week 9 NG

Question 1

reasons for placing a

Salem Sump tube

Answer 1

Decompressing the stomach
Remove stomach contents before surgery
To get a specimen for lab analysis
Gastric lavageto remove toxins
To give medication

Question 2

steps on inserting tube

Answer 2

Verify order
Explain procedure to patient
Check the nostrils to determine which one
seems more suitable
Gather supplies

Question 3

measuring the tube

Answer 3

Nose to earlobe to end of xyphoidproces

Question 4

positioning of the patient

Answer 4

Upright as possible with chin tucked to chest.

These patients need to tuck their chin mor

Question 5

pain medication

Answer 5

Per facility policy

local anesthetic

Question 6

after tube placement

Answer 6

After tube is secured to
nose or face, then connect
it to the suction.
Pin the tube to the
patient’s gown

Question 7

complications

Answer 7

Sometimes the tube curls up in the back of the
mouth.
You can see it using the tongue depressor and
flashlight.
Sometimes the tube will get stuck in the nostril
making it difficult to advance.
Twist tube gently to edge past
Make sure it is lubricated
May cause bleeding

Question 8

MOre complications

Answer 8

Gag reflex and vomiting
Patient reflexively pushes you away
Tube goes into airway and not esophagus
Tube may also
Puncture sinuses and enter the brain
Puncture the esophagu

Question 9

irrigating the tube

Answer 9

Check order
Wash hands and glove
Assess bowel sounds
Assess for tube placement
Position patient semi-fowlers
Fill syringe with irrigation solution (usually
NS)
Instill the solution
Reconnect to the suction

Question 10

Administering medications

Answer 10

Check order
Verify if medication can be crushed if in pill
form.
Prepare medication
Crush and dissolve in water
Instill the medication into the tube
Flush with wate

Question 11

removal of the NG tube

Answer 11

Confirm order
Assess the drainage in the suction canister
Explain the procedure to the patient
Elevate head of bed to 30 degrees or more
Wash hands, glove, gown and goggles
Turn suction off
Flush tube with water, then air
Clears gastric contents from tube
Pinch tube
Have patient take a deep breath and blow it out slowly
While patient is exhaling, quickly but gently pull the tube out

Question 12

comfort measures

Answer 12

Offer oral care

Re-assess to make sure there is no further
abdominal distention or other indicators of
need to re-place the tube.