Nasogastric Tube
-
Upload
anusha-verghese -
Category
Documents
-
view
21 -
download
0
description
Transcript of Nasogastric Tube
![Page 1: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/1.jpg)
Nasogastric tube
![Page 2: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/2.jpg)
NG Tube Indications
•Aspirate stomach contents• Diagnostic or therapeutic
•Assessment of GI bleeding•Determine gastric acid content
![Page 3: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/3.jpg)
NG Tube Indications
• Treat paralytic ileus • Treat intestinal obstruction• Recurrent vomiting likely• Trauma• Overdose
![Page 4: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/4.jpg)
NG Tube Contraindications
• Esophageal strictures• Alkali ingestion, caustic ingestions, esophageal burns
![Page 5: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/5.jpg)
NG Tube Contraindications
• Trauma patients with:• Cervical or intracranial bleeding• Increased intracranial pressure
• Recent surgery of the following types:• Oropharyngeal• Nasal• Gastric
![Page 6: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/6.jpg)
Confirm NG Tube Placement
• X-ray• Most reliable if tube is radiopaque• Requires order from physician
• Injecting air• 60 cc catheter syringe• Place stethoscope over LUQ of abdomen• Inject air into lumen of tube• Listen for “swoosh” sound
![Page 7: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/7.jpg)
Confirm NG Tube Placement
•Test pH of gastric aspirate•pH < 4 = 95% chance that tip is in stomach•pH > 6 = may be in lung or pleural space
![Page 8: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/8.jpg)
Complications
Excessive coughing, motion, gagging may aggravate the following:
•Neck injuries• Increased risk for C-spine injuries
•Penetrating neck wounds• May increase hemorrhage
• Tube misplacement• Pulmonary• Intracranial
![Page 9: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/9.jpg)
Nasogastric Tube Position
![Page 10: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/10.jpg)
Evaluation
• Note location of external site marking on the tube• Documentation • Size of tube, which nostril and client’s response.• Record length of tube from the nostril to end of tube• Record aspirate pH and characteristics
![Page 11: Nasogastric Tube](https://reader036.fdocument.pub/reader036/viewer/2022062305/55cf8a8b55034654898b91c6/html5/thumbnails/11.jpg)
X-ray of misplaced NG tube