NGT inserted through nostril passing the nasopharynx until the stomach. Used to prevent gastric distention, nausea and vomiting. To wash off the stomach of poisons or overdose in medications.
NGT inserted through nostril passing the nasopharynx until the stomach. Used to prevent gastric distention, nausea and vomiting. To wash off the stomach of poisons or overdose in medications.
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NGT inserted through nostril passing the nasopharynx until the stomach. Used to prevent gastric distention, nausea and vomiting. To wash off the stomach of poisons or overdose in medications.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPTX, PDF, TXT or read online from Scribd
! V 1. ADMINISTER TUBE FEEDINGS & MEDICATIONS Ȃ in clients unable to eat by mouth or at risk of aspiration V DzGAVAGEdz Ȃ gastric feeding
V 2. means of GASTRIC DECOMPRESSION
V To prevent gastric distention, nausea and vomiting V _. Diagnostic purposes for gastric content analysis V Introduction of radiographic contrast for GIT
V 4. To wash off the stomach of poisons or
overdose in medications. V DzLAVAGEdz Ȃ gastric irrigation V Severe midface injury V Recent nasal surgery V Coagulation abnormality V Esophageal varices V Alkaline ingestion V Large or small bore tube V Guidewire or stylet V Solution basin with ice or warm water V Hypoallergenic adhesive tape V Clean gloves V Water soluble lubricant V Facial tissues V Glass of water with straw V 20-50 ml syringe with an adapter V Basin V pH strip or Meter V Stethoscope V Disposable Pad/Towel V Clamp/Plug (Optional) V Suction Apparatus V Gauze Square/Plastic Specimen Bag/Elastic band V Safety Pin V 1. Assist to assume a High Fowlerǯs position, with head supported on pillow if condition permits V 2. Explain procedure. V _. Handwashing; observe universal blood and body fluid precaution V 4. Provide privacy. Place disposable pad/towel across chest. V 5. Assess clientǯs nostrils. r Hyperextend the head, with the use of a flashlight assess for tissue integrity of nares noting any abrasions or irritations. r Check for obstructions or deformities by asking client to breathe on one nostril at a time. r Select nostril with greater airflow. V s. Prepare the tube r place tube on ice for 5-10 min if rubber r Warm water for plastic tube until it becomes softer/flexible. r Use a stylet secured in position for small bore. V [. Determine how far to insert the tube. r Measure from the tip of the clientǯs nose to th etip of the earlobe to the tip of xiphoid process. r Mark with tape if with no markings. V . Insert the tube r Don gloves r Lubricate tip r Insert tube with its natural curve toward client in hyperextension of the neck, gently advance toward nasopharynx. r Direct tube along floor of nostril, toward ear on that side r Apply slight pressure in nasopharynx, tearing of eyes may occur. Offer tissues prn. V . Insert the tube r Withdraw tube if with resistance, relubricate and reinsert in the other nostril. r Once it reaches the oropharynx, gagging may happen. r Ask client to tilt head forward and encourage to drink and swallow. r IF gagging is encountered, stop passing the tube momentarily, have client rest take a few breaths and sips of water. V . Insert the tube] r Pass the tube 5-10 cm(2-4 in) with each swallow. r If gagging persists and the tube does not advance, withdraw it slightly, inspect the throat if tube is coiled in mouth. Withdraw and reinsert again. V . Check for correct placement. r Aspirate stomach contents, check for pH. r Auscultate air insufflation r Place stethoscope over epigastrium after injecting 10-_0ml air Ȃ listen for whooshing sound r If placement is negative in the stomach, advance tube 5cm, repeat test. r If small bore is used, leave stylet in place until position is verified in Xray V 10. Secure the tube by taping it to the bridge of the nose. r Wipe skin with alcohol r Cut [.5 cm (_in), split it lengthwise at one end leaving a 2.5 cm tab at the end r Place tape over the bridge of the nose, bring split ends under or around the tubing and back up over the nose V 11. Attach tube to suction or feeding apparatus, or clamp the end of tubing. r It may be covered with a gauze or plastic specimen bag and an elastic band. 12. Secure the tube to clientǯs gown with an elastic band and a safety pin. Or adhesive tape to the tube. V 1. Inspect nostril for discharge and irritation. V 2. Clean nostril and tube with moistened cotton-tipped applicators. V _. Apply water soluble lubricant if appears dry. V 4. Change adhesive tape prn. V 5. Frequent mouth care. V Irrigate with _0ml normal saline at regular intervals, irrigations require order from doctor. V Document clientǯs input & output, as well as amount and characteristic of drainage. V Note clientǯs comfort and tolerance to procedure. V Chart date, time of insertion, means by which placement was checked and clientǯs response.