8/13/2019 SKILL 103 Inserting a Nasogastric Tube
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NURSING ACTION RATIONALE
1. Check physicians ode !o insetion o! N"tube and conside the
isks associated with N"tube insetion.
#. Identi!y the patient.
$. E%plain the pocedue to the patient and
po&ide the ationale as to why the tube isneeded. 'iscuss the
associated discom!otsthat may be e%peienced and
possibleinte&entions that may allay this discom!ot.
Answe any (uestions as needed.
). "athe e(uipment includin* selection o! theappopiate N"
polyuethane tube.
+. ,e!om hand hy*iene. ,ut on nonsteile*lo&es.
-. Close the patients bedside cutain o doo.Raise the bed. Assist
the patient to hi*howles position and ele&ate the head o!
thebed )+ de*ees. 'ape chest with bath towel odisposable pad.
/a&e emesis basin and tissueshandy.
0. Measure the distance to insert tube byplacing tip of tube at
patients nostril ande!tending to tip of ear lobe and then to tip
of!iphoid process" ak tube with an indeliblemake.
2. Lubicate tip o! tube 3at least #45)46 withwate7soluble
lubicant. Apply topical anestheticto nostil and oophayn%8 as
appopiate.
9. A!te selectin* the appopiate nostil8 askpatient to sli*htly
!le% head back a*ainst thepillow. "ently inset the tube into the
nostilwhile diectin* the tube upwad and backwadalon* the !loo o!
the nose. ,atient may *a*
when tube eaches phayn%. ,o&ide tissues !oteain* o watein*
o! eyes. O!!e com!ot andeassuance to the patient.
1:.#hen har n! is reached$ instruct
This clai;es pocedue and type o!e(uipment e(uied. ed appoach
totask. N" tubes should be adio7opa(ue8contain clealy &isible
makin*s !omeasuement8 and ha&e multiple pots !oaspiation.
/and hy*iene detes the spead o!micoo*anisms.
Closin* cutains o doo po&ides !o patientpi&acy. Raisin*
the bed pomotes thecom!ot and pope body mechanics o! thenuse.
?pi*ht position is moe natual !oswallowin* and potects a*ainst
bonchialintubation aspiation8 i! the patient should&omit.
,assa*e o! tube may stimulate*a**in* and teain* o! eyes.
easuement ensues that tube will be lon*enou*h to ente patients
stomach.
Lubication educes !iction and !acilitatespassa*e o! thetube into
stomach. @ate7soluble lubicant will not causepneumonia i!
tube accidentally entes the lun*s.Topicalanesthetics act as
local anesthetics8educin* discom!ot.Consult the physician!o an ode
!o a topical anestheticsuch aslidocaine *el o spay i! needed.
ollowin* the nomal contou o! the nasalpassa*e while insetin* the
tube educesiitation and the likelihood o! mucosal inuy.The *a* eBe%
is eadily stimulated by thetube. Teas ae a natual esponse as
the
tube passes into the nasophayn%. anypatients epot that *a**in*
and thoatdiscom!ot can be moe pain!ul then passin*thou*h the
nostils.
Lubication educes !iction and !acilitatesassa e o! the tube into
stomach. @ate7
