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Ngt-Procedure Compress
Ngt-Procedure Compress
College of Nursing
Paseo del Rio campus, Macasandig
Cagayan de Oro City
Definition: is a procedure in which a thin, plastic tube is inserted into the nostril, toward the esophagus,
and down into the stomach
is used in patients suffering from dysphagia due to their inability to meet nutritional needs despite food
modifications and because of the possibility of aspiration.
Purposes:
1. to improve every patient’s nutritional intake and maintain their nutritional status.
2. deliver food and medicine to a patient when they are unable to eat or swallow.
Principles:
1. a patient may need to blow their nose and take a few sips of water (if allowed) before the
procedure.
2. Wear gloves.
3. Provide oral and skin care.
4. Face and eye protection.
Equipments:
• Gloves
• Nasogastric tube
• Water-soluble substance (K-Y jelly)
• Protective towel covering for client
• Emesis basin
• Tape for marking placement and securing tube
• Glass of water (if allowed)
• Straw for glass of water
• Stethoscope
• 60-mL catheter tip syringe
• Rubber band and safety pin
• Suction equipment or tube feeding equipment
Sources:
https://nurseslabs.com/nasogastric-intubation/
5. Pull curtain around the bed or close To provide privacy and comfort
room door.
7. If NG tube is too pliable, place in To make the tube slightly less pliable
emesis basin and cover with ice
(optional)
8. Place bath towel over client's This is to avoid the aspirant content
chest; give facial tissues to client, to be all over the place, and tissues
for the client.
10. Instruct client to relax and breathe The client may breathe more
normally while occluding one nares. comfortably if the “good” nostril
Then repeat this action for other remains patent.
nares. Select nostrils with greater air
flow.
11. Assist the physician in measuring Each client will have a slightly
distance to insert tube by placing tip different terminal insertion point.
of tube at client's nose and extending Measurements must be made for
tube first to tip of earlobe and then each individual’s anatomy.
from earlobe down xiphoid process of
sternum.
12. Mark length of tube to be inserted To know when the physician will
with piece of tape note distance of reach the xiphoid process of the
point from next tube marking. sternum
13. Curve 4-6 inches (10-15cm) of to make sure that the tube is not
end of the tube tightly around index curled
finger then release.
15. Initially instruct client to extend his Flexing the head aids in the
neck back against pillow; assist the anatomic insertion of the tube.The
physician in inserting the tube slowly tube is less likely to pass into the
through nares with curves end
trachea.
pointing downward
17. If resistance is met, withdraw tube The client’s nostril may deflect the
to allow client to rest, relubricate tube NG into an inappropriate position.
and insert into other nares. Let the client rest a moment and
retry on the other side.
19. With tube just above oropharynx, Swallowing water, if allowed, helps
instruct client to flex head forward and the passage of the NG tube.
dry swallow or suck in air through
straw. Advance tube 2.5-5cm (1-
2inches) with each swallow. If client
has trouble swallowing and is allowed
fluids, offer a glass of water.
Advance tube with each swallow of
water
20. If client begins to cough, gag, or The tube may be in the trachea.
choke withdraw slightly and stop tube
advancement. Instruct client to
breathe easily and take sips of water.
3. Attach syringe to end of NG tube. To check if the tube if its in the right
Place diaphragm of stethoscope over placement.
upper left quadrant of abdomen just
below costal margin. Inject 10-20cc
air while auscultating abdomen.
Anchoring Tube
Gavage
4. Rinse with water after feeding. Flushing clears the tube and keeps it
patent.
5. Clamp the tube tightly until next Clamping after feeding is completed
feeding. prevents air from entering the
stomach.
6. Wash all equipments with soap and To prepare for the next use
water and return proper place.