NGT Flashcards
Alternate feeding method to ensure adequate nutrition through the gastrointestinal system
Enteral Nutrition (Tube feeding)
Means of nasogastric or nasointestinal tube, gastrostomy, or jejunostomy
Enteral nutrition (tube feeding)
Indications: NGT
Anorexia
Severe protein energy undernutrition
Coma
Liver failure
Head or neck trauma
Critical illnesses (burns causing metabolic stress)
Contraindications: NGT
Intestinal obstruction
Paralytic ileus
Intractable vomiting
Diarrhea
GI hemorrhage
a flexible plastic tube inserted through the nostrils, down the nasopharynx, and into the stomach or the upper portion of the small intestine.
Nasogastric Tube (NGT)
Placement of NGT is always confirmed by __________
X-ray
The tube is used to feed patients who may have swallowing difficulties (dysphagia) or require additional nutritional supplements.
NGT
True or False: Insertion of NGT is an invasive procedure.
True
Can also remove gastric content, either draining the stomach by gravity or by being connected to a suction pump, the NGT is used to prevent nausea, vomiting, gastric distention, or to wash the stomach from toxins.
NGT
Types of NGT
Levin Tube
Salem Pump Tube (Double Lumen)
Types of NGT
A flexible rubber or plastic, single lumen tube with holes near the tip
Levin Tube
Types of NGT
Drains gastric content
Salem Pump Tube (Double lumen): Large tube
Types of NGT
Allows for an inflow of atmospheric air, which prevents a vacuum if the gastric tube adheres to the wall of the stomach
Salem Pump Tube (double lumen): Small tube
Manifestations of Client at Risk for Aspiration
- Decreased level of consciousness
- Poor cough or gag reflex
- Endotracheal intubation
- Recent extubation
- Inability to cooperate with the procedure
- Restlessness or agitation
Remember: Administering medication through enteric feeding may adversely affect the absorption, it should be avoided if possible. To avoid nutrient and drug interaction, medication should not be mixed with the feeding formulas.
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