Page 78 - Demonstrating skill coppysaved colored-converted
P. 78

If a catheter is blocked by a blood clot, the instillation of fluid into the bladder is
                       dangerous and must never be undertaken without the surgeon's direct instructions.

                       4.14 Nasogastric tube insertion
                       Definition: Passing a tube through a nasal cavity down the nasopharynx and esophagus
                       into the stomach

                       Purpose
                       To administer tube feeding and medication to clients unable to eat by mouth or swallow a
                       sufficient diet without aspirating food or fluids into the lungs.
                       To establish a means for suctioning stomach contents to prevent gastric distension before
                       and after surgery, nausea, and vomiting
                       To remove stomach contents for laboratory analysis
                       To decompress abdominal distension.
                       To lavage (wash) the stomach in case of poisoning or overdose of medications

                       Indication
                          •  Surgery
                          •  Abdominal distension
                          •  Poison

                          •  Unconscious
                          •  Severe dehydration
                          •  Diagnostic analysis

                       Equipment
                   1.  NGT, (Ryle’s tube) plaster,
                   2.  Gauze
                   3.  Water-soluble lubricant
                   4.  Disposable glove
                   5.  Glass of water
                   6.  20 to 50 ml syringe
                   7.  Stethoscope
                   8.  Blue litmus paper
                   9.  Ink
                   10. Spigot  to close the tube
                   11. Cotton applicator to clean nostril
                   12. Waster receiver
                   13. Rubber sheet and draw sheet
                   14. Mouth wash tray


                                                                                                           64
   73   74   75   76   77   78   79   80   81   82   83