How do you transfer NGT to patient?

Lubricate the end of the nasogastric tube. Gently insert the tip of the tube into the nose and slide along the floor of the nasal cavity. Aim back then down to stay below the nasal turbinate. Expect to feel mild resistance as the tube passes through the posterior nasopharynx.

What does NG tube to gravity mean?

An NG tube can also remove gastric content, either draining the stomach by gravity or by being connected to a suction pump. In these situations, the NG tube is used to prevent nausea, vomiting, or gastric distension, or to wash the stomach of toxins.

What is the purpose of low intermittent suction?

When using for suction, intermittent suction is used to prevent the tube from adhering to the gut wall. Prolonged use of these tubes may result in stiffening of the tube which may increase risk of perforation. Replace tube every 72 hours (manufacturer’s recommendation).

What do you set ng suction to?

Set the rate of suction according to provider order:

  1. Low intermittent suction is usually ordered. Low range on the suction device is from 0 to 80 mmHg. Starting between 40-60 mmHg is recommended. The suction level should not exceed 80 mmHg.
  2. Observe for the gastric content to flow into the tubing and then the canister.

When should an NG tube be removed?

Once the NG tube output is less than 500 mL over a 24 hour period with at least two other signs of return of bowel function the NG tube will be removed. Other signs of bowel function include flatus, bowel movement, change of NG tube output from bilious to more clear/frothy character, and hunger.

What are the four main routes of enteral feeding?

Enteral Nutrition (EN), tube feeding, is given via different types of tubes.

  • Nasoenteric Feeding Tubes (NG & NJ)
  • Gastrostomy Feeding.
  • Jejunostomy Feeding.
  • Gastrostomy with Jejunal Adapter.

How do you calculate gravity feed?

Calculation Steps

  1. Dose / Feeding time (hours) x Drop factor (14 drops / 1 ml) = Number of drops per hour.
  2. Number of drops per hour / 60 minutes per hour = Number of drops per minute.
  3. Number of drops per minute/ 60 seconds per minute = Number of drops per second.

What happens if NG tube suction is too high?

Prolonged use of NG tube can cause ulcer formation due to continuous irritation and pressure necrosis. Short‐term use of flexible tubes, minimal manipulation, irrigation, and low intermittent suction decreases the risk of trauma 1. A double lumen Salem Sump tube is the preferred tube for gastric decompression.

How much suction does an NG tube need?

Starting between 40-60 mmHg is recommended. The suction level should not exceed 80 mmHg. Observe for the gastric content to flow into the tubing and then the canister.

How many days NG tube can stay?

The use of a nasogastric tube is suitable for enteral feeding for up to six weeks. Polyurethane or silicone feeding tubes are unaffected by gastric acid and can therefore remain in the stomach for a longer period than PVC tubes, which can only be used for up to two weeks.

What should a nurse do after removing a nasogastric tube?

Remove all equipment and dispose according to agency policy. Perform hand hygiene. Record removal of tube, patient’s response, and measure of drainage. Continue to monitor patient for 2 to 4 hours after tube removal for gastric distention, nausea, or vomiting.

What are the 3 types of feeding tubes?

The types of feeding tube are:

  • Nasogastric Tube (NG Tube)
  • Nasojejunal Tube (NJ Tube)
  • Percutaneous endoscopic gastrostomy (PEG)
  • Jejunostomy tube (J-tube)

What are the 3 types of feeding?

Feeding Methods

  • Enteral. The term, enteral, refers to nutrition administered via the gastrointestinal tract.
  • Oral.
  • Tube Feeding.
  • Parenteral.

What is a bolus feeding?

The bolus method is a type of feeding where a syringe is used to send formula through your feeding tube. The syringe you’ll use is called a catheter syringe. A catheter syringe doesn’t have a needle. It has a hole with a plunger in it.

How is NGT feeding calculated?

This equation is slightly different for men and women:

  1. Women: 655 + (4.35 x weight in pounds) + (4.7 x height in inches) – (4.7 x age in years).
  2. Men: 66 + (6.23 x weight in pounds) + (12.7 x height in inches) – (6.8 x age in years).

What is normal NG output?

The average daily nasogastric output was 440 +/- 283 mL (range 68-1565).