Quick Answer: What Are Salem Sump Tubes Used For?

What medicines should not be given via enteral feeding tubes?

To minimize drug–nutrient interactions, special considerations should be taken when administering phenytoin, carbamazepine, warfarin, fluoroquinolones, and proton pump inhibitors via feeding tubes.

Precautions should be implemented to prevent tube occlusions, and immediate intervention is required when blockages occur..

Can a Salem sump tube be used for feeding?

NG tubes are also available in a larger diameter (e.g., Salem sumps). Large-bore NG tubes can be used for feeding or administering medication, but their primary functions are gastric suctioning and decompression.

Can you still eat regular food with a feeding tube?

Patients should consult with their doctor or a speech language pathologist to determine if swallowing food is safe for them. If an individual can eat by mouth safely, then he/she can absolutely eat food! Eating won’t hurt the tube and using the tube won’t make it unsafe to eat.

How painful is a nasal endoscopy?

Nasal endoscopy or rhinoscopy is not a painful procedure; however, it may be slightly uncomfortable. Before nasal endoscopy, the doctor may spray the nose with a decongestant and local anesthesia to reduce the congestion and widen the area while stopping the patient from sneezing or discomfort.

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.

How do you do gastric decompression?

Place the patient in a high Fowler’s position and instruct them to swallow on command. Insert the tube into an unobstructed nostril and slowly advance until at predetermined length. Check tube placement before evacuation by air insufflation into the stomach with a large syringe.

What is the purpose of a Salem sump tube?

Salem-sump: is a two-lumen nasogastric/orogastric tube. The dual lumen tube allows for safer continuous and intermittent gastric suctioning. The large lumen allows for easy suction of gastric contents, decompression, irrigation and medication delivery.

Why is a Salem sump nasogastric preferable over the Levin tube for gastric decompression?

The Salem sump tube is preferable for stomach decompression. The tube has two lumens: one for removal of gastric contents and one to provide an air vent. … When the main lumen of the sump tube is connected to suction, the air vent permits free, continuous drainage of secretions.

Why do they put a tube down your nose?

Nasogastric intubation can be used to obtain a sample of stomach fluid. The tube is passed through the nose rather than through the mouth, primarily because the tube can be more easily guided to the esophagus. Also, passage of a tube through the nose is less irritating and less likely to trigger coughing.

How much should an NG tube drain?

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

Can you aspirate with NG tube?

NGT feeding is known to be a significant cause of aspiration pneumonia in stroke patients 10. Since the NGT bypasses the small amount of gastric contents through to the oropharynx, the materials can be easily aspirated into lower airways in dysphagic patients with stroke.

How do I know if my nasogastric tube is in place?

Nurses can verify the placement of the tube by performing two of the following methods: ask the patient to hum or talk ( coughing or choking means the tube is properly placed); use an irrigation syringe to aspire gastric contents; chest X-ray; lower the open end of the NG tube into a cup of water ( bubbles indicate …

How often should NG tube placement be checked?

You should change the position of the NG tube slightly every 24 hours to reduce the risk of skin breakdown. Remember that tube placement should be verified before use if intermittently being used and every 4 hours if being continuously used.

How do you care for a nasogastric tube?

Skin careKeep the skin around the NG tube clean by using warm water and a wash cloth.Remove any crusts or secretions from around the nose.When changing tapes use adhesive remover if available to prevent damaging the skin.Make sure the skin is clean and dry before applying new tape.More items…

What is the most common nasogastric tube?

Levin tubeSpecific care varies only slightly for the most commonly used NG tubes: the single-lumen Levin tube and the double-salem tube. Usually inserted to decompress the stomach, an NG tube can prevent vomiting after major surgery.

What is gastric decompression?

Gastric decompression is the removing of the contents of the stomach through the use of a nasogastric tube.

Which nasogastric tubes are used for gastric decompression?

For decompression, the standard tube used is a double-lumen nasogastric tube. There is a double-one large lumen for suction and one smaller lumen to act as a sump. A sump allows air to enter so that the suction lumen does not become adherent to the gastric wall or become obstructed when the stomach is fully collapsed.

What is the difference between a Levin tube and a Salem sump tube?

The Salem-sump nasogastric tube is a two-lumen piece of equipment; that is, it has two tubes. The Levin tube is usually made of plastic with several drainage holes near the gastric end of the tube. … This nasogastric tube is useful in instilling material into the stomach or suctioning material out of the stomach.

What is the blue thing at the end of an NG tube?

7. If using Salem sump, the blue pigtail or air vent should be positioned above the level of the stomach to avoid back flow of stomach secretions. An anti-reflux valve is attached to the blue pigtail to prevent gastric contents from seeping out.

Is it painful to be intubated?

Being intubated can be painful and traumatic despite administration of sedatives and analgesics. Sedation may mask uncontrolled pain for intubated patients and prevent them from communicating this condition to a nurse.

What is an OG tube used for?

Nasogastric (NG) tubes or Orogastric (OG) tubes are small tubes placed either through the nose or the mouth and end with the tip in the stomach. NG/OG tubes may be used for feedings, medication administration, or removal of contents from the stomach via aspiration, suction, or gravity drainage.