ALL FOR NURSING

Nasogastric Tube (NGT) Ø   Gavage (feeding) / Lavage (suctioning) Ø   Select the nostril that has greater airflow. Ø   Assist the client to a high fowler’s position Ø   NEX technique (nose-ear-xiphoid) Ø   Checking the patency: ü   Aspirate stomach contents and check the pH, which should be acidic ü   Introduce 10-30 ml of air into the NGT and auscultate at the epigastric area, gurgling sound is heard ü   The most accurate method of assessing the placement of NGT is X-ray study Ø   Before feeding assess residual feeding contents. To assess absorption of the last feeding, if 50 ml or more, verify if the feeding will be given. Ø   Height of feeding is 12 inches above the point of insertion. Ø   Ask the client to remain in position for at least 30 min Ø   Common Problems of Tube Feedings ·          Vomiting ·       ...

Urinary Catheterization Ø  Use appropriate size of catheter Male: Fr 16-18 Female: Fr 12-14 Ø  Place the client in appropriate position: Male: Supine, legs abducted and extended Female: Dorsal recumbent Ø  Locate the urinary meatus properly: Male: at the tip of the glans penis Female: between the clitoris and vaginal orifice Ø  Lubricate catheter with water soluble lubricant before insertion Male: 6 – 7 inches Female: 1 – 2 inches Ø  Length of catheter insertion: Male: 6 – 9 inches Female: 3 -4 inches Ø  Anchor catheter properly: Male: laterally or upward over the lower abdomen / upper thigh Female: inner aspect of the thigh Nursing Interventions to Induce Voiding/Urination v  Provide privacy v  Assist the patient in the anatomical position of voiding v  Serve clean, warm and dry bedpan (female) or urinal (male) v  Allow the client to listen to the sound of running ...