NG tube

Question 1

Indications of NG tubes

Answer 1

• Feeding
• Medication delivery
• Removal of gastric contents
• Surgery
• Stroke patients
• Bowel obstruction
• Overdose and poisoning patients

Question 2

Contraindications of NG tube

Answer 2

• Absolute
  
  • Head trauma/base of skull fracture
  • Nasal fracture
  • Recent nasal surgery
• Relative
  
  • Oesophageal stricture
  • Oesophageal varicies (untreated/recently treated)
  • Coagulation abnormalities

Question 3

How to confirm NG tube is in the right place?

Answer 3

• Aspirating sample and checking the acidity (below pH 5.5 - means is in the stomach)
• X-Ray (check if in the right place)

Question 4

What can you do if a patient tries to pull out a NG tube?

Answer 4

• Nasal bridle
• Radiologically guided NG
• Endoscopically guided NG

Question 5

Confirming NG tube placement on X-ray

Answer 5

• Check if NG below hemi-diaphragm
• Check if about 10cm into the stomach and not too far past stomach

Question 6

What to look for on X-ray for NG tube placement?

Answer 6

Question 7

Talk through doing an NG tube

Answer 7

https://geekymedics.com/nasogastric-ng-tube-insertion/