What are the contraindications of NGT insertion?
Relative contraindications for NG tube placement include coagulation abnor- malities, esophageal varices, esophageal stricture, and alkaline ingestion. The mucosal lining of the nasal passages is extremely thin and very vascular.
What are 4 reasons or medical problems that would require the insertions of a nasogastric tube?
When would you need nasogastric intubation?
- feeding.
- delivering medication.
- removing and evaluating stomach contents.
- administering radiographic contrast for imaging studies.
- decompressing blockages.
Can nurses insert NG tubes?
Clinical nurses are responsible for inserting the NGT, confirming its placement, administering feedings, and monitoring or handling complications.
What is the most serious complication of nasogastric insertion?
The main complications of NG tube insertion include aspiration and tissue trauma. Placement of the catheter can induce gagging or vomiting, therefore suction should always be ready to use in the case of this happening.
What are nasogastric tube indications?
Diagnostic indications for NG intubation include the following: Evaluation of upper gastrointestinal (GI) bleeding (ie, presence, volume) Aspiration of gastric fluid content. Identification of the esophagus and stomach on a chest radiograph.
Can NGT cause aspiration pneumonia?
NGT feeding is known to be a significant cause of aspiration pneumonia in stroke patients 10. Since the NGT bypasses the small amount of gastric contents through to the oropharynx, the materials can be easily aspirated into lower airways in dysphagic patients with stroke.
Who can insert NGT?
According to the National Patient Safety Agency (2005a), 11 deaths and one case of serious harm occurred over a two-year period because NG feeding tubes had been misplaced. Nasogastric tubes are inserted by nurses, junior doctors and sometimes by anaesthetists in theatre.