Page 84 - Demonstrating skill coppysaved colored-converted

16. Emesis basin
17. Tissue paper
18. Drainage container
19. Vital sign instruments
20. Chart

Procedure
1. Explain the procedure to the patient
2. Wash your hand
3. Assemble the necessary equipment
4. Keep patient privacy and position the patient
5. Position in left lateral position for the conscious patient but if unconscious, place in the
prone position with head over the edge of the bed or head lower than the body (semi-
prone position)
6. Protect client and bed linen with towel and rubber sheet
7. Done single-use examination glove
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. Lubricate the tube.
10. Gently insert and pass the tube, the tongue, the mouth forward the posterior pharynx (If
the client is unconscious, mouth gag may be used)
11. If air bubbles, cough, and cyanosis are noticed withdraw the tube and recommence the
procedure.
12. Advance the tube slowly to prevent injury until the pre-measured mark,
13. Assess the correct placement by aspirating stomach contents, or by listening to gosh of
air while the client exhales.
14. After the NG tube is in place, allow the stomach contents to empty into the drainage
container before instilling any irrigating solutions. This confirms proper placement of the
tube and decreases the risk of overfilling the stomach and inducing vomiting.
15. Once you confirm the proper placement of the tube, begin gastric lavage by instilling
about 250ml of irrigating solution to assess the patient's tolerance and prevent vomiting.
If you are using a simple rubber tube for the lavage
16. Fill the small jug with water/ solution, measure and pour gently until the funnel is empty,
then invent over the pail (the funnel is connected with the funnel end of the esophageal
tube)
17. Take a specimen, if required, and continue the process until the returned fluid becomes
clear and the prescribed solution had been used.

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