To Check NG Tube Placement
Attach an empty syringe to the NG tube and gently flush with air to clear the tube. Then pull back on the plunger to withdraw stomach contents. Empty the stomach contents on to all three squares on the pH testing paper and compare the colors with the label on the container.
What is a nursing priority with any nasogastric tube?
The following are the nursing considerations you should watch out for: Provide oral and skin care. Give mouth rinses and apply lubricant to the patient’s lips and nostril. Using a water-soluble lubricant, lubricate the catheter until where it touches the nostrils because the client’s nose may become irritated and dry.
What is nasogastric tube?
A nasogastric tube (NG tube) is a special tube that carries food and medicine to the stomach through the nose. It can be used for all feedings or for giving a person extra calories. You’ll learn to take good care of the tubing and the skin around the nostrils so that the skin doesn’t get irritated.
What pH should NG aspirate?
The pH reading should be between 1-5.5. However, if you obtain a result of between 5-6 do not administer anything down the nasogastric tube. You must telephone your nurse or managing healthcare professional for further advice because the aspirate reading will need to be reconfirmed.
What are the three ways to check for proper placement of a nasogastric tube?
Methods of confirming NG tube position
Auscultation of air insufflated through the feeding tube (‘whoosh’ test)Testing the acidity/alkalinity of aspirate using blue litmus paper.Interpreting the absence of respiratory distress as an indicator of correct positioning.Monitoring bubbling at the end of the tube.
How much do you aspirate from NG tube?
Aspirate minimum 0.5 – 1ml of gastric content (or sufficient amount to enable pH testing). Consider the “dead space” in the tubing. Utilising pH indicator strips a reading of between 0-5 should be obtained and documented.
What pH value should the nurse expect when confirming placement of the nasogastric tube?
Measuring the pH of gastric aspirate is considered the ‘gold standard’ in routine confirmation of NG tube placement prior to use. Typically, a pH of
What is NG tube decompression?
Nasogastric tubes are typically used for decompression of the stomach in the setting of intestinal obstruction or ileus, but can also be used to administer nutrition or medication to patients who are unable to tolerate oral intake.
What to do if you cant aspirate an NG tube?
If you cannot pull back aspirate from your NG tube
For children – inject 1 to 5ml of air into the tube using a 60ml syringe. Wait 15 to 30 minutes before trying again. If you cannot confirm the tube is in the correct position, do not give any water or feed.
What should the nurse do if she encountered resistance when inserting a nasogastric tube?
2. What would the nurse do if he or she encountered resistance when inserting a nasogastric tube?
Ask the patient to cough.Withdraw the tube to the nasopharynx.Encourage the patient to swallow.Instruct the patient to hyperextend the neck.
