What Is a Nasogastric Tube?

Nasogastric tube is used to help patients who cannot swallow to deliver necessary water and food under special circumstances. Gastric tubes are generally made of polyurethane or silicone. Depending on the material, polyurethane and silicone gastric tubes should be changed every month. Thick, slender and short have different specifications, the gastric tube is orogastric tube and nasogastric tube. Among them, the orogastric tube is about 45Cm long, which can be inserted through the mouth 35 ~ 40cm. The nasal feeding tube is about 105cm long, and it needs to be inserted about 55Cm through the nostril. It passes through the pharynx to reach the stomach through the esophagus. The nasogastric tube is easy to prolapse. It should be firmly adhered to prevent repeated intubation and accidental aspiration. It consists of a joint, a gastric tube clamp and a cross knot blocking cap. The nasogastric tube is left in the esophagus, and the patient's original digestive tract physiological environment is changed, which will cause the esophageal end sphincter to close tightly, airway obstruction, severe cough, and other stressful stimuli easily lead to complications such as esophageal reflux, which can also pass through the stomach. Tube to draw gastric fluid. There are usually two gas injection mouth joints for the gastric tube. The upper cap can only be opened by using a small syringe to manually pressurize the push rod and the piston to hit some water-like liquid food. Below you can use a booster and a 100ml large syringe to hit some. Thicker meat dishes or mechanically pulverized into paste or paste noodles, etc., can increase dietary fiber, facilitate defecation, promote digestion and nutrient supply, but ca nt feed too much at one time too quickly, which will cause gastric emptying. Smooth esophageal reflux occurred. The entry of large particles can block the tube. At the top is the gastric tube cap, which should be blocked immediately after feeding and clamped ^[1] . Gastric tube contamination needs to be avoided. Gastric tube tape should be placed in a closed bedside table to prevent cockroach contamination.

Gastric tube

Nasogastric tube is used to help patients who cannot swallow to deliver necessary water and food under special circumstances. Gastric tubes are generally made of polyurethane or silicone. Depending on the material, polyurethane and silicone gastric tubes should be changed every month. Thick, slender and short have different specifications, the gastric tube is orogastric tube and nasogastric tube. Among them, the orogastric tube is about 45Cm long, which can be inserted through the mouth 35 ~ 40cm. The nasal feeding tube is about 105cm long, and it needs to be inserted about 55Cm through the nostril. It passes through the pharynx to reach the stomach through the esophagus. The nasogastric tube is easy to prolapse. It should be firmly adhered to prevent repeated intubation and accidental aspiration. It consists of a joint, a gastric tube clamp and a cross knot blocking cap. The nasogastric tube is left in the esophagus, and the patient's original digestive tract physiological environment is changed, which will cause the esophageal end sphincter to close tightly, airway obstruction, severe cough, and other stressful stimuli easily lead to complications such as esophageal reflux, which can also pass through the stomach. Tube to draw gastric fluid. There are usually two gas injection mouth joints for the gastric tube. The upper cap can only be opened by using a small syringe to manually pressurize the push rod and the piston to hit some water-like liquid food. Below you can use a booster and a 100ml large syringe to hit some. Thicker meat dishes or mechanically pulverized into paste or paste noodles, etc., can increase dietary fiber, facilitate defecation, promote digestion and nutrient supply, but ca nt feed too much at one time too quickly, which will cause gastric emptying. Smooth esophageal reflux occurred. The entry of large particles can block the tube. At the top is a gastric tube blocking cap, which should be blocked and clamped immediately after feeding ^[1]

Position the patient during intubation, clean and lubricate

1. Properly fixed to prevent discounts and prolapse. A. Fix the gastric tube with white rubber tape

1,

In neurology, stroke is common in patients with bulbar paralysis, and stroke is one of the common causes. In order to ensure its nutritional requirements, maintain water and electrolyte balance and drug application, and promote disease recovery, nasal feeding is required. However, this operation often brings some discomfort to the patient, which increases the patient's mental stress and fear. Humanized nursing is needed to make patients psychologically, socially and spiritually in a state of satisfaction and comfort, reduce or reduce the degree of discomfort, and eliminate the patient's fear. The systematic evaluation of patients improves the success rate of intubation, shortens the operation time, reduces pain, and improves the cure rate of the disease.

In the Department of Gastroenterology, it is common in intestinal obstruction and severe pancreatitis. Placing gastrointestinal decompression is an important measure to treat intestinal obstruction. Gastric and gastrointestinal tract can be sucked out through gastrointestinal decompression to reduce abdominal distension and pressure in the intestine. Reducing bacteria and toxins in the intestinal cavity is beneficial to improve local lesions and systemic conditions. and

Observation: Frequently inspect the ward and ask patients to observe whether the gastric tube is blocked or prolapsed; whether the patient has nausea, vomiting, diarrhea, oral cavity, nasopharyngeal mucosa, and constipation.

Oral Care:

Keep your mouth clean and moist every day,

Scrub and clean your nostrils.

Guidance after intubation:

Inform the patient that there will be a foreign body sensation in the throat after the nasogastric tube is indwelling. This is a normal body reaction. If the condition improves, the nasogastric feeding tube can be removed after eating.

Too small will affect the treatment effect

When the indwelling gastric tube is decompressed, the nurse should fix the drainage tube and tell the patient to prevent the tube from being twisted or blocked by accident when turning over or moving. The nursing staff should guide or assist the patient to get out of bed, open the connection part correctly, and clamp the stomach. tube. Patients should not adjust the negative pressure by themselves. Too much or too little pressure will affect the treatment effect. The gastrointestinal decompressor should be dumped or sucked with a 50 syringe in a timely manner (each shift), and the color and amount of the drainage should be recorded to maintain gastrointestinal The smoothness of the pressure reducer and the length of time for intestinal decompression must be determined according to the condition, such as anal exhaust, abdominal distension disappeared, and bowel sounds restored. The medical staff must be notified in time. Do not remove the gastric tube by yourself.