Procedure Manual
Return to Procedures Index
Return to ICU au
Comment on this procedure
STANDARDS: * Insertion of nasogastric tube and small bore feeding tube to be ordered by medical officer.
* Trained registered nurses and medical officers may insert salem sump and fine bore feeding tubes within hospitals of Richmond Health Service.
* A salem sump tube is inserted for gastric immobility, to drain gastric contents in drug overdosage for gastric lavage or for initial enteral feeding to allow monitoring of feed absorption.
* Radiological verification of tube position is essential prior to commencement of nasogastric feeding.
* Fluid balance chart must be maintained to record intake/output via nasogastric tube.
* The tube must be securely fastened to patient face with taper, after insertion.
EQUIPMENT: Lubricant gel
Nasogastric/fine bore tube
Cup of water (if necessary)
Drainage bag
Toomey 50ml syringe
Stethoscope
PROCEDURE:
* Inform patient of intention of procedure.
* Request cooperation in swallowing water or air whist tube is being inserted.
* Lubricate tube with gel.
* Sit patient upright for optimal neck/stomach alignment.
R : 46.1
* Pass salem sump tube via either nares, past pharynx into oesophagus and into stomach. Swallowing of small sips of water may enhance passage of tube into oesophagus.
* To check position, aspirate tube with Toomey syringe; gastric aspirate will confirm positioning in stomach.
* Insertion of small amount of air (20-30mls) via nasogastric tube whilst listening to epigastric area of stomach with stethoscope. May also assist confirming position of tube.
* Secure tube. Final verification should be achieved by CXR which will be viewed by the medical officer to confirm correct positioning, prior to commencement of enteral feeding or drug treatment.
POST PROCEDURE:
* Record insertion of tube and size in medical records.
Reviewed February 1996
R : 46.2
Return to top of pageThis page was last built on 16/5/98; 8:09:32 PM.
It was originally posted on 6/5/98; 2:28:17 PM.
Webmaster: tlembke@om.com.au.
 |
Index |  |
INTRA- ABDOMINAL PRESSURE MONITORING |
MedicineAu