What is the difference between gastric decompression and gastric lavage

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Necessary Necessary. NG tubes can also be used for enteral feeding initially. Nasogastric tubes are contraindicated in the presence of severe facial trauma cribriform plate disruption , due to the possibility of inserting the tube intracranially.

In this instance, an orogastric tube may be inserted. The main complications of NG tube insertion include aspiration and tissue trauma. Document the procedure according to agency policy, and report any unexpected findings to the appropriate healthcare provider. Timely and accurate documentation promotes patient safety.

Frequent vomiting throughout morning. No bowel sounds. Reported to Dr GI. Orders received. Attached to low suction. Tolerated well with reports of less nausea following. Special Considerations with NG Tubes: Always assess correct placement of the NG tube prior to infusing any fluids or tube feeds as per agency policy. Check external length, color and pH of the fluid aspirated from the tube. Routine evaluation of tube placement will promote patient safety by reducing risk of aspiration.

Do not instill air to test location of tube. Do not give the patient anything to eat or drink without knowing that the patient has passed a swallowing assessment.

If changing the gown or re-positioning the patient, take care not to pull on the NG tube. Remember to unfasten the tube from the gown and refasten the tube afterward.

If the NG tube falls out of the patient, it is not an emergency. But be sure to assess your patient. A patient who appears to be in respiratory distress should be considered an emergency, and emergency procedures should be followed. Respiratory distress may present as coughing, choking, or reduced oxygen saturation. The process of removal is usually very quick. Prior to removing the NG tube, verify physician orders. During the trial, the patient should not experience any nausea, vomiting, or abdominal distension.

If they do experience these things, simply reattach the NG to suction. To review how to remove a NG tube, refer to Checklist This reduces risk of aspiration of tube feed and makes disposal of equipment easier. Flushing the tube with air and kinking prevents leakage of fluid from the tube and prevents aspiration of tube feed or residual gastric secretions.

This allows for tube to be easily removed and disposed of immediately. Skip to content Chapter Tubes and Devices. Critical Thinking Exercises You are inserting a nasogastric tube and the patient begins to cough and turn red in the face.

Explain your next steps. Your patient has a nasogastric tube and is requesting water because her throat feels dry. Describe your next actions. Previous: Next: Share This Book Share on Twitter. Checklist Inserting a Nasogastric Tube—Adult Disclaimer: Always review and follow your agency policy regarding this specific skill. Safety considerations: Perform hand hygiene.