GastroIntestinal Tract Week 12th of April. 2011 Rita Matos Definition žInsertion of a tube through the nose, down the back of the throat, through the esophagus and into the stomach. ž ž žMax. time: 4 to 6 weeks http://4.bp.blogspot.com/_s6Hl_tOewm8/SnPBkENacjI/AAAAAAAABDE/BoZldY84_E0/s400/NasogastricTube.jpg Indications: žAspiration of gastric contents (fluid, air, blood) Decompress the stomach žAcess to the Stomach to introduce fluids (lavage fluid, tube feedings, activated charcoal into the stomach) ž žObtain a specimen of the gastric contents žAnalysis of substances Clinical diagnose ž žIn trauma ž aid in the prevention of vomiting and aspiration, as well as for assessment of GI bleeding ž Contraindications: žPatients with sustained head trauma, maxillofacial injury, or anterior fossa skull fracture. ž žPatients with a history of esophageal stricture, esophageal varices ž žPatients in coma have the potential of vomiting during a NG insertion procedure, thus require protection of the airway prior to placing a NG tube. ž Process: žMeasure the length of tube: žFrom the tip of the nose, žto the ear lobe and žuntil xiphoid process. ž ž ž ž ž žhttp://www.youtube.com/watch?v=TwjKravpygQ ž http://nursing.flinders.edu.au/students/studyaids/clinicalcommunication/images/nasogastric_tube.jpg Care žWork hygienically and Aseptically ž žChange Hypo-allergenic tape daily ž žTake care of nose and mouth ž žCheck tube position prior to feeding and at leats 3x per day. žThanks for your attention ž ž ž ž žRita Matos