University:
Liberty University
Course:
BIOM 500 | Introduction to Biomedical Sciences
Academic year:

2024
Views:

139

Pages:

6
Author:

Sheha A.

**Nasogastric Tube Insertion Procedure** * Wash hands and wear gloves * Measure the length of the tube from the tip of the patient's nose to the xiphoid process * Mark the distance on the tube * Lubricate the tip of the tube * Instruct the patient to flex their neck slightly * Insert the tube through the nostril and gently advance it towards the pharynx * When the tube reaches the pharynx, have the patient take a sip of water * Advance the tube further until it reaches the desired mark * Secure the tube with tape * Aspirate gastric contents to confirm correct placement * Check gastric residual volume (GRV) * Verify tube placement with x-ray if necessary * Ensure patient comfort and safety **Methods to confirm NG tube is in stomach:** * Aspirate: Check the aspirate for gastric contents, it should be a greenish-yellow fluid with a pH of less than 5. * Inject air: Inject air into the tube and listen for a gurgling sound over the stomach. * Check pH: Aspirate gastric contents and check the pH. It should be acidic. If the tube is in the trachea, the pH will be alkaline. * X-ray: A chest X-ray can confirm the placement of the NG tube. **Notes:** * Keep the patient comfortable. * Clean the face, nose, and bed. * Secure the tube to the patient's gown. * Mark the tube to indicate the insertion depth. * Observe the patient carefully.