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Nasogastric Intubation
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Karteikarten in diesem Deck (48)

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  • A nasogastric tube is inserted through one of the nostrils, down the nasopharynx, and into the alimentary tract.

    medical nasogastric intubation

  • Clients at risk for aspiration include those with a decreased level of consciousness, poor cough or gag reflexes, and recent extubation.

    medical aspiration risk

  • Types of nasogastric tubes for short-term nutritional support include the Levin Tube, Salem Sump Tube, and Dobbhoff Tube.

    medical nasogastric nutrition

  • The Levin Tube is a single lumen tube used for decompression, lavage, feeding, and suction.

    medical nasogastric levin

  • The Salem Sump Tube is a double lumen tube that drains stomach contents and allows atmospheric air inflow.

    medical nasogastric salem

  • The Dobbhoff Tube is a weighted feeding tube that is smaller and more pliable than other tubes.

    medical nasogastric dobbhoff

  • Small Bore Feeding Tubes are at least 40 inches in length and usually used for enteral feeding.

    medical nasogastric feeding

  • Contraindications for nasogastric intubation include the presence of gag reflex and inability to cooperate with the procedure.

    medical nasogastric contraindications

  • To measure for placement of a nasogastric tube, use the NEX method: Nose to Earlobe to Xiphoid Process.

    medical nasogastric placement

  • Equipment for nasogastric intubation includes an appropriate tube, clean gloves, and a suction apparatus.

    medical nasogastric equipment

  • Preparation for nasogastric intubation involves explaining the procedure and placing the client in high-Fowler’s position.

    medical nasogastric preparation

  • Checking for placement of a nasogastric tube can involve radiographic examination and measurement of aspirate pH.

    medical nasogastric placement

  • A pH of 5.5 or lower indicates placement of the nasogastric tube in the stomach.

    medical nasogastric ph

  • The color of stomach aspirate can be grassy green, tan, off-white, or brown.

    medical nasogastric aspirate

  • Carbon dioxide monitoring uses a capnograph to detect if the tube is in the airway.

    medical nasogastric monitoring

  • Before initiating GI suction, assess for abdominal distention and auscultate bowel sounds.

    medical nasogastric assessment

  • GI suction can be either continuous or intermittent, depending on the client's needs.

    medical nasogastric suction

  • After initiating GI suction, assess the client and suction system every 30 minutes until effective.

    medical nasogastric assessment

  • Preventing blockage of the nasogastric tube is easier than correcting it.

    medical nasogastric prevention

  • To ensure client comfort, clean nostrils using cotton-tipped applicators and water.

    medical nasogastric comfort

  • To provide mouth care, it is recommended to do so every 2 – 4 hours and as needed.

    nursing mouthcare

  • Clients may be permitted to suck ice chips or a moist cloth with a physician’s order.

    nursing mouthcare

  • When irrigating a nasogastric tube, the patient should be placed in a Semi-Fowler’s position.

    nursing ngtube irrigation

  • Before irrigating a nasogastric tube, always check the placement of the NG tube.

    nursing ngtube irrigation

  • After inserting the solution into the NG tube, reconnect to suction and observe for return drainage.

    nursing ngtube irrigation

  • When discontinuing a nasogastric tube, first confirm the order and explain the procedure.

    nursing ngtube discontinuation

  • During the removal of a nasogastric tube, instruct the patient to take a deep breath and hold it.

    nursing ngtube discontinuation

  • Follow-up evaluation after NG tube procedures includes checking for bowel sounds and nausea/vomiting.

    nursing evaluation ngtube

  • PEG tubes and PEJ tubes are used for long-term nutritional support.

    nursing tubes nutrition

  • Administering a tube feeding requires positioning the client correctly and assessing tube placement.

    nursing tube_feeding

  • If gastric residual is greater than 100 mL or greater than half the volume of the last feeding, hold the feeding.

    nursing tube_feeding

  • During tube feeding, the patient should remain upright for at least 30 minutes after feeding.

    nursing tube_feeding

  • When administering a tube feeding, flush the tube with at least 30 mL of water for irrigation.

    nursing tube_feeding

  • To administer medication via a tube, first elevate HOB and check placement.

    nursing medication tube

  • Complications of tube feeding include aspiration, clogged tube, and infection.

    nursing complications tube_feeding

  • If suction is present while administering medication, first remove clamp from the tube.

    nursing medication tube

  • Potential complications during intubation include unplanned extubation and infection.

    medical intubation complications

  • Key interventions in airway management are to decompress, lavage, administer, manage, and aspirate.

    medical airway_management

  • In cases of maxillofacial trauma, one should suspect basilar skull fractures.

    medical trauma skull

  • The NEX measurement includes the nose, earlobe, and xiphoid.

    medical nex_measurement

  • When inserting an NG tube, ensure to check the equipment and irrigate the tube.

    medical ng_tube insertion

  • For effective drainage, place the vent tubing container lower than the stomach and avoid overfilling.

    medical drainage vent_tubing

  • Coffee-ground color in drainage may indicate bleeding.

    medical diagnosis bleeding

  • Types of feeding tubes include gastrostomy, jejunostomy, PEG, and PEJ.

    medical feeding_tubes

  • Nasogastric tubes are inserted through the nose to the stomach.

    medical nasogastric tubes

  • Jejunostomy tubes are inserted surgically through the abdominal wall to the small intestine.

    medical jejunostomy tubes

  • The procedure to access the small intestine is done through the abdominal wall.

    medical anatomy

  • The small intestine can be accessed endoscopically using a method called PEJ.

    medical procedures endoscopy