Prosedur Pemasangan Nasogastric Tube (NGT) | Kenapa Anak Dipasang NGT | EDUKASI

Summary

This video provides a comprehensive guide on the proper procedure for NGT (Nasogastric Tube) insertion and milk feeding. It explains the tools needed, the step-by-step process of inserting the NGT tube into the patient's nose, and the care taken to minimize discomfort. The video also demonstrates how to feed milk through the NGT, including ensuring the correct position to avoid aspiration. It emphasizes the importance of regular tube maintenance and replacement, as well as the benefits of NGT for patients, especially children with heart conditions, to improve nutrition and support recovery.

Takeaways

• 😀 The video explains the process of NGT (Nasogastric Tube) insertion and its purpose for patients who cannot consume food orally.
• 😀 Proper preparation is essential before inserting the NGT, including wrapping the patient’s body to limit movement.
• 😀 The NGT is inserted into one of the patient's nostrils, and its position is carefully measured to reach the stomach.
• 😀 A jelly-like substance is used to minimize discomfort during the NGT insertion, and local anesthesia is applied for further pain relief.
• 😀 After the NGT is correctly positioned, waterproof adhesive is applied to secure the tube in place on the patient’s face.
• 😀 The NGT is also fixed behind the patient’s neck and back to allow for movement when not administering food.
• 😀 The process of giving food through the NGT is demonstrated, highlighting the importance of correct head and body positioning to prevent aspiration.
• 😀 When administering milk through the NGT, the feeding syringe should be filled with the prescribed amount of milk, with larger volumes divided into two stages if necessary.
• 😀 After the milk is delivered, the NGT should be flushed with clean water to ensure no residual milk remains in the tube.
• 😀 The NGT is used primarily for patients with heart conditions or those struggling to gain weight through oral feeding, offering them a means to get adequate nutrition.
• 😀 The NGT should be replaced every 1 to 2 weeks, or sooner if it becomes dirty, ensuring hygiene and proper functioning.
• 😀 The process is described as safe and manageable for parents, with tips on checking if the NGT is properly positioned and maintaining it effectively.

Q & A

What is the purpose of the NGT (Nasogastric Tube) installation process?

The purpose of the NGT installation is to help patients who cannot take sufficient nutrition orally, such as those with heart conditions, by delivering milk directly into the stomach. This process ensures proper nourishment and weight gain for the patient.

What preparations are needed before installing the NGT?

Before installing the NGT, the patient is wrapped in cloth to restrict movement. The correct measurement is taken to ensure the tube reaches the stomach, and a local anesthetic gel is applied to minimize discomfort.

How is the NGT inserted into the patient?

The doctor inserts the NGT through one of the patient's nostrils after measuring the appropriate length. A local anesthetic is used to reduce pain, and the tube is carefully positioned to reach the stomach.

What is the role of the plaster and water-resistant material around the patient's face?

The plaster and water-resistant material are applied around the patient's face to secure the NGT in place, preventing the tube from moving and ensuring it remains correctly positioned until the next replacement.

How is the NGT tube secured behind the patient's neck and back?

The NGT is fixed behind the patient's neck and back, with a flexible strap that can be undone during feeding to allow mobility. The strap is reattached after feeding to secure the tube again.

What is the procedure for feeding the patient through the NGT?

The procedure involves ensuring the patient's head and chest are positioned higher than their stomach to prevent aspiration. The milk is then slowly administered through a 50ml syringe. If more milk is needed, it is given in multiple stages. After feeding, the tube is flushed with clean water to ensure it's clear.

How can caregivers ensure that the NGT is working properly?

Caregivers should regularly check if the NGT is correctly positioned by monitoring for signs of displacement, blockages, or discomfort. It is also crucial to maintain the tube's cleanliness and replace it as needed.

How often should the NGT be replaced?

The NGT is typically replaced every 1-2 weeks, but it may need to be changed sooner if the tube becomes dirty, damaged, or no longer functions properly.

What are the risks associated with using an NGT?

Potential risks include infection, discomfort, or complications like aspiration pneumonia if the tube is not correctly positioned. Proper care and regular checks are essential to minimize these risks.

How can the caregiver help the child maintain their usual activities while using an NGT?

The caregiver can ensure that the NGT does not restrict the child’s movement by securing the tube with flexible straps that can be removed during feeding. The child can continue normal activities when the tube is not in use.