NGT INSERTION & REMOVAL

Question 1

thin, soft tube made of silicon/rubber that is passed through the nose, down through throat, and into the stomach

Answer 1

nasogastric tube

Question 2

how to measure NGT tube?

Answer 2

nose > earlobe > xiphoid process

Question 2

single lumen tube designed to be passed into the stomach or duodenum through the nose

Answer 2

levine tube

Question 3

double lumen tube allows for safer continuous and intermittent gastric suctioning

Answer 3

salem sump tube

Question 4

purposes of NGT insertion

Answer 4

• tube feeding
• provide suction and prevent gastric distention
• to decompress
• lavage the stomach
• instill medication
• remove stomach contents

Question 5

usual NGT size for adult

Answer 5

16 or 18 French

Question 6

usual NGT size for pedia

Answer 6

12 or 14 French

Question 7

position of the client during insertion

Answer 7

high fowler’s

Question 8

when inserting, have the client ___ the neck

Answer 8

hyperextend

Question 9

have the client tilt their head forward and encourage swallowing once the tube reaches the ___

Answer 9

oropharynx

Question 10

pass the tube ___ cm with each swallow

Answer 10

5-10 cm / 2-4 in

Question 11

how to ascertain correct placement of tube?

Answer 11

through auscultation

Question 12

what do you do when is there is no sign of tube placement in stomach?

Answer 12

advance the tube 5 cm / 2 in

Question 13

medications that can be crushed

Answer 13

simple compressed tablets, tablets with sugar coatings

Question 14

medications that cannot be crushed

Answer 14

• buccal / sublingual tablets
• enteric coated tablets
• uncoated gastric irritants
• sustained-release tablets
• capsules