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Tube obstruction- due to inadequate flushing/ formula rate.
Nasopharyngeal irritation- due to tube position and large tubes.
Hyperglycemia- glucose intolerance and high carbohydrate feeding content.

4.18 Removal of a Nasogastric Tube
Definition: Nasogastric Tube removal is the process of withdrawing the nasogastric tube
which was placed in the client's stomach for a different purpose.
When the physician determines that the client's nutritional status no longer warrants EN
therapy or the need to provide decompression of the gastric contents, the nasogastric tube
is removed. If the client is connected to suction for decompression, the physician may
prescribe clamping the tubing for several hours before removal, to ensure a functioning
GI tract.

Equipment
1. Tube plug or clamp,
2. Towel, washcloth,
3. Paper towel,
4. Receptacle for contaminated items,
5. Don sterile gloves.
Procedure
1. Hand wash
2. Verify the physician’s prescription.
3. Check the client’s armband and explain the procedure.
4. Provide for privacy.
5. Wash hands and don gloves.
6. Place the client in a high Fowler’s position and adjust the height of the bed to a
comfortable working position.
7. Place the towel across the client’s chest.
8. Clamp or plug the tube and unpin the tube from the client's gown.
9. Remove the tape securing the tube from the client’s nose.
10. Hold the paper towel open in your non-dominant hand under the client's chin; with your
dominant hand, grasp and pinch the tube near the nostril, and remove the tube with a
steady, continuous pull, allowing the tube to fall into the paper towel.
11. Dispose of the tube and paper towel in the receptacle.
12. Clean the client’s nares and provide oral hygiene.
13. Position the client comfortably, place call light in easy reach, and return the bed to a low
position.
14. Remove gloves, place in the receptacle, and dispose of the receptacle per agency policy.
15. Wash hands and document procedure in the client’s medical record
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