Nursing 102 Skills - NG tube insertion
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Created by:
bigpapamccoy on December 7, 2010
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16 terms
Terms | Definitions |
|---|---|
 - Check the physicians order- Check electrolyte balance - Check use of ASA or other anti-coagulants | ... |
| - Check for tolerance to any previous NG tube or tube feeding -Wash hands | ... |
| -Collect needed equipment | -NG tube -stethoscope -cup of ice chips/water -tape -piston-tip syringe -non-sterile gloves -tissues and a towel -formula @ room temp. -pen light -tongue blade |
| -Enter room -Identify patient -Explain procedure to patient -Determine how the patient would communicate during the procedure | ... |
| -Lower side rail on nurses side -ASSESS: | -Level of consciousness -Swallowing ability (gag reflex) -Abdominal size, auscultate bowel sounds, percuss and palpate if needed -Nostril patency -Hydration status (skin turgur) |
| -Position patient in semi- or high-Fowler's position -Remove and glasses or dentures -Put on clean gloves | ... |
| -Measure from nose to ear to zyphoid process -Mark measurements with a pen -Prepare tape for securing NG tube | ... |
| -Lubricate the tip of the tube -Instruct the patient to swallow ice chips/water as soon as he feels the tube in the back of the throat | ... |
| -Insert libracated tube into the selected nostril, when the tube reaches the posterior of the nostril, have the patient flex head down toward chest -Continue to advance the tube quickly as the patient swallows until the marked site is achieved | ... |
| -If patient chokes, gets short of breath, or becomes cyanotic quickly pull tube out!! -Do not force the tube!! | ... |
| -After insertion temporarily secure to side of face and check placement -10 cc air bolus is inserted while auscultating epigastric area -aspirate for gastric contents and replace contents -schedula X-ray to confirm placement | ... |
| -Secure to bridge of nose with tape -Depending on orders: a.clamp tube b. schedule x-ray c. connect to suction | ... |
| -Reposition patient for comfort and safety -Assess correct functioning of the equipment | ... |
| Document: -assessment -position of patient -insertion of tube, tube type, size, and nostril used -method of confirming placement -type of tape used | ... |
| Lavage: -connect to suction -x-ray ordered to confirm placement -position patient | ... |
| Gavage: -re-confirm placement -add water, allow to drain to bottom of container -18" above the epigastric region -add feeding -flush with water at end -if patient cramps lower container | ... |
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