Why Is An NG Tube Placed?

What is an NG tube placement?

A nasogastric or NG tube is a plastic tubing device that allows delivery of nutritionally complete feed directly into the stomach; or removal of stomach contents.

It is passed via the nose into the oropharynx and upper gastrointestinal tract..

How painful is an NG tube?

Nearly all the respondents felt that NG tube insertion was uncomfortable or painful for awake and alert patients (98%). Although 93 percent reported use of some measure to reduce this discomfort, only 28 percent felt what they do is adequate and only 39 percent expressed satisfaction with their current practice.

What does an NG tube do for bowel obstruction?

The tube removes fluids and gas and helps relieve pain and pressure. You will not be given anything to eat or drink. Most bowel obstructions are partial blockages that get better on their own. The NG tube may help the bowel become unblocked when fluids and gas are removed.

When does a patient need nasogastric intubation?

The nasogastric intubation is mostly performed with topical anesthesia, while the patient is awake. The patient needs to follow instructions as the doctor performs the procedure. The procedure may also be performed when a patient is under general anesthesia or unconscious from an ingested substance or trauma.

What happens if NG tube is in lungs?

The tube may enter the lungs Because of the proximity of the larynx to the oesophagus, the nasogastric tube may enter the larynx and trachea (Lo et al, 2008). This may cause a pneumothorax (Zausig et al, 2008). When the tube is in the airway, it will cause severe irritation and cough.

What is the purpose of a nasogastric tube?

A nasogastric tube (NG tube) is a special tube that carries food and medicine to the stomach through the nose. It can be used for all feedings or for giving a person extra calories.

What are the indications for insertion of a nasogastric tube?

Diagnostic indications for NG intubation include the following:Evaluation of upper gastrointestinal (GI) bleeding (ie, presence, volume)Aspiration of gastric fluid content.Identification of the esophagus and stomach on a chest radiograph.Administration of radiographic contrast to the GI tract.More items…•Apr 21, 2020

Can you talk with nasogastric tube?

After insertion, ask the patient to speak. If the patient is able to speak, the tube has not passed through the vocal cords. Once the tube is passed into the oropharynx, pause and let the patient relax with a few deep breaths. After this pause, instruct the patient to swallow while advancing the tube further.

What is NG tube for decompression?

Nasogastric tubes are typically used for decompression of the stomach in the setting of intestinal obstruction or ileus, but can also be used to administer nutrition or medication to patients who are unable to tolerate oral intake.

Can you be sedated for NG tube?

Midazolam (Versed) is an FDA-approved agent for procedural sedation, which has been used frequently at this institution for the placement of NG tubes in the emergency department.

What are 3 complications of caring for the person with a nasogastric tube?

common complications include sinusitis, sore throat and epistaxis. more serious complications include luminal perforation, pulmonary injury, aspiration, and intracranial placement.

When can NG tubes be discontinued?

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 often does an NG tube need to be changed?

Long term NG and NJ tubes should usually be changed every 4–6 weeks swapping them to the other nostril (grade C).

Who needs a nasogastric tube?

Generally, a child will be given an NGT so that specially prepared liquid food or fluids can be passed down the tube. The reasons your child might need an NGT for feeding include: problems with sucking and swallowing. dehydration from vomiting/diarrhoea and not drinking enough.

What are the complications of NG tube?

Patients receiving enteral nutrition show several kinds of complications such as diarrhoea, vomiting, constipation, lung aspiration, tube dislodgement, tube clogging, hyperglycaemia and electrolytic alterations.

Can a patient drink water with an NG tube?

A speech and language therapist will assess your swallowing and will determine whether your swallowing is safe. You may be able to still eat and drink whilst you have NG tube as long as you do not have any swallowing difficulties.

Does NG tube affect swallowing?

The presence of a nasogastric tube (NGT) affects swallowing physiology but not function in healthy young adults. The swallowing mechanism changes with increasing age, therefore the impact of a NGT on swallowing in elderly individuals is likely to be different but is not yet known.

How long can a patient have an NG tube?

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.