NGT
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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 with 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.