Nasogastric intubation Procedure

A nasogastric tube is inserted through the nose and down the throat into the stomach. This is done for a variety of reasons, including feeding, administering medication, and withdrawing stomach contents. Simply nasogastric tube is a tube that goes through the nose and down the throat into the stomach.

What is a nasogastric tube?

A nasogastric tube (NG tube) is a thin, plastic tube that is inserted through the Procedure, in that procedure nurse ng tube placement through the nose, down the throat, and into the stomach. It is used to deliver fluids and medications, to remove air or fluid from the stomach, or to measure the amount of acid in the stomach.

Types of Nasogastric tube

What are the types of nasogastric tube?

There are several types of nasogastric tubes are as given below that depend on need of the patient, let’s understand one by one:

1. Levin’s Nasogastric Tube: This is a single-lumen tube used to suction and administer drugs,
   fluids, and enteral nutrition.
2. Salem Sump Nasogastric Tube: This is a double-lumen tube used for the continuous administration
   of enteral nutrition and drugs, as well as for intermittent suction.
3. Dobhoff Nasogastric Tube: This is a single-lumen tube used for intermittent suction.
4. Nasogastric Decompression Tube: This is a single-lumen tube used to reduce pressure in the stomach
   due to gastric distension.
5. Gastrostomy and Jejunostomy Tubes: These tubes are used to administer enteral nutrition and
   medications directly into the stomach or small intestine.

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Types of nasogastric tube according to feeding

There are several types of nasogastric tube feeding, each with its own advantages and disadvantages:

1. Continuous feeding: A nasogastric tube is inserted into the stomach and left in place. A small pump delivers a
   steady stream of liquid nutrition directly into the stomach.
2. Intermittent feeding: A nasogastric tube is inserted into the stomach and then removed after each feeding. This
   type of feeding is often used for people who are able to eat some solid food.
3. Bolus feeding: A nasogastric tube is inserted into the stomach and then removed after each feeding. A large amount of liquid nutrition is delivered directly into the stomach. This type of feeding is often used for people who are unable to eat any solid food.
4. Gravity feeding: A nasogastric tube is inserted into the stomach and held in place with tape or a special holder. A container of liquid nutrition is placed above the stomach, and gravity pulls the nutrition through the tube and into the stomach.

Parts of ng tube

What are the parts of nasogastric tube?

The ng tube has three main parts: the proximal end, the distal end, and the lumen. The proximal end is the end that goes into the nose, while the distal end goes into the stomach. The lumen is the tube’s internal passageway.

ng tube sizes

What are the sizes of nasogastric tube?

The nasogastric tube is a thin, hollow tube that is inserted through the nose and down the throat into the stomach. The tube is available in a variety of sizes, with the most common being 8 French (3.2 mm), 10 French (3.9 mm), and 12 French (4.7 mm).

There is no definitive answer to this question as the size of the nasogastric tube will vary depending on the individual’s needs. However, a common nasogastric tube size is 18 French.

The standard nasogastric tube is a 24-French (F) tube.

Manufacturer of the nasogastric tube

Who is the manufacturer of the nasogastric tube?

The nasogastric tube is manufactured by a variety of companies, including but not limited to Bard, Cook, and Olympus.

Ng tube indications and contraindications

what are ng insertion tube indications?

Nasogastric tube Indications:

• To deliver medication, nutrition, or fluids directly into the stomach.
• To decompress the stomach or small intestine when there is a buildup of gas or fluids.
• To diagnose or treat medical conditions such as GI obstruction, bleeding, or infection.

what are ng insertion tube contraindications?

Nasogastric tube Contraindications:

• Severe abdominal pain.
• Perforation of the gastrointestinal tract.
• Bleeding from the gastrointestinal tract.
• Vomiting or inability to swallow.
• Severe dehydration.
• Recent surgery of the abdominal area.

Nasogastric tube insertion purpose?

What is the purpose of nasogastric tube insertion?

A nasogastric (NG) tube is a long, thin tube that is inserted through the nose, down the throat, and into the stomach. It is used to provide nutrition, remove excess stomach contents, and give medications. It can also be used to monitor and measure the amount of stomach contents and pH levels. It is a medical device used to provide nutrition to people who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation. It may also be used to remove stomach contents in order to administer medications or analyze stomach contents for medical reasons.

ng tube insertion nursing procedure

How to perform the insertion nasogastric tube procedure?

