Question

1. What position should pt be in during NG tube placement?

2. The NG tube goes from:
3. What is a salem sump?
4. What are measuring points for determining length of insertion?
5. If the client starts to gag, should you continue to place the NG tube?
6. What should be done before using the NG tube the first time?
7. If the NG tube is on suction, should you turn off suction when meds are given PO?
8. If a patient vomits during the procedure should you keep going down with the NG tube?
9. If a patient vomits during the procedure, should you keep going with the NG tube?

Answer 1

NG tube placement and management involves positioning the patient correctly, understanding the length of insertion, and recognizing appropriate actions in case of patient discomfort or complications.

Step-by-step explanation:

1. The patient should be in semi-Fowler's position (elevated at a 30-45 degree angle) during NG tube placement.

1. The NG tube goes from the nose to the stomach.
2. A Salem sump is a type of NG tube that has two lumens, one for drainage and the other for venting to prevent suction from pulling against the gastric mucosa.
3. The measuring points for determining the length of insertion are - nostril to earlobe to xiphoid process. Alternatively, you can measure from nostril to earlobe to the midway point between the xiphoid process and the umbilicus.
4. If the client starts to gag, you should pause the procedure and provide comfort. Continuing to place the NG tube may lead to aspiration.
5. Before using the NG tube for the first time, you should check for correct placement by verifying the pH of gastric aspirate or obtaining an X-ray.
6. If the NG tube is on suction, it should be turned off before giving medications orally (PO) to prevent the medication from being aspirated into the tube.
7. If a patient vomits during the procedure, you should stop the procedure and remove the NG tube. Continuing to insert the tube may worsen the patient's condition.