1. Why is OGT insertion ordered and not an NGT insertion?

The feeding tubes could be inserted by (NGT) or Nasogastric Tube and by (OGT) or
Orogastric Tube. Both procedure are used in Neonatal Intensive Care Units (NICUs).

Since newborn infants are obligate nose breathers, nasogastric tube (NGT) can lead to
partial nasal obstruction which might increase airway resistance and work of breathing
although they are easy to secure to the face than orally placed tubes. Orogastric tubes (OGT),
on the other hand, may not lead to the potential risk of increased work of breathing associated
with NGT but are more frequently malpositioned and can loop inside the mouth. Also there is
increased possibility of apnea and bradycardia due to vagal stimulation.

Orogastric tubes (OGT) allows for more easier breathing because the nose is not blocked.
The catheter is passing through the mouth in this size infant will lead to less distress than
passing it through the nose. Also it can decrease the possibility of striking the vagal nerve and
causing bradycardia.

2. After an OGT is inserted and feeding is started, create an FDAR charting for this
patient.

DATE/TIME FOCUS DATA, ACTION AND

RESPONSE
03/23/21 OGT D: Pt inserted OGT for feeding
by the doctor’ order
9:00 am A: Monitor pt intake 30cc of
breastmilk via OGT every 2hrs
R: Pt will get enough nutrition
and become healthy