What must always be done immediately prior to inserting anything into a nasogastric tube?
Nasogastric (NG) tubes are used to feed babies and children who cannot take in enough calories by mouth. The NG tube is placed in the nose
or mouth and slid into the stomach. The formula is put into the tube and flows to the stomach. Some NG tubes have a guidewire for easier insertion. The guidewire is removed after the tube is placed in the stomach.
Preparing to Place the Tube
Placing the Tube
Placement for NG Tube With a Guide Wire
How to Check the Placement of the TubeCheck to make sure the tube is in the stomach each time before a feeding. To check the placement of an NG tube:
FeedingYou can feed your child after checking tube placement. The doctor or health care provider will tell you how much formula to use for each feeding and how often.
If your child is getting feeds by pump, a person from the equipment supply company will teach you how to use it. The pump can help feeds go in slower than gravity feeds. After the Feeding
Cleaning the Equipment
Removing the Tube
Warning
Other Tips and Advice
If you have questions, ask your child’s doctor or health care provider. Nasogastric Tubes (Insertion and Feeding) (PDF) HH-II-32 8/84, Revised 4/22 Copyright 1984, Nationwide Children's Hospital You Might Also Be Interested InWhat should you always do before installing anything down an NG tube?Obtain an x-ray to verify placement before instilling any feedings/medications or if you have concerns about the placement of the tube. If for suction, remove syringe from free end of tube; connect to suction; set machine on type of suction and pressure as prescribed.
What preparations will you take prior inserting the NG tube?Insertion of the NG tube. Lubricate the tip of the NG tube.. If available, a local anaesthetic should be sprayed towards the back of the patient's throat.. Warn the patient you are about to insert the NG tube.. Insert the NG tube through one of the patient's nostrils.. Gently advance the NG tube through the nasopharynx:. What precaution do you need to take with a nasogastric tube feeding?These patients should never be allowed to lie completely flat. Lying flat increases the patient's risk of aspirating stomach contents. Patients with an NG tube are at risk for aspiration. The head of bed should always be raised 30 degrees or higher.
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