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Wednesday, June 19, 2013

Nursing Review: Nasogastric Tube (NGT)

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
·         Aspiration
·         Diarrhea

·         Hyperglycemia
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