Nasogastric intubation

1. Nasogastric Intubation
MSC
Ameer Hassan K.

2. 
 The whole human GI tract is about nine meters (30 feet)
long. The GIT compose from:
 Oral cavity
 Pharynx
 Esophagus
 Stomach
 Small Intestine
 Large Intestine
Organs of GI tract

3. 

4. 
 Break down ingested food
 Propels food through the GIT
 Absorbed nutrient, water and salts
 Eliminate waste product
Function of GIT

5. 
Nasogastric intubation is a medical process involving
the insertion of a plastic tube (nasogastric tube or NG
tube) through the nose, past the throat, and down into
the stomach.
Nasogastric Intubation

6. 
 Treat paralytic ileus
 Treat intestinal obstruction
 Recurrent vomiting
 Drug poisoning (overdose)
 Chemical substances poisoning
NG Tube Indication

7. 
patients with moderate-to-severe neck and facial
fractures due to the increased risk of airway
obstruction or improper tube placement.
patients suffering from bleeding disorders,
particularly those resulting from the distended sub-
mucosal veins in the lower third of the esophagus
known as esophageal varices
Patient has recent surgery in oropharyngeal, nasal
and gastric
Contraindications of NG
Tube

8. 
 Explain the procedure for patient
 Position of the patient was high fowler if the patient alert.
 If the patient unconscious the position was on lateral side.
 Select appropriate tube size and determine the length of insertion
from the tip of nose to ear and to xiphoid process
Insertion of NG Tube

9. 
 Lubricate tube by use topical anesthesia such lidocaine.
 Flex the neck slightly to insert the tube
 After insertion the tube the patient may gag; in this situation the
patient, if awake and alert, is asked to mimic swallowing or is
given some water to sip through a straw, and the tube continues to
be inserted as the patient swallows.

10. 
 To confirm the NG tube placement inject the air by
syringe and place the stethoscope over the stomach or
make chest X-ray.

11. 
Remove tap from patient nose.
Have patient take deep breath and hold
while tube is removed.
Pull tube with quick and steady motion.
Discard appropriately.
Provide or instruct patient on oral and
nasal care.
Removing NG Tube

12. 
 Minor complications include nose bleeds, sinusitis, and a
sore throat. Sometimes more significant complications
occur including erosion of the nose where the tube is
anchored, esophageal perforation, damage to a surgical
anastomosis, pulmonary aspiration and a collapsed lung.
Complications of NG
Tube

13. 