NG tube Feeding and medication

Question 1

NG tube insertion Steps 1-5

Answer 1

1. Prepare the tube by wrapping around finger then place in water
2. Assist patient to high fowlers position
3. Measure the tube with nose ear then xiphoid process
4. Put a drape on patients chest
5. Prepare tape

Question 2

NG tube insertion Steps 6-10

Answer 2

6. Arrange a sign for the patient
7. Put on gloves
8. Wrap tube around fingers for 10-15cm
9. Lubricate distal 10cm of tube
10. Hand the patient water

Question 3

NG tube insertion Steps 11-15

Answer 3

11. Tell the patient to hold their head back
12. Pause for a moment
13. Instruct the patient to flex the head
14. Rotate the tube 180 once at mouth
15. Tell the patient to sip

Question 4

NG tube insertion Steps 16-20

Answer 4

16. advance the tube
17. Temporarily secure the tube (VERIFY TUBE PLACEMENT)
18. Advance 2-5cm if tube is not in the stomach
19. Clamp the end of the tube after confirmation
20. Secure the tube

Question 5

5 Bedside assessments to verify tube placement

Answer 5

• Inspect the throat
• Check pH
• Check colour and consistency
• Ask the patient to speak/check respirations
• X-Ray

Question 6

NG tube insertion Steps 20-23

Answer 6

21. Fasten tube to patients gown
22. Elevate the head of the bed 30 degrees
23. Mark the tube and document everything

Question 7

What should you do if the patient cannot aspirate when inserting the tube?

Answer 7

• Use a 50ml syringe and aspirate slowly over 5 minutes.

Question 8

What is the main thing that is important to remember when removing the tube?

Answer 8

FLUSH IT WITH 15ML OF WATER BEFORE REMOVING AND PLUG THE END OF THE TUBE BEFORE REMOVING

Question 9

How to prepare medications 3 types

Answer 9

1. Dilute liquid medications with 10-30ml of water
2. Verify tablets can be crushed
3. Crush tablets and mix with 20ml

Question 10

Medications steps 1-3

Answer 10

1. Prepare medications
2. Don non sterile gloves
3. Place patient in high fowlers position

Question 11

Medications Step 4-6

Answer 11

4. Check Stomach contents with NG tube and test 5 things
5. Check residual volume
6. Flush the tube with 60ml of water

Question 12

Medications step 7-10

Answer 12

7. Instil Medications with syringe
8. Flush through with 30ml of water
9. Give another medication
10. Tell Patient to painting sitting up position