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Mark this
distance on the
tubing with
tape.
Inserting an NG tube
To determine which nostril will
allow easier access, use a
penlight and inspect for a
deviated septum or other
abnormalities.
Inserting an NG tube
Lubricate the first 3 (7.6 cm) of
the tube with a water-soluble gel.
Inserting an NG tube
Instruct the patient to hold her
head straight and upright.
Inserting an NG tube
Grasp the tube with the end
pointing downward, curve it if
necessary, and carefully insert it
into the more patient nostril.
Inserting an NG tube
Aim the tube downward and
toward the ear closest to the
chosen nostril.
Advance it slowly to avoid
pressure on the turbinates and
resultant pain and bleeding.
Inserting an NG tube
When the tube reaches the
nasopharynx, youll feel
resistance.
Inserting an NG tube
Instruct the patient to lower her
head slightly to close the trachea
and open the esophagus.
Inserting an NG tube
Then rotate the tube 180 degrees
toward the opposite nostril to
redirect it so that the tube wont
enter the patients mouth.
Inserting an NG tube
Unless contraindicated, offer the
patient a cup of water with a straw.
Direct her to sip and swallow as
you slowly advance the tube.
This helps the tube pass to the
esophagus. (If you arent using
water, ask the patient to swallow.)
Ensuring proper tube placement