Page 80 - Demonstrating skill coppysaved colored-converted

16. Insert the rounded end of the tube in hyperextend the neck into the cleanest nostril and
slide it backward and inwards along the floor of the nose to the nasopharynx.
17. If any obstruction is felt, withdraw the tube and try again in a slightly different direction
or use the other nostril.
18. As the tube passes down in the nasopharynx, ask the patient to start swallowing and
sipping water this will close the glottis, enabling the tube to pass into the esophagus.
19. Slight pressure is sometimes necessary to pass tube but never forced against resistance,
because of the danger of injury
20. Advance the tube through the pharynx, as the patient swallow’s until the predetermined
mark has been reached.
21. While inserting the tube observe for the patient condition for Coils in the mouth by
opening the mouth with a tongue depressor
22. If the Client gag, stop passing the tube momentarily with each wall insert 5 to 10 cm with
each swallow.
23. If the client continues to gag and the tube does not advance with each swallow, withdraw
it slightly.
24. If the patient shows signs of distress like gasping or cyanosis, remove the tube
immediately and try again the procedures.
25. Continue in advancing the tube until the mark on and the tube reaches his/her nostril.
26. Taping a tube to the bridge of the nose
27. Check the position of the tube to confirm that it is in the stomach by:-
28. Introducing 10-20ml of air into the stomach via the tube and check for a whooshing
sound using a stethoscope placed over the epigastrium.
29. Aspirating the contents of the stomach with a syringe. The aspirate turns blue litmus
paper to read, due to HCI.
30. Insert/immerse the tip of the tube in the glass of water and if you see the bubble that
shows you are in the lung.
31. Clamp the end of the tube with clamper or forceps or spigot
32. Secure the tube to the nostril and attach to the forehead with adhesive tape. Ensure the
patient is comfortable.
33. Attach the tube to a suction source or feeding apparatus as ordered
34. Assist the patient into position and comfort
35. Remove and clean the used equipment return it into the proper place
36. Wash hands and dry
37. Document relevant information

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