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- Cahya Widiyarahayu
- Dania Iva
- Nabyla Nur'aeni
- Syifa Eka

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To feed patient that can't eat normally

For delivering medication

To remove and evaluate stomach contents

To administer radiographic contrast for imaging studies

To decompressing blockages

To remove a sample of stomach contents for analysis

To remove some of your stomach contents to relieve the pressure on an intestinal obstruction or blockage

To remove blood from the stomach

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These are equipment required for NGT insertion process

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the procedure steps of nasogastric tube (NGT) insertion :

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Wash your hands, introduce yourself to the patient and clarify their identity. Explain the procedure to the patient and gain their consent to proceed. And then gather the equipment

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The patient should be positioned on the bed upright and facing forward.

Estimate the length of the tube to be inserted. Do this by measuring the nasogastric tube from the tip of the nose, to the earlobe and then to the xiphisternum.

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Lubricate the tip of the tube and begin to insert through one of the nostrils. If any resistance is encountered change to the other nostril.

Your patient will usually be awake during this procedure so ensure they are not experiencing too much discomfort.

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Ask the patient to indicate when the tube is at the back of the throat, or if they have had anesthetic spray ask the patient to open their mouth and look for the end of the tube.

Ask the patient to take a mouthful of water and as they swallow advance the tube to the desired length.

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Aspirate from the tube using a syringe. Test the aspirate using pH indicator paper. The pH should be between 1 and 5.5.

Ensure you document the result in the patient’s notes.

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If satisfied that the pH is correct, and the tube is draining gastric fluid, secure the tube with tape and attach a bile bag to allow drainage.

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Remove gloves and dispose in a clinical waste bin.

Ensure your patient is comfortable, thank them and wash hands.

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If the patient shows sign of respiratory distress e.g. coughing, gasping, cyanosis, the tube may have entered the trachea so withdraw immediately to allow patient time to recover. If after 3 attempts NG insertion has failed or the tube has been pulled out by the patient on 3 occasions, contact the lead team as soon as possible.