Today our topic of discussion is Procedure of Nasogastric Insertion.
Procedure of Nasogastric Insertion
Procedure
- Explain the procedure to with the cooperation of patient Wash and dry hands
- Establish the distance that the tube is to be passed by measuring the distance on the tube from patient’s ear lobe to the bride of nose to the bottom of xiphisternum
- Lubricate 15-20 cm of the tube and jelly
- Insert the tube and slide it gently but firmly inwards and backward along the floor of nose to naso case of the patient who is under the effect of anesthesia pharynx
- Encourage the patient to swallow and breathe through mouth when tube reaches pharynx keeping chin down and head forward to assist the passage of tube
- Advance the tube until the length previously measured has been inserted and the mark has reached the external nares.
- If the patient shows any distress remove the tube immediately Ascertain whether the tube is in stomach.
- Aspirating the contents of stomach and a syringe.
- The aspirate should turn the litmus paper red
- Place the steth over the epigastrium and inject 2-3 mL. of air to the tube. It can be detected by whooshing sound
- Secure the tube to the patient nose with tape (Fig. 28.41).
Post-procedure Care
- Ensure that patient is as comfortable as possible
- Clean and dispose of the equipment
- Wash hands
- Initiate and maintain intake output chart
- Record the time, date, and reaction of patient, etc. in nurse’s record as well as in the intake output chart
- Remove the tube when the aspiration is to be stopped.
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