Inserting Ng Tubes

Front 1

Traditional method of measuring distance in which to insert NG tube

Back 1

Measure distance from tip of nose to earlobe, and from earlobe to inferior xiphoid process

Front 2

Three reasons why NG tubes are utilized:

Back 2

1) selected surgical procedures
2) vomiting and gastric distention
3) irrigation of the stomach

Front 3

What is stomach decompression and how is it done?

Back 3

Removal of fluids and gas from stomach to relieve distention, decrease risk of aspiration, allow surgical anastomoses to heal w/o distention. It is done by inserting an NG tube and attaching it to low intermittent suction.

Front 4

What size (in French) are NG tubes?

Back 4

Usually 12 to 18 French.

Front 5

Two specific measures to verify placement of NG tubes:

Back 5

1) GI aspirate w/ pH of less than or equal to 5.0
2) abdominal radiograph

Front 6

When is NG placement checked?

Back 6

1) immediately after insertion
2) when administering irrigations, medications, tube feedings

Front 7

What must be checked prior to inserting an NG tube?

Back 7

The medical chart for a doctor's order!!!

Front 8

Name some complications of NG tubes...

Back 8

sinusitis, earaches, esophagitis, gastric or esophageal ulceration and bleeding, pulmonary aspiration

Front 9

When is an NG tube contraindicated?

Back 9

client w/ severe facial or head trauma; certain types of head and neck trauma

Front 10

Petroleum jelly may be used to lubricate the NG tube prior to insertion, T or F?

Back 10

FALSE...petroleum jelly is flammable and hazardous if swallowed/inhaled

Front 11

What position should the client be in prior to inserting a NG tube?

Back 11

High-Fowler's (90-degree angle)

Front 12

How much of the tube should be lubricated?

Back 12

3-4 inches (with water-soluble lubricant)

Front 13

Which position should the client move his neck when first inserting a NG tube?

Back 13

Hyperextension

Front 14

Once past the nasopharynx, what should the nurse do next?

Back 14

Gently rotate the tube toward the opposite nostril and pass the tube just above the oropharynx.

Front 15

Once past the oropharynx, what should the nurse do next?

Back 15

Stop, give client water w/ a straw, have him flex head forward, and swallow small sips of water. Advance tube w/ each swallow.

Front 16

Once inserted fully, what should the nurse do next?

Back 16

Have client speak, inspect posterior pharynx to check placement.

Front 17

How high should the HOB be elevated for the client w/ a NG tube?

Back 17

30 degrees or as directed by physician.

Front 18

Ill-fitting dentures should be removed prior to NG insertion, T or F?

Back 18

TRUE.