Nasogastric and Gastrointestinal Intubations - PowerPoint PPT Presentation

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Nasogastric and Gastrointestinal Intubations

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Nasogastric and Gastrointestinal Intubations A client s condition may warrant special interventions to decompress the gastrointestinal tract. – PowerPoint PPT presentation

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Title: Nasogastric and Gastrointestinal Intubations


1
Nasogastric and Gastrointestinal Intubations
2
  • A clients condition may warrant special
    interventions to decompress the gastrointestinal
    tract. GI intubation is one of these
    interventions. Paralytic ileus is one of the
    conditions that would warrant intubation

3
Paralytic Ileus
  • Etiology- Cessation of peristalsis resulting
    from
  • Neurogenic impairment
  • Mechanical obstruction
  • Direct irritation
  • Pathophysiology- When peristalsis ceases, the
    stomach or small intestine (depending on location
    of problem or impairment) becomes distended from
    large quantities of air and fluid
  • Signs and Symptoms- Abdominal distention,
    cessation of BMs, absent bowel sounds, vomiting

4
Purpose and Types of Tubes
  • Nasogastric Tubes- Primarily inserted fo
    decompression of the stomach
  • Types of tubes
  • Levin
  • Salem Sump
  • Dobhoff or Duo

5
Purpose and Types of Tubes
  • Intestinal Tubes- Long intestinal tubes serve
    several purposes
  • Decompression
  • Splinting
  • Determination of obstruction site
  • Types of tubes
  • Miller-Abbott
  • Cantor

6
Measuring and Inserting an NG tube
7
Facilitating Tube Drainage
  • Because gastric and intestinal fluid must move
    against gravity to be removed suction is required
  • Low Suction
  • High Suction
  • Intermittent Suction
  • Constant Suction
  • Proper functioning

8
Prevention of Injury
  • Anchoring the tube
  • Pin tube

9
Prevention of Injury
  • Prevent Oral Inflammations
  • Keep oral membranes moist
  • Use of ice chips
  • Hard candy
  • Prevent reflux and/or aspiration

10
Promotion of Comfort
  • Removal of excess secretions
  • Water soluble lubricant
  • Relief for sore throat
  • Warm saline gargles
  • Ice bag to neck
  • Prescribed throat lozenges
  • Position changes

11
Specialty Tube
  • Sengstaken- Blakemore Tube
  • Used to control esophageal varices
  • Multi-lumen tube with 2 balloons
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