Indications
Aspiration of stomach content, feeding, medications
Contraindications
Coagulopathy, oesophageal stricture, (suspected) base of skull fracture
Positioning
Sit the patient up in bed
Measure Insertion Length
From nose to ear lobe to xiphoid process
Numb the Nasal Cavity
Using lignocaine spray
Insert the Tube into the Nasal Cavity
Straight back into the nares
Ask the Patient to Swallow
Provide water to sip on if having difficulty
Continue to Insert the Tube
Withdraw if excessive coughing or gagging
Attach the Drainage Bag
If using salem sump
Secure the NG
Using tape or adhesive fixation device
Confirm Placement
Instill air, aspirate contents and check pH, chest -ray
Clean Up
Dispose of waste
Incorrect Placement
Oesophageal, orophagyngeal, tracheal, bronchial, intracranial, pleural, peritoneal
Bleeding
Epistaxis
Vomiting
Due to gagging; may result in aspiration