Good morning all of you, my name is Made Udayati. I a Nursing
Student in Wira Medika Institude Health Science and now i will explain to you
about Naso Gastric Tube Procedure.
First, you must check nursing or medical note, and then
assessment client needs naso gastric tube, after that, wash your hands before
prepare equipment.
The equipment are :
-
Naso
Gastric Tube, usually Levin (rubber or plastic, No. 12 to 18 French)
-
Water
Soluble Lubricant
-
Suction
equipment
-
Towel,
tissue, emesis basin
-
Clam
or tubing
-
Glass
of water and straw or perhaps ice chips
-
Tincture
of benzoin
-
Hypoallergenic
tape
-
Irrigating
set with 20 ml syringe or a 60 ml catheter-tip syringe
-
Stethoscope
-
Tongue
blade or spatula
-
Pen
light
-
Kidney
dish
-
Disposable
gloves
-
Decongestant
spray
-
Lip
pomade
-
Mouth
hygiene materials
After you finish prepare equipment,
and than communication with patient.
“good morning miss A, my name is
nurse udayati. I will enter naso gastric tube in your nose. The goals of this
proses are remove fliud and gas from the GI tract, prevent or relieve nausea
and vomiting after surgery or traumatic events by decompressing the stomach,
determine the mount of pressure and motor activity in the GI tract (diagnostic
studies), administer medications and feeding directly into the GI tract, obtain
a specimen of gastric contains for laboratory studies. Before I start, do you
have any question?”
“have you ever had nasal surgery,
traumatic or devinted septum?”
Explain procedure to the patient and
tell how mouth breating and swallowing will help in passing the tube.
Place the patient in a sitting or
high fowler’s position
Place a towel across her chest
And then speack with patient “if you gagging or discomfort, you can raise
your index finger, to indicate wait a few moment”
Remove denture, place emesis basin
and tissue within the patient’s reach
Determine the length of the tube
needed to reach the stomach by placing the end of the tube at the tip of the
patient’s nose, then extend it to the earlobe and down to the xiphoid process. Mark
the distance with hypoallergenic tape
Have the patient blow her nose to
clean her nostril
Inspect the nostril with a penlight,
observing for any obstruction
Occlude each nostril and have the
patient breathe, this will help determine which nostril is more patient
Wash your hands, and put on
disposable gloves
Coil the first 7 – 10 cm of the tube
around your fingers
Lubricate the coiled portion of the
tube with water soluble lubricant. Avoid occluding the tube’s holes with
lubricant
Tilt back the patient’s head before
inserting tube in to nostril and gently pass tube into the posterior nasopharynx
directing down ward and back ward toward the ear
When tube reaches the pharynx the
patient may gage allow her to rest for a few moment
Have the patient hold her head in
partially flexed position : offer her several sips of water sipped through a
straw, unless contraindicated advance tube he the swallows
Continue to advance tube gently each
time the patient swallows
If obstruction appears to prevent
tube from passing do not use force. Rotating tube gently may help. If unsuccessful,
remove tube and try other nostril
If there are signs of distress such
as gasping, coughing or cyanosis, immediately remove tube
Continue to advance the tube when the
patient swallows. Until the tape mark reaches the patient’s nostril
And finally check whether the Levin tube
is in the stomach by :
1. Aspirate contents of stomach with a
20 ml syringe or 50 ml. if stomach contents cannot be aspirated, place the
patient on her left side and advance the tube 2,5 – 5 cm and try again
2. Place a stethoscope over epigastrium,
inject 5 – 15 ml of air into Levin tube
3. Ask the patient to talk
4. Use the tongue blade and penlight to
examine the patient’s mouth
5. If unsure whether the tube is in
stomach, notify the physician
Apply tincture of benzoin to the area where the tape is
placed.
Ok..
that it procedure Naso Gastric Tube, thanks you for your attention.