What position should the patient be in when inserting a NGT?

Position the patient in high Fowler’s position and support his head and shoulders with a pillow. Assess his nostrils for obstruction and choose the nostril with better airflow for tube insertion. Measure the distance from the tip of his nose to his earlobe to the xiphoid process.

Why do you not aspirate a tube that is placed beyond the stomach?

Food that does not move out of the stomach can regurgitate into the lung. This is called aspiration. Aspiration is a serious complication that can cause pneumonia. Food that does not leave the stomach and enter the bowel will not meet the patient’s nutritional requirements.

What is difference between G-tube and PEG tube?

PEG and Long Tubes They are often used as the initial G-tube for the first 8-12 weeks post-surgery. PEG specifically describes a long G-tube placed by endoscopy, and stands for percutaneous endoscopic gastrostomy. Sometimes the term PEG is used to describe all G-tubes. Surgeons may place other styles of long tubes.

What are the three ways to check for proper placement of a nasogastric tube?

Methods of confirming NG tube position

1. Auscultation of air insufflated through the feeding tube (‘whoosh’ test)
2. Testing the acidity/alkalinity of aspirate using blue litmus paper.
3. Interpreting the absence of respiratory distress as an indicator of correct positioning.
4. Monitoring bubbling at the end of the tube.

How do you measure NGT before insertion?

Estimate the length of insertion by measuring the distance from the tip of the nose, around the ear, and down to just below the left costal margin. This point can be marked with a piece of tape on the tube.

Is TPN the same as tube feeding?

Enteral solution is thicker than TPN. It may have the consistency of a milkshake. Total parenteral nutrition bypasses the digestive system entirely and goes directly into the bloodstream, where the nutrients are absorbed. The solution is given through a catheter that has been placed in a vein.

How much volume of water do you need to flush to the PEG tube before and after administration?

Please flush with 30 – 60 mls (1 – 2 ounces) of tap water for this purpose. If you are using the tube for tube feeds or medications, please flush with an additional 30 – 60 mls (1 – 2 ounces) of tap water before and after the tube feeding session and before and after administering medications.

Can a feeding tube be placed in the small bowel?

If initial attempts to place a feeding tube into the small bowel results in gastric placement, initiate feeding via the gastric route, assess for tolerance and re-evaluate the need for small bowel placement. If INR > 2.0, review with physician to consider appropriateness of correcting INR to facilitate nasal insertion.

What is Step 2 confirmation of feeding tube placement?

Step Two confirmation is completed by ABDOMINAL Xray following advancement of the feeding tube to the stomach or small bowel. This must be completed before a patient can be fed. After the abdmonial Xray is taken, leave the patient on the Xray plate while the Xray is examined.

Can a nurse insert a feeding tube orally?

If INR is prolonged and there is no contraindication to oral tube placement (above), use oral route for tube insertion (nurse may insert orally). A feeding tube that sits in the small bowel results in improved tolerance of feeds and better absorption of nutrients.

Should nasogastric tube be removed before feeding tube insertion?

If patient has a nasogastric or oral gastric tube in place, it should be removed prior to insertion of the feeding tube as it may interfere with the ability to ‘corkscrew’ the feeding tube into final position ( 5 ). 5.