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    Nasogastric Tube Insertion: Notes: Complications

    Uploaded by

    Alyssandra Luceno
    This document provides instructions for nasogastric tube insertion, including indications, contraindications, required materials, steps for insertion, and techniques to verify proper placement. Key points include measuring the tube from the nose to ear and 5cm below the xiphoid process, lubricating the tip, gently advancing the tube through the nasopharynx while having the patient indicate when it reaches their throat, fixing the tube once the desired insertion length is reached, and verifying placement by aspirating gastric contents and checking pH or insufflating air and auscultating over the epigastrium. Complications include infection, trauma, and accidental access to the airway.

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

    Nasogastric Tube Insertion: Notes: Complications

    Uploaded by

    Alyssandra Luceno
    101 views2 pages
    This document provides instructions for nasogastric tube insertion, including indications, contraindications, required materials, steps for insertion, and techniques to verify proper placement. Key points include measuring the tube from the nose to ear and 5cm below the xiphoid process, lubricating the tip, gently advancing the tube through the nasopharynx while having the patient indicate when it reaches their throat, fixing the tube once the desired insertion length is reached, and verifying placement by aspirating gastric contents and checking pH or insufflating air and auscultating over the epigastrium. Complications include infection, trauma, and accidental access to the airway.

    Original Description:

    how to insert an NGT

    Original Title

    NGT Module

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    © © All Rights Reserved

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    This document provides instructions for nasogastric tube insertion, including indications, contraindications, required materials, steps for insertion, and techniques to verify proper placement. Key points include measuring the tube from the nose to ear and 5cm below the xiphoid process, lubricating the tip, gently advancing the tube through the nasopharynx while having the patient indicate when it reaches their throat, fixing the tube once the desired insertion length is reached, and verifying placement by aspirating gastric contents and checking pH or insufflating air and auscultating over the epigastrium. Complications include infection, trauma, and accidental access to the airway.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    101 views2 pages

    Nasogastric Tube Insertion: Notes: Complications

    Uploaded by

    Alyssandra Luceno
    This document provides instructions for nasogastric tube insertion, including indications, contraindications, required materials, steps for insertion, and techniques to verify proper placement. Key points include measuring the tube from the nose to ear and 5cm below the xiphoid process, lubricating the tip, gently advancing the tube through the nasopharynx while having the patient indicate when it reaches their throat, fixing the tube once the desired insertion length is reached, and verifying placement by aspirating gastric contents and checking pH or insufflating air and auscultating over the epigastrium. Complications include infection, trauma, and accidental access to the airway.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DLSHSI

    College of Medicine
    Department of Health Informatics
    1
    Nasogastric Tube Insertion: Section of Simulation-based Education

    Notes
    • Indications 3. Nasogastric tube of
    • Diagnostic: appropriate gauge -12-18F
    o Aspiration of gastric fluid (12&14 mostly used)
    content (e.g. AFB smear for 4. Water-based lubricating gel
    pediatric TB cases) 5. Clinical waste disposal bag
    o Radiology 6. Hypoallergenic tape /NG
    - administration of strip/dressing
    contrast to the GI tract 7. Emesis basin or bowel
    - To distinguish the 8. Stethoscope
    esophagus from the 9. Glass of water with a straw
    stomach in Chest X-rays 10. 50 ml catheter tip syringe
    o For evaluation of Upper GI 11. Bile bag/ collection bag
    Bleeding (UGIB) 12. Oral analgesic spray, if
    • Therapeutic: required (e.g. Benzocaine
    o Gastric decompression spray)
    o Assisted feeding
    o Aspiration of recently • Complications
    ingested toxic chemicals o Infection
    o Part of management for o Trauma
    small-bowel obstruction: o Accidental access to the airway –
    symptom relief and bowel choking and aspiration
    rest • Steps
    o Bowel irrigation 1. Position the patient sitting
    o Administration of medicines upright with their neck straight
    2. Assess the patency of the

    patient's nostrils. also look for
    • Contraidications possible injury, septal deviation,
    • Absolute: or polyps.
    o Recent nasal surgery 3. Wash hands, the don your sterile
    o Head trauma involving the gloves
    maxillofacial area 4. Measure the desired length from
    • Relative: the tip of the nose, then loop
    o Alkaline ingestion around the ear, and then around
    o Esophageal varices 5cm below the xiphisternum
    o Coagulation abnormalities 5. Lubricate the tip of the NGT. In
    some cases, local anaesthetic
    • Materials spray can also be used on the
    1. Dressing pack back of the throat
    2. Sterile gloves & apron 6. Insert the NGT to the nostril. If
    there is resistance, try to insert

    Prepared by: Jeriel R. De Silos, MD.


    Date: 3 February 2016
    DLSHSI College of Medicine
    Department of Health Informatics
    2
    Nasogastric Tube Insertion: Section of Simulation-based Education

    Notes
    the NGT to the other nostril. –
    MAKE SURE TO WARN THE
    PATIENT PRIOR TO THE
    INSERTION
    7. Gently advance the NGT through
    the nasopharynx. Rotating the
    NGT can help in moving the tube
    forward.
    8. Ask the patient to indicate when
    the tube is at the back of his/ her
    throat. Alternatively, you can ask
    the patient to open their mouth Estimating the length of the NGT prior
    and look for the NGT tip. to insersion. (Image retrievd from:
    9. Ask the patient to take some sips http://www.sharinginhealth.ca/)
    of their water and as they
    swallow advance the NGT.
    10. Verify the location of the
    nasogastric tube:
    o Litmus paper test* – Aspirate

    gastric contents and check
    the pH with a litmus paper.
    Gastric contents will give you

    a pH of 1.0-5.5 (acidic).
    o Insufflate the port while
    auscultating for air sounds
    over the patient’s
    epigastrium.
    11. Once you reach the desired
    insertion length, fix the NGT.


    *Litmus paper test is not a common practice


    in health facilities the Philippines,
    particularly in small provincial government
    and private hospitals.

    Prepared by: Jeriel R. De Silos, MD.


    Date: 3 February 2016

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