NG Tubes Flashcards
What is the purpose of a Decompression NG tube?
Removal of gastric secretions
What is the purpose of a Compression NG tube?
Internal application of pressure to prevent GI bleed
What is the reason for a Rest NG tube?
After a major surgery
What is the purpose of a Lavage NG tube?
Irrigation of stomach
4 types of NG tubes
Salem sump, levin, dobhoff, sengstaken-blakemore
What is a salem sump NG tube?
Double lumen tube
What is a levin NG tube?
Single lumen tube
What is a dobhoff NG tube?
Feeding tube with a stylus
What is a sengstaken-blakemore NG tube?
A compression tube with balloons
4 reasons that an NG tube is placed
Decompression, compression, rest, lavage
Equipment needed for an NG tube insertion
Gloves, clear tape, safety pin/rubber band, chux pad, irrigation kit (60cc syringe and container to pour water into), anti-reflux device and plastic connector, Vaseline
What position should a patient be in for an NG tube insertion?
High Fowlers
How is NG tube length measured for proper insertion?
Nose to earlobe then earlobe to xiphoid process
How should the patient’s head be positioned once resistance has been met?
Chin to chest
3 ways to verify placement of an NG tube?
Chest xray (The gold standard), aspiration/pH ⇒ below 5.5, air bolus
Suction settings for an NG suction canister
LIS (low intermittent suction)
LCS ( low continuous suction)
What should be documented for gastric secretionsin a canister?
Amount, color, and consistency
What should be done to an NG tube prior to med administration?
Verify correct placement of tube
How long should suction be discontinued after med administration through an NG tube?
1 hour
What should be done to the NG tube suction prior to assessing bowel sounds?
Suction should be paused