Difference between revisions of "NGT"

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(Created page with "==Practical Tips== * Warm up the tube * Lots of lube * Have them tilt their head up until you hit the nasopharynx * Once in the nasopharynx, patient should bend their head for...")
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* Lots of lube
 
* Lots of lube
 
* Have them tilt their head up until you hit the nasopharynx
 
* Have them tilt their head up until you hit the nasopharynx
* Once in the nasopharynx, patient should bend their head forward and drink water with a straw to swallow the tube while you gently push
+
* Once in the nasopharynx, patient should bend their head forward and drink water through a straw to swallow the tube while you gently push
 
* NGT should go to suction immediately, before X-ray, regardless of policy
 
* NGT should go to suction immediately, before X-ray, regardless of policy
 
* Put a towel on the patient’s chest
 
* Put a towel on the patient’s chest
 
==Troubleshooting==
 
==Troubleshooting==
 
* High output? Patient is drinking, or the tube has migrated into the right side (duodenum).  
 
* High output? Patient is drinking, or the tube has migrated into the right side (duodenum).  
* Low output? Occlusion: flush. Sump in esophagus: CXR. No longer needed: clamp trial or gravity.
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* Low output?  
 +
** Occlusion: flush.  
 +
** Sump in esophagus: CXR.  
 +
** No longer needed: clamp trial or gravity.

Latest revision as of 13:54, 2 August 2022

Practical Tips

  • Warm up the tube
  • Lots of lube
  • Have them tilt their head up until you hit the nasopharynx
  • Once in the nasopharynx, patient should bend their head forward and drink water through a straw to swallow the tube while you gently push
  • NGT should go to suction immediately, before X-ray, regardless of policy
  • Put a towel on the patient’s chest

Troubleshooting

  • High output? Patient is drinking, or the tube has migrated into the right side (duodenum).
  • Low output?
    • Occlusion: flush.
    • Sump in esophagus: CXR.
    • No longer needed: clamp trial or gravity.