Show By inserting a nasogastric tube, you are gaining access to the stomach and its contents. This enables you to drain gastric contents, decompress the stomach, obtain a specimen of the gastric contents, or introduce a passage into the GI tract. This will allow you to treat gastric immobility, and bowel obstruction. It will also allow for drainage and/or lavage in drug overdosage or poisoning. In trauma settings, NG tubes can be used to aid in the prevention of vomiting and aspiration, as well as for assessment of GI bleeding. NG tubes can also be used for enteral feeding initially. Contraindications Nasogastric tubes are contraindicated in the presence of severe facial trauma Complications The main complications of NG tube insertion include aspiration and tissue trauma. Placement of the catheter can induce gagging or vomiting, therefore suction should always be ready to use in the case of this happening. Universal precautions: The potential for contact with a patient's blood/body fluids while starting an NG is present and increases with the inexperience of the operator. Gloves must be worn while starting an NG; and if the risk of vomiting is high, the operator should consider face and eye protection as well as a gown. Trauma protocol calls for all team members to wear gloves, face and eye protection and gowns. Equipment: All necessary equipment should be prepared, assembled and available at the bedside prior to starting the NG tube. Basic equipment includes:
Procedures:
How do you verify placement of the nasogastric tube?Auscultation is most often used at the bedside to check for appropriate placement of a nasogastric tube. Sound generated by air blown through the tube is used to determine tube placement in the gastrointestinal tract.
Which of the following actions should the nurse take to verify NG tube placement prior to each feeding?Correct placement of the tube should be confirmed prior to administration of an enteral feed by checking insertion site at the abdominal wall and observing the child for abdominal pain or discomfort.
When should placement of a feeding tube be verified Select all that apply quizlet?Therefore, verification of correct tube placement is performed before each intermittent feeding, at least once every 6 hours when continuous feedings are given, and before medications are administered through the tube.
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