Nasogastric Intubations PDF

3/3/2021 Nasogastric Intubations Page 1133-1138, 1215-1217 1224-1229 Acute care Inserting and Maintaining a Nasogastric Tube Purposes Decompression, enteral feeding, compression, and lavage...

3/3/2021 Nasogastric Intubations Page 1133-1138, 1215-1217 1224-1229 Acute care Inserting and Maintaining a Nasogastric Tube Purposes Decompression, enteral feeding, compression, and lavage Categories of nasogastric (NG) tubes Fine- or small-bore for medication administration and enteral feedings Large-bore (12-French and above) for gastric decompression or removal of gastric secretions Clean technique Maintaining patency Paralytic Ileus Etiology- Cessation of peristalsis resulting from: Bacterial or virus that causes intestinal infections Direct irritation (Surgery) Chemical, electrolyte or mineral imbalance (low K+) Decreased blood supply to the intestines Kidney or lung disease Certain medications, especially narcotics Pathophysiology- When peristalsis ceases, the stomach or small intestine (depending on location of problem or impairment) becomes distended from large quantities of air and fluid Signs and Symptoms- Abdominal distention, cessation of BMs, absent bowel sounds, vomiting 1  3/3/2021 Types of Tubes Nasogastric Tubes- Primarily inserted for decompression of the stomach Types of tubes Levin Salem Sump Dobhoff or Duo Measuring and Inserting an NG tube Facilitating Tube Drainage Because gastric and intestinal fluid must move against gravity to be removed suction is required Low Suction High Suction Intermittent Suction Constant Suction Proper functioning 2  3/3/2021 Prevention of Injury Anchoring the tube Pin tube Prevention of Injury Prevent Oral Inflammations Keep oral membranes moist Use of ice chips Hard candy Prevent reflux and/or aspiration Promotion of Comfort Removal of excess secretions Water soluble lubricant Relief for sore throat Warm saline gargles Ice bag to neck Prescribed throat lozenges Position changes 3  3/3/2021 Specialty Tube Sengstaken- Blakemore Tube (internal application of pressure by means of inflated balloon to prevent internal esophageal or GI hemorrhage) Used to control esophageal varices Multi-lumen tube with 2 balloons 4