https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f Members: en-us 2021-11-22 07:26:04 UTC 2023-03-09 11:38:24 UTC hello@padlet.com https://padlet.net/icons/png/1f3e5.png ssyifanaurah807 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905501588 2021-11-22 07:39:42 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905501588 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905504199

Personal protective equipment

NG/OG tube

Catheter tip irrigation 60ml syringe

Water-soluble lubricant, preferably 2% Xylocaine jelly

Adhesive tape

Low powered suction device OR Drainage bag

Stethoscope

Cup of water (if necessary)/ ice chips

Emesis basin

pH indicator strips

]]> 2021-11-22 07:41:00 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905504199 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905504972 2021-11-22 07:41:26 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905504972 ssyifanaurah807 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905510227 - To provide patient's inability to take their nutritional needs caused by distention of the stomach (occurs by:  bleeding ulcer, bowel obstruction, or other gastrointestinal diseases)
- To prevent nausea and vommiting while feeding

]]> 2021-11-22 07:44:31 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905510227 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905513261 2021-11-22 07:46:19 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905513261 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905514431 2021-11-22 07:47:00 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905514431 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905515694 2021-11-22 07:47:44 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905515694 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905519949 2021-11-22 07:50:07 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905519949 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905521888 1. Don non-sterile gloves and then explain the procedure to the patient and show equipment ]]> 2021-11-22 07:51:05 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905521888 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905524526 2. If possible, sit patient upright for optimal neck/stomach alignment]]> 2021-11-22 07:52:31 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905524526 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905524589 2021-11-22 07:52:33 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905524589 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905525165 3. Examine nostrils for deformity/obstructions to determine best side for insertion]]> 2021-11-22 07:52:52 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905525165 anisantm https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905525654 4. Measure tubing from bridge of nose to earlobe, then to the point halfway between the end of the sternum and the navel. Mark measured length with a marker or note the distance ]]> 2021-11-22 07:53:10 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905525654 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905529633 5. Lubricate 2-4 inches of tube with lubricant (preferably 2% Xylocaine). This procedure is very uncomfortable for many patients, so a squirt of Xylocaine jelly in the nostril, and a spray of Xylocaine to the back of the throat will help alleviate the discomfort.]]> 2021-11-22 07:55:06 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905529633 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905530416 6. Pass tube via either nare posteriorly, past the pharynx into the esophagus and then the stomach.

Instruct the patient to swallow (you may offer ice chips/water) and advance the tube as the patient swallows. Swallowing of small sips of water may enhance passage of tube into esophagus.

If resistance is met, rotate tube slowly with downward advancement toward closes ear. Do not force.]]> 2021-11-22 07:55:32 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905530416 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905532450 7. Withdraw tube immediately if changes occur in patient's respiratory status, if
tube coils in mouth, if the patient begins to cough or turns pretty colours]]> 2021-11-22 07:56:41 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905532450 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905532969 8. Advance tube until mark is reached]]> 2021-11-22 07:57:00 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905532969 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905534335 9. Check for placement by attaching syringe to free end of the tube, aspirate sample of gastric contents. Do not inject an air bolus, as the best practice is to test the pH of the aspirated contents to ensure that the contents are acidic. The pH should be below 6. Obtain an x-ray to verify placement before instilling any feedings/medications or if you have concerns about the placement of the tube.]]> 2021-11-22 07:57:48 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905534335 anisantm https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905534370 10. Secure tube with tape or commercially prepared tube holder]]> 2021-11-22 07:57:49 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905534370 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905534871 11. If for suction, remove syringe from free end of tube; connect to suction; set machine on type of suction and pressure as prescribed.]]> 2021-11-22 07:58:07 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905534871 anisantm https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905535332 12. Document the reason for the tube insertion, type & size of tube, the nature and amount of aspirate, the type of suction and pressure setting if for suction, the nature and amount of drainage, and the effectiveness of the intervention.]]> 2021-11-22 07:58:22 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905535332 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905539696 2021-11-22 08:00:58 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905539696 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905540150 2021-11-22 08:01:15 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905540150 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905542397 2021-11-22 08:02:39 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905542397 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905543165 2021-11-22 08:03:10 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905543165 nicoletha20001 https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905544057 2021-11-22 08:03:44 UTC https://padlet.com/ssyifanaurah807/hk7yj7aol4zj3j0f/wish/1905544057