Scribd Logo
Upload

Welcome to Scribd!

  • 144 views

    NGT

    Uploaded by

    Mark Christian M. Gonzaga
    The document discusses the process of gastric intubation including inserting a tube through the nose into the stomach to remove or deliver contents, determining tube placement, securing the tube, and documenting the procedure. It also covers using gastric intubation to perform gastric lavage by introducing and withdrawing solutions to cleanse the stomach, as well as bolus tube feeding to provide nutrition supplementation to patients unable to eat adequately.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    NGT

    Uploaded by

    Mark Christian M. Gonzaga
    144 views27 pages
    The document discusses the process of gastric intubation including inserting a tube through the nose into the stomach to remove or deliver contents, determining tube placement, securing the tube, and documenting the procedure. It also covers using gastric intubation to perform gastric lavage by introducing and withdrawing solutions to cleanse the stomach, as well as bolus tube feeding to provide nutrition supplementation to patients unable to eat adequately.

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses the process of gastric intubation including inserting a tube through the nose into the stomach to remove or deliver contents, determining tube placement, securing the tube, and documenting the procedure. It also covers using gastric intubation to perform gastric lavage by introducing and withdrawing solutions to cleanse the stomach, as well as bolus tube feeding to provide nutrition supplementation to patients unable to eat adequately.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    144 views27 pages

    NGT

    Uploaded by

    Mark Christian M. Gonzaga
    The document discusses the process of gastric intubation including inserting a tube through the nose into the stomach to remove or deliver contents, determining tube placement, securing the tube, and documenting the procedure. It also covers using gastric intubation to perform gastric lavage by introducing and withdrawing solutions to cleanse the stomach, as well as bolus tube feeding to provide nutrition supplementation to patients unable to eat adequately.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 27

    DISTURBANCE IN

    METABOLISM

    GASTRIC INTUBATION
    Insertion of a rubber
    or plastic tubing
    through the nose or
    mouth into the
    stomach

    PURPOSES
    To remove gastric contents for the
    following reasons:
    To obtain specimen for laboratory exams
    To decompress stomach of fluids or gas
    (paralytic ileus, abdominal surgeries)
    To cleanse stomach

    PURPOSES
    To introduce nourishment or medication to
    a patient who is
    Semiconscious or unconscious
    Very weak
    Operated on the mouth, tongue or jaw
    Severely anorexic

    EQUIPMENT TO BE USED

    NGT fr 12-18
    Water soluble lubricant
    Asepto-syringe
    Flashlight
    Tongue depressor
    Disposable gloves
    Adhesive tape- leukoplast
    stethoscope

    IMPLEMENTATION
    Assist the client to a high fowlers position
    Explain to the client what you are going to
    do
    Wash hands
    Provide client privacy
    Assess the clients nares
    Hyperextend the head,use a flashlight to
    check for the intactness of the nares

    Prepare the tube

    Determine how far to


    insert the tube
    Use the tube to mark
    off the distance from
    the tip of the clients
    nosetip of the
    earlobetip of the
    xiphoid (NEX
    method)

    Insert the tube


    Put on gloves
    Lubricate the tip of the tube using water
    lubricant gel
    Insert the tube with its natural curve toward
    the client into the selected nostril.
    Hyperextend the neck and gently advance the
    tube toward the nasopharynx
    Once in the oropharynx, ask the patient to
    swallow

    Ascertain correct placement of the tube


    Visualizing the tube inside the mouth
    Aspirate gastric contents
    Auscultating air insufflation by placing a
    stethoscope over the clients epigastrium and
    injecting air into the tube while listening for a
    gurgling or whooshing sound
    Best way: x-ray

    Secure the tube by placing a tape to the


    bridge of the clients nose
    Attach the tube to a suction source or
    feeding apparatus or clamp the end of the
    tubing
    Secure the tube to the clients gown

    Keep patient in a
    comfortable position

    Documentation
    Date & Time of procedure done
    What size of NGT was used
    Character and amount of gastric aspirate
    Specimen obtained, examination desired and
    send to laboratory
    Any untoward reactions during the procedure
    If the tube is clamped, draining independently
    or connected to a suction apparatus

    GASTRIC LAVAGE
    Definition
    Method of washing out the stomach contents
    by first introducing then withdrawing
    prescribed solution through an NGT passed
    into the stomach

    GASTRIC LAVAGE
    Purpose
    For diagnosis
    For therapeutic use such as
    To cleanse the stomach preoperatively and
    post-operatively

    GASTRIC LAVAGE
    General considerations
    Remove dentures before insertion of tube
    Be certain that the tube is in the stomach and
    not in the trachea before administering any
    solution
    Clamping off the tube is extremely important
    when withdrawing the tube to prevent
    aspiration of liquid from the end of the tube
    Observe for sudden pain or weakness
    following insertion as this may indicate
    perforation of pre-existing lesion

    GASTRIC LAVAGE
    Contraindications
    Ulceration with hemorrhage d/t ulcer or CA
    Uncompensated cardiac disease
    Advanced TB

    IMPLEMENTATION
    Check if the tube is in place by listening
    with stethoscope over the stomach
    Pour the solution into syringe holding it
    about 12 inches above the patients
    head.Then lower the tube into the kidney
    basin before the solution has entered the
    stomach and siphon

    Repeat the irrigation until flow from the


    stomach is clear or the ordered amount of
    solution has been used
    Observe the patient closely
    Document
    Time
    Nature,amount and strenght of solution used
    Character of return flow
    Specimen saved

    BOLUS TUBE FEEDING

    GASTRIC GAVAGE
    Purpose
    Provide nutrition supplementation to patients
    who cannot ingest adequate amounts of
    nutrients orally

    GASTRIC GAVAGE
    Equipment
    Aseto-syringe
    Stethoscope
    Tongue depressor
    Calibrated glass/cup
    Distilled water
    Osteorized feeding

    IMPLEMENTATION

    Wash hands
    Organize equipment and prepare formula
    Explain the procedure
    Place px in semi-high fowlers position
    Verify tube placement
    Check for residual

    IMPLEMENTATION
    Fill the syringe with formula and allow to
    flow slowly into the NGT, holding the
    aseptosyringe 6 inches above tube
    insertion site
    Do not allow syringe to empty until formula
    and water have completely infused
    Prevents air from entering the stomach

    IMPLEMENTATION
    Clamp the tube
    Let the px stay in semi-fowlers position for
    at least 30 minutes after feeding
    Decrease reflux of feeding and possible
    aspiration

    Wash hands and properly store equipment

    DOCUMENTATION
    Assessment of tube placement
    Assessment of site of tube entry
    Amount of residual feeding
    Amount and type of product given
    Amount of water given in between
    feedings
    Client position before and after feeding
    Client tolerance of procedure
    Health teachings

    You might also like