of tube in garbage bag.
    12-Offer tissue or clean the nares for the patient and offer mouth care as
    required.
    13- Remove gloves and place patient in a comfortable position.
    14- Dispose of used equipment
    15- Wash your hands
    16- - Document the procedure , and report any unexpected findings to the
    appropriate health care provider.

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