Today is our topic of discussion Procedure for Nasogastric Tube Insertion.
Procedure for Nasogastric Tube Insertion
Procedure
- Wash hands thoroughly
- Measure distance of tube from tip of patient’s ear lobe to nose to tip of xiphoid process
- Mark the distance of the tube (Fig. 14.5)
- Lubricate the tube for about 6 to 8 inches with the lubricant using a rag pieces or a paper square
- Hold the tube coiled in the right hand and introduces the tip into the left nostril
- Pass the tube gently but quickly backwards momentary resistance may occur as the tube is passed into thenasopharynx
- When the tube reaches the pharynx the patient may gag.
- Allow him to rest for a movement Have the patient take sips of water on command advance the tube 3 to 4 inches each time patient swallows
- Make sure tube is in stomach Once location of nasogastric tube insured close other end of tube with spigot, secure tube on nose using adhesive in ‘T’ or butterfly.
Methods to Confirm NG Tube in the Stomach
- Aspirate: Attach the syringe to the end of NG tube and aspirate small amount of gastric contents
- Immerse distal end of tube into bowel of water and check for air bubbles. If the tube is in the trachea, air bubbles will coincide with the expiration of each breath
- Auscultate: Attach syringe to free end of NG tube, place diaphragm of stethoscope over left hypochondrium. Inject 10 mL of air and auscultate abdomen for gushing sound.
After Care
- Offer a mouthwash. Clean the face and hands and try them
- Remove the Mackintosh and towel.
- Make the patient comfortable in bed
- Take all the articles to the utility room discard the waste,clean it and replace it in a proper place
- Wash hands
- Record the procedure in the nurse’s record sheet
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