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Nursing - Skill - Completed 2016

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ACTIVE LEARNING TEMPLATE: Nursing Skill

STUDENT NAME______________________________________

SKILL NAME__Nasogastric intubation and Enteral Feedings


___________________________________________________________________________ REVIEW MODULE CHAPTER____________

Description of Skill
Nasogastric intubation is the insertion of a nasogastric (NG) tube to manage gastrointestinal
dysfunction and provide enteral nutrition via NG, jejunal, or gastric tubes

Indications CONSIDERATIONS

Decompression
**Remove of gas or stomach contents Nursing Interventions (pre, intra, post)
Pre:
Feeding * Review the prescription and purpose, Identify the Client, provide
** Provide oral nutrition and medications and/or supplements teaching, evaluate client understanding, preform hand hygiene, Set up
equipment, Provide Privacy
Intra:
Lavage * Abdominal Assessment, raise bed, position patient to high-Fowler's (if
**Washing the stomach possible), assess nares, use correct procedure to insert tube,
* check placement; Aspirate gently to collect gastric contents, testing pH (4
Compression or less is expected), and assess odor, color, and consistency. Confirm
placement with an x-ray.
**Applied pressure to prevent hemorrhage Post:
maintain NG Tube, measure output, provide comfort, oral hygiene,
abdominal assessment

Outcomes/Evaluation
Client Education
Expected Outcomes
* Explain the procure to the client prior to starting the
* Distention, nausea, or vomiting relieved procedure
*Feeding and/or nutrition provided * Communicate with the client during the procedure to
* Active bleeding, ingestion of poison, gastric ensure the client is aware of what is happening and
dilation has been washed from the stomach what they need to do.
* hemorrhage prevented or stopped * Evaluate the client’s ability to assist and/or
cooperate.
Evaluation: * Establish a means of communication to signal
distress, such as the client raising a hand
Pt comfort, tube functioning properly

Potential Complications Nursing Interventions


Excoriation of Nares and stomach * Apply lubricant to the nares as needed.
* Assess the color of the drainage. Report dark,
Discomfort “coffee-ground,” or blood-streaked drainage immediately.
Occlusion of the NG tube leading to * Consider switching the tube to the other nares
* Rinse the mouth with water for dryness.
distension * Throat lozenges may help.
Displaced tube * Provide oral hygiene frequently.
* Irrigate the tube per facility protocol to unclog blockages. Use
tap water with enteral feedings.
* Have the client change position in case the tube is against the
stomach wall.
* Verify that suction equipment functions properly

ACTIVE LEARNING TEMPLATES Nursing Skill

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