Dani Daniels Bondage : Nasogastric Tube Guidelines NUR1230: Inserting NG Tube

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Place the patient in a high- fowlers position.
Assess nares for patency.
Measure distance from tip of nose, to earlobe, then to xiphoid process.
Note markings on tube where tube should be exiting the nares.
Place a small piece of tape that can be easily removed to mark length of tube to insert.
Curve 4 to 6 inches of end of tube tightly around index finger, then release.
Lubricate 3 to 4 inches of end of tube with water-soluble lubricating gel.

Instruct patient to extend neck back against pillow; insert tube gently and slowly through naris with curved end pointing downward.
Continue to pass tube along floor of nasal passage, aiming down toward patient’s ear. If resistance is felt, apply gentle downward pressure to advance tube – do not force past resistance.
If resistance continues, try to rotate the tube. If still resistant, withdraw the tube-allowing patient to rest. Lubricate again and insert in other naris.
Continue insertion of tube until just past nasopharynx by gently rotating tube toward opposite naris.
With tube just above oropharynx, instruct patient to flex head forward, take a small sip of water; and swallow. Advance tube 1 to 2 inches with each swallow of water. If patient is NPO, instruct to dry swallow or suck air through a straw. Advance tube with each swallow until reaching the taped/marked portion on the tube.
If patient begins to cough, gag, or choke, withdraw tube slightly and stop advancement. Instruct patient to breathe easily and take sips of water.
Temporarily anchor tube to patient’s cheek with piece of tape until tube placement is verified.
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