Page 82 - Demonstrating skill coppysaved colored-converted

Procedure
1. Explain the procedure to the patient
2. Wash hand
3. Assemble the necessary equipment
4. Put on gloves and use the cotton and rubber sheet to cover the bed.
5. Put up the client to a high- fowler's (semi-sitting) position by raising the bed or with the
help or backrest pillow.
6. Place the towel on the patient's chest.
7. Examine the patency of nostrils by hyperextending the head. Ask the client to breathe
through each nostril while compressing the other nostril to select the more patient one.
Select the nostril through which air passes more easily.
8. Select the appropriate distances to mark on the tube by measuring the distance on the
tube from the client's bridge of the nose to the ear lobe plus the distance from the ear lobe
to the bottom of the xiphisternum (xiphoid process).
9. Clean the nostril and lubricate 20-30 meter of the tip of the tube with water-soluble
lubricant to reduce friction
10. Gently insert the tube, with its natural curve toward the client, into the selected nostril.
Have the client hyperextend the neck, and gently advance the tube toward the
nasopharynx. And direct the tube along the floor of the nostril in the dawn ward and
backward way. If the tube meets resistance withdraw it, lubricate it, and insert in the
other nostril. Swallowing or sipping water through a straw may be helpful.
11. Once the tube reaches the throat/oropharynx/, have the client tilt the head forward and tell
him to swallow.
12. Instruct the client to open his/her mouth to make sure that the tube is not coiled in the
mouth and it is in the stomach.
13. Insert the tube until it reaches about 50 centimeters or until it reaches the measured point.
14. Determine that the tube is in the client's stomach.
15. Place the tip of the tube in the water in a kidney dish; if bubbling happens it indicates that
the tube is in the respiratory system, immediately removes the tube.
16. Or aspirate 20-30ml of the content of the stomach with a syringe then test the content by
using Litmus paper. Gastric content is yellow to green in color and usually presents in
amounts greater than 10 ml.
17. Take 20 cc syringe aspirate air and administer the air through an NG tube, place the
stethoscope on the epigastric area then listen to a gurgling sound. If you hear the sound it
means that the tube is wit in the stomach.
18. Chest x-ray
19. After being sure that the tube is in the right position secure the tube by taping to the
bridge of the client's nose
20. Aspirate gastric fluid using 20-50 ml syringe and collect specimen if needed, or aspirate
with the suction machine or attach with bag or clamp end of the tubing as ordered.
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