UNIVERSIDAD AUTONOMA DE NUEVO LEON

FACULTAD DE ENFERMERIA
SEDE LINARES

ENGLISH 7
REPORT ABOUT A NASOGASTRIC TUBE PLACEMENT

STUDENT: ANGELA ISABEL PRADO BAZALDÚA

ENROLLMENT:1846815

TEACHER: CARLOS ARTURO FLORES YAÑEZ

SEMESTER: 7
Nasogastric tube
The installation of a nasogastric tube (Levin tube) is a very frequent procedure at
the level hospitable; For this reason, it should be a maneuver widely known to all
general practitioners or specialist. In addition to developing the skills and abilities
necessary for your installation, it is It is necessary to identify those situations in
which its use is indicated and contraindicated.
The installation of a nasogastric tube is a medical-surgical procedure that consists
of the passage of the tube to the stomach, introduced through the nose.
FEATURES OF NASOGASTRIC TUBE
Typically single-lumen polyvinyl probe, length 120cm, has several brands, for first
at 40cm from the distal end and then every 10cm until completing 5 marks, its
distal end ends in blunt point with concentric hole and lateral perforations at
different levels of its last 10cm, its proximal end has a larger diameter adapter that
serves as connection to drainage or infusion tubes; in the case of adults, their
calibers range from 12 to 20 Fr and for children 6 to 12 Fr; It has a radiopaque
mark for its control and surveillance by X-rays.
INDICATIONS
 Aspiration of intestinal contents. When, due to different pathologies,
there is dilation gastric, intestinal obstruction or paralytic ileus.
 Auxiliary for diagnosis. In the case of upper gastrointestinal bleeding or
gastric injury from polytrauma.
 Therapy. Infusion of medications or gastric lavage in case of bleeding
gastrointestinal or drug overdose.
 Food administration. Gastric feeding with blended foods or formulas
industrialized foodstuffs.
MATERIAL
 Nasogastric tube
 Clean gloves.
 Lubricating gel.
 Asepto 50 mL syringe for irrigation or aspiration.
 Kidney or basin.
 Adhesive cloth, preferably Micropore.
 Glass of water, preferably with a straw.
 Vacuum cleaner or suction device, wall-mounted or portable and
intermittent.
 Clinical sheet.
 Benzoin.
 Scissors.
  Stethoscope.
 Gauze or disposable tissues.
 10 mL hypodermic syringe.
 Xylocaine aerosol
INSTALLATION TECHNIQUE.
Before the procedure, fasting of at least four hours is required, if possible, since
that the patient may vomit and breathe in. Before starting the placement of the
catheter, You must have all the essential material. The procedure must be carried
out in a suitable physical area, with good lighting, space, comfort for the patient
and the doctor and with adequate assistantship. If possible, clearly explain the
procedure to the patient and ask for their maxim collaboration. Keep within reach of
the patient a glass of water and a straw, which will be used later during the
procedure. It is desirable to place the patient in a semifowler sitting position, since
this reduces the gag reflex and swallowing is facilitated Put on clean gloves.
Determine the length of the probe by measuring from the nostril to the earlobe and
from there to the xiphoid appendix, which will be the length necessary to reach the
stomach; remember that in a 1.70 m tall adult patient the distance from the dental
arch to the junction esophagogastric is 40 cm. Verify the integrity of the probe.
Lubricate the distal end of the probe to avoid mucosal injury or irritation. Select the
most permeable nostril, making sure there is no nasal trauma obstruction; if so,
use the oral route as an alternate route. The use of local anesthesia is not
recommended; however, if the procedure is too Annoyingly, aerosolized xylocaine
can be instilled into the patient's oropharynx. Insert the probe into the patient's
nostril at an angle of 60 to 90º to the plane of the nose. face, following the floor of
the nose until it reaches the wall of the pharynx. At this time the The patient should
flex his head forward, resting his chin on the fork. sternal. Advance the probe
steadily, while prompting the patient to swallow (saliva or Water). This avoids the
resistance of the spastic closure of the soft palate, which exerts pressure against
the superior constrictor muscle of the pharynx, which may favor its passage to the
windpipe. Insert the probe until the previously measured mark reaches the nostril,
and insert 20 to 30 cm more, so that it is free in the stomach. Remove the catheter
immediately if airway abnormalities are noted (cough, dyspnea, or cyanosis).
Connect the probe to the suction source or bypass or, if it is your indication,
proceed to the washing gastric or to the infusion of the drug or food.