[𝗣𝗲𝗺𝗮𝘀𝗮𝗻𝗴𝗮𝗻 𝗡𝗚𝗧 - 𝗩𝗶𝗱𝗲𝗼 𝗢𝗦𝗖𝗘 | 𝗛𝗢𝗣𝗘 𝗛𝗠𝗞𝗨 𝗙𝗞 𝗨𝗡𝗨𝗗]

Summary

In this medical procedure, Dr. Relidwin explains and demonstrates the process of inserting a nasogastric tube (NGT) for a patient who has difficulty swallowing. The procedure involves carefully measuring and inserting the tube through the patient’s nostril into the stomach to allow for the administration of food and medication. Throughout, Dr. Relidwin ensures patient comfort, checks for any issues, and provides instructions for post-procedure care. The doctor emphasizes the importance of hygiene and avoiding unnecessary movement to prevent dislodging the tube. The procedure ends with a reassuring and professional note, ensuring the patient understands the next steps.

Takeaways

• 😀 The doctor introduces themselves as Dr. Relidwin, who will be performing the procedure today.
• 😀 The patient is identified as 'Ibu Cahaya', aged 20, who is experiencing difficulty swallowing.
• 😀 The doctor explains the purpose of the nasogastric tube (NGT) insertion, which is to provide an alternative way of feeding or administering medication to the patient.
• 😀 The procedure involves inserting the NGT through the patient's nostril and into the stomach, which may cause some discomfort.
• 😀 The doctor seeks the patient's consent for the procedure and reassures them that they can ask for a break if it becomes painful.
• 😀 The doctor follows proper hygiene protocols, including handwashing and wearing gloves and a mask before starting the procedure.
• 😀 The doctor performs an inspection of the patient's nostrils to check for any abnormalities before proceeding.
• 😀 The NGT is measured to ensure it is the right length, and markings are made to guide its insertion.
• 😀 The NGT is lubricated with jelly before insertion to reduce discomfort for the patient.
• 😀 The doctor carefully inserts the NGT through the patient's nostril while advising the patient to swallow to ease the process.
• 😀 After inserting the NGT, the doctor confirms its placement by checking for air sounds in the stomach and securing the tube in place with plaster.
• 😀 The doctor advises the patient on maintaining cleanliness and avoiding excessive movement to ensure the NGT stays in place.
• 😀 The patient is informed that the NGT will need to be replaced periodically and that they can contact the doctor if they experience discomfort or nausea.

Q & A

What is the procedure being described in the script?

The procedure being described is the insertion of a nasogastric tube (NGT) into the patient's stomach. It is performed because the patient is having difficulty swallowing.

What does the doctor do first to prepare for the procedure?

The doctor first introduces themselves, confirms the patient's name and age, explains the procedure, and obtains the patient's consent to proceed.

How does the doctor ensure the patient is comfortable before starting the procedure?

The doctor ensures the patient is comfortable by explaining the procedure step by step, addressing any concerns, and asking the patient to inform them if they feel any discomfort during the process.

What steps are involved in preparing the nasogastric tube for insertion?

The doctor measures the nasogastric tube by assessing the distance from the patient's nostril to their ear and marks the tube at that length. The tube is then lubricated to ease its insertion.

How does the doctor check if the nasogastric tube is properly positioned in the stomach?

The doctor checks the placement of the tube by attaching a syringe to the end of the tube and listening for air sounds over the patient's stomach, which indicates the tube has reached the correct location.

What does the doctor do if the patient feels discomfort or pain during the tube insertion?

If the patient feels discomfort or pain, the doctor adjusts the tube by pulling it back slightly and then continuing the insertion slowly to avoid causing more discomfort.

What aftercare instructions does the doctor give to the patient after the procedure?

The doctor advises the patient to maintain cleanliness around the nose and mouth, not to touch the tube without washing their hands, and to avoid excessive movement to prevent the tube or plaster from dislodging.

Why does the doctor ask the patient to swallow during the insertion of the nasogastric tube?

The doctor asks the patient to swallow to help guide the tube smoothly down the throat and into the stomach, making the process easier and more comfortable for the patient.

What equipment does the doctor use during the procedure?

The doctor uses a nasogastric tube (NGT), scissors, lubricating jelly, a syringe, plaster, gloves, a mask, and a stethoscope as part of the procedure.

What is the purpose of securing the nasogastric tube with plaster?

The plaster is used to secure the nasogastric tube in place, ensuring it stays in position and doesn't move or dislodge, which could interfere with its function.