NG Tube Procedure PDF

Nasogastric Tube Hasan S. AbdulHussein Definition of gastric tube - NG/OG tubes ❖ Nasogastric Tube (NG Tube) : is a medical process involving the insertion of a thin, flexible plastic tube that passes through the nose, esophagus, and down into the stomach. ❖ Orogastric Tube (OG): is a medical pro...

Nasogastric Tube Hasan S. AbdulHussein Definition of gastric tube - NG/OG tubes ❖ Nasogastric Tube (NG Tube) : is a medical process involving the insertion of a thin, flexible plastic tube that passes through the nose, esophagus, and down into the stomach. ❖ Orogastric Tube (OG): is a medical process involving the insertion of a thin, flexible plastic tube that passes through the mouth, esophagus, and down into the stomach. The purpose of the NG intubation include drainage Diagnostic, Therapeutic, and feeding indications..  Indication To feed children who are unable to take feed orally. Children with oral surgery like (cleft lip or cleft palate, fracture of the jaw, and condition of difficulty swallowing). Malnutrition Premature baby  Indication Anorexia nervosa or vomiting. Aspiration of gastric content from recent ingestion of toxic material (poisoning). Administration of medication Difficulty swallowing (dysphagia) unconsciousness. Endotracheal intubation. Equipment  Pediatric Positioning & Clinical Holding for a NGT Lying supine. Lying with the bed head elevate 30-40°. Older children may feel more comfortable sitting upright. Infants and younger children will need holding with parental consent.  Procedure Identify the child Explain the procedure to the child/or parents Make the child in comfortable position Arrange the face towel across the chest and put under the chin. Keep the kidney tray ready to receiving the vomiting if occur  Cont. Clean the nostrils Arrange all the equipment's Do the hand wash properly Check the patency of the tube.  Cont. Measure the length of the tube by measurement from the tip of the nose to ear lobe and from ear lobe to the tip of the xiphoid process of the sternum. Wear gloves and lubricate the tube  Cont. Pass the tube slowly backwards and downwards. When the tube reaches at pharynx, give child sips of water (according to age) and swallow, while swallow insert the tube about 3-4 inch each time. When it reaches completely till the marks to stop insert. Now check the tube by aspirating the gastric contents with syringe and check PH value or by X-ray.  Cont. Teach mother Wash hand and record the time, date, amount of feed, and nature of food. Monitor input and out put. Remove the tube when block or be out. Non Radiologic Verification Methods Method 1- PH Test: - By syringe aspirating about 2 mL of stomach contents. -Wet pH testing paper with the stomach fluid and compare the color with the label on the container. - PH values ​≤5.5 point to correct gastric positioning, while values >5.5 would require radiological confirmation. Non Radiologic Verification Methods Method 2- Gastric Auscultation: - By syringe draw in 3 mL of air. - While listening with the stethoscope, push down quickly on the air in the syringe. If you hear a whooshing, gurgling or popping sound, the tube is correctly positioned. 3. If you believe the NG tube is not correctly placed, remove it and try again.  contraindication Gastric surgery Ulcers Trecheoesophageal fistula Esophageal surgery Polyps in nose Resent nasal or facial surgery Deviated nose septum Patient on anticoagulant therapy