CLINICAL QUERIES: How do I verify NG tube placement?

$3.95
Nursing2014
August 2005 
Volume 35  Number 8
Pages 25 - 25
 
  PDF Version Available!

ABSTRACT
function openWeblink(url,target,width) { if (!width) width = '100%'; var newWindow; newWindow = window.open(url,target,'width='+width+',height=480,status,resizable,titlebar,toolbar,scrollbars'); newWindow.focus(); } function set_JnlFullText_Print() { metaTag = document.createElement('meta'); metaTag.setAttribute('name','OvidPageId'); metaTag.setAttribute('content','JnlFullText_Print'); head = document.getElementsByTagName('head')[0]; head.appendChild(metaTag); return; } if (window.addEventListener) { // DOM Level 2 Event Module (NS 6+) window.addEventListener('onload',set_JnlFullText_Print(),false); } else if (window.attachEvent) { // IE 5+ Event Model window.attachEvent('onload',set_JnlFullText_Print); } // For anything else, just don't add the event Full Text   #header-block { display: none; } © 2005 Lippincott Williams & Wilkins, Inc. Volume 35(8), August 2005, p 25 How do I verify NG tube placement? [CLINICAL QUERIES]

I have an adult patient who's receiving feedings via a nasogastric (NG) tube. Tube placement was verified by X-ray after insertion, so why do I need to reconfirm placement before administering a feeding? —H.P., LA.

Judy Sweeney, RN, MSN, replies: Rule number one is never put anything in an NG tube unless you know that its tip is in the stomach. Although an X-ray taken immediately after tube insertion confirms NG tube placement at that time, the tube can become displaced later. Where could it go? It can migrate up the esophagus and into the lungs, or it can move down into the duodenum. Or a portion of tubing may coil in the pharynx. Risk factors for NG tube displacement include decreased level of consciousness, confusion or agitation, poor or absent gag or cough reflexes, and endotracheal intubation.

At the bedside, I use the AAA system to remember the steps to ensure correct NG tube placement and prevent aspiration. You can use this method if the NG tube is being used for suction or for feeding. ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.


Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.


Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events