Nasogastric Intubation

Natrogastric (NG) tube is a flexible tube inserted through patient nares, nasopharynx,
oesophagus into stomach.
placement of nasogastric tube
Therapeutic indications for NG intubation include the following:

1. Enteral feeding
2. Medication administration
3. Gastric decompression: to decompress the stomach, keeping it empty until the
peristalsis returns.
4. Relief of symptoms and bowel rest in the setting of small-bowel obstruction
5. Bowel irrigation
6. Remove toxic substance: aspirating of gastric content from recent ingestion of toxic
material.
Types of NG tubes:
Levin tube
Single lumen
for suction
Salem sump tube
Central lumen
for suction
Air vent lumen
Nursing interventions associated with caring for a client with a NGT include the
following:
 Measure and maintain patency of the tube.
 Assessing and cleansing the insertion site: prevent pressure at the nares, cleansing
around the nares, and lubrication of the oral and nasal membranes.
 Irrigating/flushing the tube
 Managing gastric tube suctioning
 Administering tube feeding
 Administering medication
Nurisng process - ADPIE

Assessment:
1. Medical history: ask patient about history of nasal surgery or trauma or presence of
any allergy. Determine if pt has had an NG in the past.
2. Inspect pt nares, oral cavity: check if there is presence of deviated nasal septum,
inability of breathing properly when nasal opening occluded, nasal or oral
irritation/bleeding.
3. Exam by listening to bowel sounds, lightly pressing pt’s abdomen for checking if
there is bump, bloating or pain.
4. Asses pt’s level of consciousness and ability to cooperate with the procedure.
Diagnosis: nursing diagnosis associated with NG intubating may include:
 Impaired oral mucous membrane: from the irritation of the tube, drying of mucous
membrane from mouth breathing.
 Impaired tissue integrity: from the pressure of the tube on nasal mucosa.
 Deficient fluid volume: from removal of gastric secretions.
Planing:
Expected outcomes:
1. PT’s abdomen remains soft without distention (bloat/bump)
2. PT’s level of comfort improves or remains the same
3. PT’s NG tube remains patent.
4. Pt’s nasal mucosa remain moist and intact.
Equipment:
1. Factory clean gloves (tehdaspuhtaat hanskat)
2. Nasogastric tube: 14-16 Fr tube (nenämahaletku)
3. Water-soluble lubricating gel (puudutusgeeli)
4. Emesis basin/ kidney tray (kaarimalja)
5. Glass of water with straw (vesilasi ja pilli)
6. Cover (suojaliina)
7. Tape (teippi) ja scissors (sakset)
8. Securement tape (Naso-Fix teippi)
9. Perfusion syringe (perfuusioruisku)
10. pH test strips (pH-liuska)
Intervention
Insertation & removal
https://www.youtube.com/watch?app=desktop&v=mHcN9SCAlHU
https://www.youtube.com/watch?v=RDS4_AITy8w
Evaluation
1. Have pt speak; observe if there is any gagging.
2. Checking via Xray film result, auscultate lung sounds.
3. Routinely: Assess location of external exit site marking on the tube; checking pH of
the gastric fluid.
4. Inspect nasal mucosa at least every 8hrs.
Unexpected outcomes:
1. Client has severe and persistent coughing, shortness of breath -> Place client in high
Fowler’s position; ausculate lung sounds, verify placement of feeding tube.
2. Persistent gagging, vomiting -> position pt on his/her side; remove the NG tube if
gagging continues. Contact physician.
3. Inflamed nasal mucosa -> retape tube to relieve pressure on musosa; consider tube
removal and reinsert to opposite naris (doctor indication required)
Presentation idea -- https://www.youtube.com/watch?v=ief6SBTHqrw
Feeding --- https://www.youtube.com/watch?v=UjRAVHXpxIU

https://www.youtube.com/watch?v=Abf3Gd6AaZQ
https://wordwall.net/resource/61519092/feeding-tubes
https://www.proprofs.com/quiz-school/quizshow.php?title=nasogastric-tubes&q=15
https://med.libretexts.org/Bookshelves/Nursing/Nursing_Skills_(OpenRN)/
17%3A_Enteral_Tube_Management/17.07%3A_Learning_Activities
https://opentextbc.ca/clinicalskills/chapter/10-2-nasogastric-tubes/
https://nurseslabs.com/nasogastric-intubation/
https://www.gla.ac.uk/media/Media_678213_smxx.pdf
Pics for our powerpoint presentation https://www.shutterstock.com/search/nasogastric-
intubation

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Natrogastric (NG) tube is a flexible tube inserted through patient nares, nasopharynx,

oesophagus into stomach.

placement of nasogastric tube

Therapeutic indications for NG intubation include the following:

Salem sump tube

Air vent lumen

Nurisng process - ADPIE

Diagnosis: nursing diagnosis associated with NG intubating may include:

Presentation idea -- https://www.youtube.com/watch?v=ief6SBTHqrw

Feeding --- https://www.youtube.com/watch?v=UjRAVHXpxIU

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