College of Applied Medical Sciences

Department of Nursing Sciences

(Nasogastric Tube )
Clinical - Clinical Training - NRSG481

Under the supervision : Mirfat Mohammed Al-Kashef

Student name : Bashayer Mordi Abdulhadi – ID:438720006

Level 8
Nasogastric
Tube
Objectives :
1- Definition of a nasogastric tube
2- Indications
3- Contraindications

4- Types of NG tubes
5- Procedure of insert NG tubes
6- Removing an NG Tube
Definition of a nasogastric tube :
is a flexible tube of rubber or plastic that is passed through the
nose, down through the esophagus, and into the stomach. It can
be used to either remove substances from or add them to the
stomach. An NG tube is only meant to be used on a temporary
basis and is not for long-term use.

Indications:
1- Administering nutrients or medication .

2- Removing liquids or air from the stomach .

3- Provide diagnostic information (e.g. to collect gastric contents

for analysis)

4- Drainage or lavage in drug overdosage or poisoning

Contraindications :
1- Severe facial trauma

2- Sinusitis

3-Deviated septum
 Types of NG tubes

Double lumen tube (salem) Single lumen tube (Levin)

How to insert NG tubes:
1-Wash your hands.
2- Preparing the necessary equipment
- Clean non-sterile gloves - NG tube - Emesis basin
-Towel - Facial tissues - A cup of water
- PH paper - Syringe - Stethoscope
-Dressing or tape for fixation
3-Identify the patient
4-Introduce yourself to the patient.
5- Explain the procedure to the patient
6- Apply clean non-sterile gloves.
7- Determine the length of tube to be inserted.(from the tip of the nose to the
earlobe to Below the sternum

8- Position the patient sitting with the head slightly bent back

9- Place a towel on the patient’s chest and provide facial tissues and an
emesis basin.
10- Lubricate NG tube and gently insert the NG tube into the nostril (avoid
forcing the NG tube if significant resistance is encountered)
11- As tip of tube passes into pharynx, encourage patient to swallow or drink
the water to facilitate passage of tube into esophagus .
12- Continue to advance the NG tube down the esophagus , once you reach
the desired nasogastric tube insertion length.
13- Check placement of the tube:
− X-ray confirmation

− Testing pH of aspirate
− Audible bubbles with a stethoscope when air is injected into the tube
14- Fix the NG tube to the nose with a dressing or tape .,then secure the tube
to the patient’s gown with a safety pin, allowing enough tube length for
comfortable head movement.

15- Document the procedure , and report any unexpected findings to the
appropriate health care provider.
16- Reassure the patient the NG tube will become more comfortable over the
next few hours.
17- Offer the patient paper towels to clean their face and nose .
18- Dispose of used equipment
19- Wash your hands
Removing an NG Tube:

An NG tube should be removed if it is no longer required. The process of

removal is usually very quick. Prior to removing an NG tube, verify physician
orders.

Steps
1-Wash your hands.

2- Preparing the necessary equipment.

- Clean non-sterile gloves
- Facial tissues
- Syringe
3- Identify the patient
4-Introduce yourself to the patient.
5- Explain the procedure to the patient
6- Apply clean non-sterile gloves.
7- Place waterproof pad or towel on patient’s chest
8- Disconnect tube from feed if present.
9- Remove tape or securement device from nose and unclip NG tube from
patient’s gown.
10-Clear NG tube by inserting 10 to 20 ml of air into tube.
11-Instruct patient to take a deep breath and hold it and gently pull o ut tube in
a swift, steady motion, wrapping it in your hand as it is being pulled out.
Dispose of tube in garbage bag.
12-Offer tissue or clean the nares for the patient and offer mouth care as
required.
13- Remove gloves and place patient in a comfortable position.
14- Dispose of used equipment
15- Wash your hands
16- - Document the procedure , and report any unexpected findings to the
appropriate health care provider.