MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C56796.4C7812A0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C56796.4C7812A0 Content-Location: file:///C:/B133D637/SP7.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Airway - Nasogastric Tube

Airway - Nasogastric Tube=

 


Clinical Indications:             &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; 

Gastric decompression in intubated patients.

 

Procedure:

= ______  1.      Esti= mate insertion length by superimposing the tube over the body from the nose and = then around the ear to end at the xyphoid process

= ______  2.      Flex= the neck if not contraindicated to facilitate esophageal passage.

= ______  3.      Libe= rally lubricate the distal end of the tube and pass through the patient’s nostril along the floor of the nasal passage.  Do not insert upwards into the turbinates, this may cause bleeding and/or make insertion difficult.

= ______  4.      In t= he setting of an unconscious intubated patient or a patient with facial trauma, oral insertion may be considered or preferred.

= ______  5.      Cont= inue to advance the tube gently until the predetermined measured distance is reached.  (If the patient is conscious, have them swallow during insertion.)

= ______  6.      Conf= irm placement by injecting 20cc of air and auscultate for the “swish̶= 1; or bubbling of air over the stomach.  Aspiration of gastric contents also confirms placement.

= ______  7.      Secu= re the tube.

= ______  8.      Deco= mpress the stomach of air and food either by connecting the tube to the suction or manually aspirating with the large catheter tip syringe.<= /p>

= ______  9.      Docu= ment the procedure, time and patient response in the electronic PCR.<= /span>

 

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

 

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