• Gather supplies: Nasogastric tube, lubricant, water-soluble lubricant, syringe, tape, and gloves.
• Place the patient in an upright position or in the lateral position if needed.
• Wash hands and put on gloves.
• Measure the correct size of the nasogastric tube and cut to size.
• Lubricate the distal end of the tube with water-soluble lubricant.
• Insert the tube into the patient’s nose and gently advance it until the end of the tube is seen at the back of the throat.
• Slowly advance the tube into the stomach while checking the patient’s comfort.
• Once the tube is in the stomach, secure it in place with tape.
• Connect the tubing to the syringe and aspirate to ensure the tube is correctly placed.
• Disconnect the syringe and flush the tube with water.
• Administer the prescribed medication or nutrition solution as ordered.
• Monitor for any adverse reactions or complications.
• Dispose of used supplies and wash hands.

Nasogastric tube Complication

What are the nasogastric tube complications?

Some of the complications associated with nasogastric tube use include:

• Aspiration pneumonia
• Infection
• Gastric or esophageal irritation
• Nasal trauma or ulcers
• Gastric or esophageal perforation
• Bleeding
• Gastric or duodenal obstruction
• Gastric or esophageal strictures
• Gastric outlet obstruction
• Airway obstruction
• Gastric or esophageal spasms
• Gastric or esophageal reflux
• Bowel obstruction
• Damage to the vocal cords
• Vomiting
• Bloating
• Abdominal pain

Conclusion:

Nasogastric tube insertion is a common medical procedure used to deliver nutrition, medication, or to decompress the stomach. It is crucial to follow proper techniques to ensure patient safety and comfort throughout the process. Prior to insertion, proper assessment of the patient’s condition, including contraindications and risk factors, should be conducted. During the procedure, maintaining patient cooperation, providing adequate lubrication, and utilizing appropriate anatomical landmarks are essential. Post-insertion, confirmation of correct tube placement through various methods such as pH testing or imaging is vital to prevent complications. Regular monitoring and assessment of the patient’s tolerance and response to the tube are necessary for ongoing care.

Frequently Asked Questions (FAQs):

Is nasogastric tube insertion painful?

While discomfort is common during insertion, it is typically temporary and can be minimized by using appropriate lubrication and techniques. Local anesthesia or sedation may also be used in some cases to reduce discomfort.

How long can a nasogastric tube stay in place?

The duration of nasogastric tube placement varies depending on the patient’s medical condition and treatment plan. Some tubes are intended for short-term use, while others may remain in place for weeks or even months. Regular assessment by healthcare providers is essential to determine the appropriate duration of tube placement.

What are the potential complications of nasogastric tube insertion?

Complications may include nasal irritation, epistaxis (nosebleed), sinusitis, aspiration, tube dislodgement, or incorrect placement leading to complications such as pneumothorax or pulmonary aspiration. Prompt recognition and management of complications are essential to prevent adverse outcomes.

How is proper tube placement confirmed?

Various methods can be used to confirm correct tube placement, including pH testing of aspirate, auscultation of air insufflation, chest X-ray, or imaging modalities such as fluoroscopy or ultrasound. Healthcare providers should follow institutional protocols to ensure accurate verification of tube placement.

Can patients eat or drink with a nasogastric tube in place?

In most cases, patients with nasogastric tubes are not allowed to eat or drink orally to prevent aspiration. However, depending on the patient’s condition and medical orders, some liquid medications or small amounts of water may be administered through the tube.

How often should a nasogastric tube be repositioned or replaced?

Repositioning or replacement of nasogastric tubes should be performed as needed based on clinical assessment, including signs of tube migration, dislodgement, or malfunction. Healthcare providers should follow institutional guidelines for tube maintenance and replacement intervals.

What should patients expect after nasogastric tube insertion?

Patients may experience temporary discomfort, throat irritation, or gagging sensations after nasogastric tube insertion. Proper positioning and patient education can help alleviate discomfort. Healthcare providers should monitor patients closely for any signs of complications and provide appropriate support and care.