NGT PURPOSE OF NGT INSERTION: Patient on anticoagulant therapy
DEFINITION OF NGT INSERTION To feed with fluids when oral intake is
not possible
Defined as between a 16-18 french gauge. The What are the risks of nasogastric
To dilute and remove consumed poison
length of the tube is measured in cms starting intubation?
To instil ice cold solution to control
at the distal tip (stomach end = "0" cms). The
gastric bleeding. If your NG tube isn't inserted properly, it can
tube is made of silicone or polyurethane which
To prevent stress on operated site by potentially injure the tissue inside
is passed through the nostril via the naso-
decompressing
pharynx into the oesophagus, then stomach.
To relieve vomiting and distention your nose, sinuses, throat, esophagus, or
Nasogastric tubes used for the purpose To collect gastric juice for diagnostic stomach.
of feeding must be radio-opaque purposes Activate Windows
This is why placement of the NG tube is
throughout their length and have checked and confirmed to be in
Indications
externally visible length markings.
Patient who cannot eat (GIT functioning the correct location before any other action is
normally) performed.
- Comatose patient
NG tube feeding can also potentially cause:
- Mechanically ventilated
Patient who will not eat abdominal cramping
- Patients who refuse to eat (Elderly, abdominal swelling
Disoriented patients) diarrhea
- Patients who cannot maintain nausea
adequate oral nutrition vomiting
- Patients with infection, trauma,
regurgitation of food or medicine
cancer etc.
- surgery Your NG tube can also potentially become
blocked, torn, or dislodged. This can lead to
Contraindications
additional complications. Using an NG tube for
Gastric surgery too long can also cause ulcers or infections in
Ulcers your sinuses, throat, esophagus, or stomach.
Tracheoesophageal fistula
Oesophageal surgery
Polyps in nose,recent nasal surgery, Prepared by : Ona Nel Ann Joy BSN2
facial surgery
Deviated nasal septum
, If you need long-term tube feedings, your Select the feeding tubes based on the
doctor will likely recommend a gastrostomy tube's composition, intended use
tube. They can surgically implant a gastrostomy estimated length of time required, cost-
RESPONSIBILITIES: effectiveness and tube features.
tube in your abdomen to allow food to be
Soft, flexible, small diameter tube (8 Fr
introduced directly into your stomach.
Medical Staff: to 12 Fr) is recommended for
nasogastric feeding.
The decision to commence artificial nutrition via
Use Polyurethane or silicone tubes for
How can you lower your risk of a naso-gastric tube is a medical decision to be
anticipated long term feeding rather
complications? made in conjunction with the patient, the
than polyvinylchloride tubes.
patients' family and members of the MDT.
Polyvinylchloride (PVC) tubes should be
To lower your risk of complications
Before a decision is made to insert a naso- used for a short period of time usually
your healthcare team will: gastric tube, an assessment is undertaken to for gastric drainage, decompression,
identify if nasogastric feeding is appropriate for lavage or diagnostic procedures.
ensure the tube is always taped the patient, and the rationale for any decisions Smaller size feeding tube improves
securely to your face is recorded in the patients' medical notes. patient comfort. Common complications
check the tube for signs of leakage, associated with the use of larger and
blockage, and kinks from NG intubation Radiology Department: stiffer tubes include nasopharyngeal
and feeding, erosions / necrosis, sinusitis and otitis
Radiographers: are responsible for ensuring
elevate your head during feedings and media.
that the nasogastric tube can be clearly seen
for an hour afterwards For short-term usage, PVC feeding
on the x-ray to be used to confirm tube position.
watch for signs of irritation, ulceration, tubes have adequate efficacy and are
and infection Healthcare Professionals (including more cost effective
keep your nose and mouth clean Registered Nurses)
EQUIPMENT REQUIRED FOR NGT
monitor your hydration and nutrition
Healthcare Professionals are INSERTION PROCESS:
status regularly
check electrolyte levels through regular responsible for establishing the gastric
A tray containing
blood tests placement of NGTs prior their use and
- Drainage bag or enteral
make sure drainage bag is regularly to document this using the NG checking
administration set, if needed
emptied, if applicable chart.
- Non sterile disposable gloves / PPE
It is the responsibility of the Healthcare
- Oral /enteral syringe 20ml or 50ml x
Ask your healthcare provider for more Professional to develop and maintain
2pH indicator strips – non bleeding
information about your specific treatment plan their own level of care.
- Lubricant (water soluble)
and outlook.
