Ati Flashcards
What are some purposes for a nasogastric intubation
Gastric decompression Remove gas or fluid Treat obstruction Aspirate for analysis Administer contrast media Administer feeding or meds Lavage ingested toxins
Why would you use gastric decompression
To remove stomach contents in a obstruction
Bowel or stomach surgery
Prevents nausea vomiting and pain
Why would you do a gastric lavage
To irrigate stomach to aspirate medication toxicity or to add activated charcoal
Orogastric tubes
Ewald tube
Large bore tube 12-18 French
Big to remove contents
Primarily in emergency and icu
When is a nasogastric tube contradicted
Recent head trauma
Septum
Nasal polyps
Esophageal varacises
How often do you check the suction gage for ng suction
Every 2 hours
Another term for gastric lavage
Gastric decontamination
When would you use gastric decontamination
Poison
High aspiration risk hydrocarbon
Corrosive substance (acidic or alkaline)
Why do you not flush stomach with water
Can cause hyponatremea
Water intoxication
Proper steps for removing a tube
Gloves Remove suction Add air or 10ml NS to clear line Remove anchor Have patient take a big breathe and hold it Pinch tube and remove