NG/OG

Question 1

Indication

Answer 1

In patient where gastric distention is probably or existing

Question 2

Indications 2

Answer 2

All pediatric intubated patients

Question 3

Contraindication

Answer 3

Nasogastric insertion is contraindicated with patients having suspected head or facial trauma

Question 4

Procedure 1

Answer 4

Standard Precautions

Question 5

Procedure 2

Answer 5

Assemble and test all necessary equipment (tube, tape, syringe, flush, suction)

Question 6

Procedure 3

Answer 6

Note: Nasogastric= Conscious, Orogastric = Unconscious

Question 7

Procedure 4

Answer 7

If conscious, explain the procedure and remind them not to move

Question 8

Procedure 5

Answer 8

Prepare the patients head into a neutral position (unless contraindicated) while preoxygenation

Question 9

Procedure 6

Answer 9

Determine and mark the length of tube insertion by measuring from:
Oro= from mouth to ear to xyphoid process
Naso= from nose to ear to xyphoid process

Question 10

Procedure 7

Answer 10

If the patient is awake use topical anesthetic to the nares or oropharynx

Question 11

Procedure 8

Answer 11

Lubricate the distal tip of the gastric tube and insert into the nare along the nasal floor, alternatively into the oro cavity at midline

Question 12

Procedure 9

Answer 12

Advance the tube gently. If the patient is awake, encourage swallowing to facilitate the tube’s passage. Advance to the predetermined mark on the tube.

Question 13

Procedure 10

Answer 13

Confirm proper placement by injecting 10-30ml of air with syringe and auscultating the epigastric region for air sounds. Inability to speak properly indicates incorrect position of the tube in the vocal cords and into trachea and must be removed.

Question 14

Procedure 11

Answer 14

If desired , apply suction at the LOWEST setting, note the contents that pass through the tube.

Question 15

Procedure 12

Answer 15

Secue tube in place