Pemasangan NGT

Summary

The video tutorial demonstrates the process of inserting a nasogastric tube (NGT) for patients who cannot consume food orally or require gastric lavage due to intoxication. The nurse provides a step-by-step guide on preparing the necessary tools, explaining the procedure to the patient, ensuring comfort, and verifying the tube's correct placement in the stomach. Emphasis is placed on patient communication, cleanliness, and safety to prevent complications like aspiration. The video concludes with reminders about proper NGT care and monitoring to maintain the patient’s health and prevent infections.

Takeaways

• 👋 The session focuses on learning about nasogastric tube (NGT) placement for patients.
• 🍽️ NGT is used when a patient cannot eat orally or needs stomach irrigation due to poisoning.
• 🧪 Essential equipment includes NGT tube, jelly, permanent marker, surgical instruments, penlight, and syringe.
• 📏 Correct measurement of the NGT involves calculating from the nose to the stomach and marking the tube.
• 🔍 A penlight and other tools are used to confirm if the tube is correctly positioned in the stomach.
• 🧼 It’s crucial to keep the procedure clean, using gloves and sterilized instruments during the process.
• 🩺 Stethoscope and syringe tests are used to confirm correct placement by listening for air in the stomach.
• 📊 Litmus paper is used to check stomach acidity, confirming the tube’s placement in the stomach.
• 🔒 After the procedure, the NGT is secured with tape to ensure it stays in place.
• 👨‍⚕️ Patient comfort and cooperation are key, with clear communication throughout the process.

Q & A

What is the purpose of using a nasogastric tube (NGT) in patients?

The NGT is used in patients who cannot eat through the oral route, requiring nutrition to be delivered directly to the stomach. It is also used for gastric lavage in cases of poisoning or intoxication.

What are the key indicators for inserting an NGT in a patient?

Key indicators include a patient’s inability to eat orally and the need for gastric lavage due to poisoning or intoxication.

What is the importance of selecting the correct NGT size?

Selecting the correct size ensures the tube fits the patient properly. Smaller numbers indicate smaller tube sizes, which are chosen based on the patient’s condition.

What equipment is required for the NGT insertion procedure?

The required equipment includes an NGT, penlight, permanent marker, lubricating jelly, sterile gauze, surgical forceps, 20-50 cc syringe, fixation tape, stethoscope, gloves, water, and litmus paper.

Why is litmus paper used during the NGT insertion process?

Litmus paper is used to check if the aspirated stomach fluid is acidic, confirming the tube has reached the stomach.

How is patient comfort ensured during the NGT insertion procedure?

The patient is positioned at a 45° angle, and the nurse provides instructions for swallowing to ease tube insertion. The patient can signal discomfort by raising a finger.

How does the nurse confirm the NGT is correctly positioned in the stomach?

The nurse confirms the NGT’s position by using a stethoscope to listen for air injected into the stomach and by testing the stomach fluid with litmus paper to ensure it's acidic.

What steps are taken to secure the NGT after insertion?

The tube is secured with special fixation tape on the nose and cheek. The nurse ensures the area is clean and dry so the tape adheres properly.

What should nurses ensure regarding the condition of the NGT after it is inserted?

Nurses should ensure the tube remains clear of food residue to prevent infection, and that it stays properly positioned in the stomach.

Why is it important to check the NGT position regularly after insertion?

Regular checks are important because if the tube moves, it could enter the respiratory tract, causing aspiration and possibly leading to pneumonia or other lung infections.