SELECTION OF NASOGASTRIC TUBE:
Prepared by : Ona Nel Ann Joy BSN2
DEFINITION OF NGT INSERTION To feed with fluids when oral intake is
not possible
Defined as between a 16-18 french gauge. The What are the risks of nasogastric
To dilute and remove consumed poison
length of the tube is measured in cms starting intubation?
To instil ice cold solution to control
at the distal tip (stomach end = "0" cms). The
gastric bleeding. If your NG tube isn't inserted properly, it can
tube is made of silicone or polyurethane which
To prevent stress on operated site by potentially injure the tissue inside
is passed through the nostril via the naso-
decompressing
pharynx into the oesophagus, then stomach.
To relieve vomiting and distention your nose, sinuses, throat, esophagus, or
Nasogastric tubes used for the purpose To collect gastric juice for diagnostic stomach.
of feeding must be radio-opaque purposes Activate Windows
This is why placement of the NG tube is
throughout their length and have checked and confirmed to be in
Indications
externally visible length markings.
Patient who cannot eat (GIT functioning the correct location before any other action is
normally) performed.
- Comatose patient
NG tube feeding can also potentially cause:
- Mechanically ventilated
Patient who will not eat abdominal cramping
- Patients who refuse to eat (Elderly, abdominal swelling
Disoriented patients) diarrhea
- Patients who cannot maintain nausea
adequate oral nutrition vomiting
- Patients with infection, trauma,
regurgitation of food or medicine
cancer etc.
- surgery Your NG tube can also potentially become
blocked, torn, or dislodged. This can lead to
Contraindications
additional complications. Using an NG tube for
Gastric surgery too long can also cause ulcers or infections in
Ulcers your sinuses, throat, esophagus, or stomach.
Tracheoesophageal fistula
Oesophageal surgery
Polyps in nose,recent nasal surgery, Prepared by : Ona Nel Ann Joy BSN2
facial surgery
Deviated nasal septum
, If you need long-term tube feedings, your Select the feeding tubes based on the
doctor will likely recommend a gastrostomy tube's composition, intended use
tube. They can surgically implant a gastrostomy estimated length of time required, cost-
RESPONSIBILITIES: effectiveness and tube features.
tube in your abdomen to allow food to be
Soft, flexible, small diameter tube (8 Fr
introduced directly into your stomach.
Medical Staff: to 12 Fr) is recommended for
nasogastric feeding.
The decision to commence artificial nutrition via
Use Polyurethane or silicone tubes for
How can you lower your risk of a naso-gastric tube is a medical decision to be
anticipated long term feeding rather
complications? made in conjunction with the patient, the
than polyvinylchloride tubes.
patients' family and members of the MDT.
Polyvinylchloride (PVC) tubes should be
To lower your risk of complications
Before a decision is made to insert a naso- used for a short period of time usually
your healthcare team will: gastric tube, an assessment is undertaken to for gastric drainage, decompression,
identify if nasogastric feeding is appropriate for lavage or diagnostic procedures.
ensure the tube is always taped the patient, and the rationale for any decisions Smaller size feeding tube improves
securely to your face is recorded in the patients' medical notes. patient comfort. Common complications
check the tube for signs of leakage, associated with the use of larger and
blockage, and kinks from NG intubation Radiology Department: stiffer tubes include nasopharyngeal
and feeding, erosions / necrosis, sinusitis and otitis
Radiographers: are responsible for ensuring
elevate your head during feedings and media.
that the nasogastric tube can be clearly seen
for an hour afterwards For short-term usage, PVC feeding
on the x-ray to be used to confirm tube position.
watch for signs of irritation, ulceration, tubes have adequate efficacy and are
and infection Healthcare Professionals (including more cost effective
keep your nose and mouth clean Registered Nurses)
EQUIPMENT REQUIRED FOR NGT
monitor your hydration and nutrition
Healthcare Professionals are INSERTION PROCESS:
status regularly
check electrolyte levels through regular responsible for establishing the gastric
A tray containing
blood tests placement of NGTs prior their use and
- Drainage bag or enteral
make sure drainage bag is regularly to document this using the NG checking
administration set, if needed
emptied, if applicable chart.
- Non sterile disposable gloves / PPE
It is the responsibility of the Healthcare
- Oral /enteral syringe 20ml or 50ml x
Ask your healthcare provider for more Professional to develop and maintain
2pH indicator strips – non bleeding
information about your specific treatment plan their own level of care.
- Lubricant (water soluble)
and outlook.
SELECTION OF NASOGASTRIC TUBE:
Prepared by : Ona Nel Ann Joy BSN2
