Make sure to observe Ptx for any adverse effects of medications taken. ), To decompress the stomach and gastrointestinal (GI) tract (ie, to relieve distention due to obstruction, ileus, or atony), To empty the stomach, for example, in patients who are intubated to prevent aspiration or in patients with GI bleeding to remove blood and clots, To obtain a sample of gastric contents to assess bleeding, volume, or acid content, To give antidotes such as activated charcoal, To provide feeding of nutrients into stomach or feeding directly into small intestine with a long, thin, flexible enteral feeding tube, Esophageal abnormalities, such as recent caustic ingestions, diverticula, or stricture, because of a high risk of esophageal perforation, Nasopharyngeal trauma with or without hemorrhage, Traumatic esophageal or gastric hemorrhage or perforation, Intracranial or mediastinal penetration (very rare), Nasogastric tube for decompression such as a Levin tube (single lumen) or Salem sump tube (double lumen such that second lumen vents to atmosphere), If small intestine feeding planned, a long, thin, intestinal feeding tube (nasoenteric tube) for long-term enteral feeding (use with a stiffening wire or stylet), Topical anesthetic spray such as benzocaine or lidocaine, Vasoconstrictor spray such as phenylephrine or oxymetazoline. Just pull it out and try the other nostril. Do not inject an air Partially pre-freezing the tube can ease its passage. Save my name, email, and website in this browser for the next time I comment. Basic equipment includes: Personal protective equipment 4. A change in respiratory status suggests that the tube has been inserted into the trachea by mistake. Secure the tube using an adhesive tape or a securing device. Xylocaine to the back of the throat will help alleviate the discomfort. NG tubes can be used to aid in the prevention of vomiting and aspiration, and any contradictions with other medications. the esophagus and, Withdraw tube immediately if changes occur in patient's respiratory For full guidance, visit the NPSA website. This trauma increases the risk that a poorly placed nasogastric tube may perforate the cribriform plate and cause serious damage to the brain. Never force the tube inward. It will also allow for drainage The process of inserting an NG tube has its risks, but once nurses gain experience in this area, they should be able to insert an NG tube without any level of difficulty. Download as a PDF to submit to the NMC, Log CPD hours, write a reflective account and save certificate into portfolio, Pre and post module tests let you measure your progress. Which action should the nurse take when administering medication to a client who has an NG tube?