Nasogastric tube insertion

Uses[ edit ] A nasogastric tube is used for feeding and administering drugs and other oral agents such as activated charcoal. For drugs and for minimal quantities of liquid, a syringe is used for injection into the tube. For continuous feeding, a gravity based system is employed, with the solution placed higher than the patient's stomach.

Nasogastric tube insertion

Top 10 amazing movie makeup transformations A Dobhoff tube is a small-bore, flexible, nasogastric NG feeding tube that typically has an inside diameter of about. It generally is used to administer nourishment and medicine to people who cannot ingest anything by mouth. The tube is inserted into the stomach by way of the nasal passage.

Correct placement in the body is usually checked by an x-ray. Unlike a tube used for gastrointestinal drainage, there is no suction attached to a Dobhoff tube.

It is smaller and more flexible than other NG tubes, and therefore is usually more comfortable for the patient. A Dobhoff tube typically has a weighted end that helps guide it through the digestive system.

This weight end was once made of mercury, but has since been replaced by a lead weight enclosed in silicone. Peristalsis — the involuntary relaxation and constriction of muscles — usually will help to move the weight through the esophagus into the stomach or beyond.

The placement of a Dobhoff tube is most often into the stomach, although it is generally recommended that it be placed further on into the duodenum — the passage between the stomach and small intestines — in order to avoid any gastric reflux.

Dobhoff tubes come with a radiopaque stripe, making them easily visible by x-ray.

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Besides passing on nutrients, the tube can also be used to give a patient medicine. Any medicine that cannot be supplied in a liquid form can usually be broken down and dissolved in juice or water and fed into the tube.

Care must be taken to avoid any blockage of the tube with residue; therefore, the tube should be flushed before and after administering medication. Some complications which can occur during the insertion of a Dobhoff tube include entering a bronchial tube, perforating the pleura surrounding a lung, and not placing the tube far enough into the stomach, which can cause aspiration.

In cases where the patient is using an enteral feeding tube for a long period of time, periodic re-checking of the position may be necessary.

How to insert a nasogastric tube.

It was the first small-bore feeding tube to be used successfully in hospitals.The PowerPoint PPT presentation: "Nasogastric Tube Insertion" is the property of its rightful owner. Do you have PowerPoint slides to share? If so, share your PPT presentation slides online with initiativeblog.com Inserting a nasogastric tube (NGT) into a paralyzed and intubated patient is sometimes difficult and frustrating.

A potentially difficult insertion is hard to predict according to the outward appearance of the patients before NGT placement. Prior to insertion of the tube a measurement is made to assure that the distal end of the tube will be positioned in the stomach.

This is done by placing the tip of the tube on the bridge of the patient's nose and then marking on the tube the point at which it touches the tip of the xiphoid process.

Fine bore nasogastric (NG) tubes are often required for patients who have insufficient nutrition to meet their daily requirements, as well as for feeding or medications when there are difficulties with swallowing.

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“Death or severe harm as a result of a naso [ ] gastric tubes being misplaced in the respiratory tract” is one of the Department of Health’s list of "never events".

Check physician’s order for insertion of nasogastric tube.

Nasogastric tube insertion

Explain procedure to patient. Gather equipment. If nasogastric tube is rubber, place it in a basin with ice for 5 to 10 minutes or place a plastic tube in a basin of warm water if needed. Nasogastric intubation is a medical process involving the insertion of a plastic tube (nasogastric tube or NG tube) through the nose, past the throat, and down into the stomach.

Orogastric intubation is a similar process involving the insertion of a plastic tube (orogastric tube) through the mouth.

Nasogastric Tube Insertion