If the fluid does not return after several attempts at aspiration, instill another 30 ml fluid. Do not continue to instill fluid after this if none is returning.
You may cause distention. Report to the nurse in charge. Repeat the procedure, instilling and aspirating fluid, until the tubing is cleared of clotted material or thick mucus. Explain your next steps, with rationale. Your patient has a nasogastric tube and is requesting water because her throat feels dry. Describe your next actions. Previous: Next: Share This Book Share on Twitter. Disclaimer: Always review and follow your hospital policy regarding this specific skill.
Safety considerations: Perform hand hygiene. Check room for additional precautions. Introduce yourself to patient. Confirm patient ID using two patient identifiers e. Explain process to patient; offer analgesia, bathroom, etc. Listen and attend to patient cues. Apply principles of asepsis and safety. Check vital signs. Complete necessary focused assessments. Additional Information. Perform hand hygiene and gather supplies. This prevents the transmission of microorganisms.
Gather supplies. Check for signs of infection or skin breakdown. Assess for the best nostril before you begin.
Assess for most patent nostril. Measure distance of the tube from The tip of the nose, to… The earlobe, to… The xiphoid process and then mark the tube at this point. Measure from tip of nose to earlobe Measure from earlobe to xiphoid process. Lubricate NG tube tip according to your agency policy. Tube may be lubricated internally using tap water or externally using water-soluble lubricating jelly.
Agency policy varies and should be checked. Lubricate tip of tube as per agency policy Never use non-water-soluble lubricant e. Curve 10 to 15 cm of the end of the NG tube around your gloved finger, and then release it.
Curling the NG tube around your finger helps it conform to the normal curve of the nasopharynx. Curl the NG tube around your finger. Have patient drop head forward and breathe through the mouth. Dropping the head forward closes the trachea and opens the esophagus, which allows the NG tube to pass more easily through the nasopharynx and into the stomach.
This follows the natural anatomical alignment of the nasopharynx. You may feel slight resistance as you advance along the nasal passage. Twist the tube slightly, apply downward pressure, and continue trying to advance the tube.
If significant resistance is felt, remove the tube and allow the patient to rest before trying again in the other nostril. It is common for the patient to feel discomfort, and this may be expressed with light coughing and gagging. More aggressive coughing and gagging may indicate that the tube has entered the airways, in which case you should withdraw the NG tube.
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Card Range To Study through. Why irrigate an NG tube? To maintain its patency. What is the most common cause of NG tube occlusion? Failure to flush at regular intervals. What should be done before NG irrigation? Placement verification per facility protocol. Green, yellowish, and orange colored secretions are indicative of placement in which location s? Green and yellow: Stomach Orange: Intestinal. How much of what fluid should be drawn up in a catheter tip syringe for NG irrigation?
If resistance is met q irritating, what should the nurse do first? Check for kinks.
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