Nasogastric tube NGT Definition is the most commonly

(Nasogastric tube (NGT Definition: is the most commonly used enteral tube feed and is suitable for short-term use such as postoperatively.

Equipment: 1 - clean tray. 2 - nasogastric tube. 3 - gauze. 4 - lubricating jelly. 5 - 20 ml syringe. 6 - indicator strips. 7 - glass of water. 8 - stethoscope.

Procedure: 1 - explain and discuss the procedure with the patient. 2 - arrange a signal by which the patient can communicate. As raising hand. 3 - assist the patient to sit in a semi-upright in the bed or chair. 4 - mark the distance which the tube is to be passed, from nose to the botton of the xiphisternum.

5 - wash hands with bactericidal soap. 6 - chek the patient’s nostrils are patent. 7 - lubricate about 15 – 20 cm of the tube. 8 - insert the proximal end of the tube in to the clearest nostril and slide it backwards and inwards. 9 - as the tube passes down into the nasopharynx, ask the patient to start swallowing and sipping water.

10 - if the patient shows signs of distress as: @ gasping @ cyanosis remove the tube immediately.

Check the position of the tube: Confirm that it is in the stomach by: @ x-ray of chest and upper abdomen. @ aspirating 2 ml of stomach content and testing this with p. H indicator strips @ introducing 5 ml of air into the stomach via the tube and checking for abubbling sound using a stethoscope placed over the epigastrium.