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Nasogastric Tube

PNS2 Inserting tube

TermDefinition
Step 1 Have suction available.
Step 2 Place patient in high fowler's position.
Step 3 Assess nasal passages with penlight.
Step 4 Assess gag response by gently placing the tongue blade against uvula.
Step 5 Explain how patient can communicate during procedure.
Step 6 Measure tube for length of insertion and mark length with tape or permanent marker.
Step 7 Cover patient's chest with towel.
Step 8 Have patient hold emesis basin and cup of water.
Step 9 Coat tip of tube with water-based lubricant.
Step 10 Slowly insert tube into naris.
Step 11 Instruct patient to touch chin to chest.
Step 12 Advance tube each time patient swallows until reaching marked spot.
Step 13 For resistance, significant coughing, gagging, choking, or changes in vital signs, pull back on tube until resolved.
Step 14 Use penlight to look at back of throat.
Step 15 Auscultate for breath sounds.
Step 16 Using syringe, withdraw gastric contents, assess aspirate, and test pH.
Step 17 Anchor tube to nose.
Step 18 Mark tube directly below naris.
Step 19 Fasten tube to gown.
Step 20 Keep head of bed above 30 degrees.
Created by: mimispeaks
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