Before coming to Lab, you should be able to:
purposes of nasogastric tubes.
decompression (in the case of intestinal obstruction or absent parastalsis)
(removal of toxic substances or blood)
principles and concepts of care of the patient with an NGT.
the construction, purpose, and implications for management of different
the differences between N/G, gastrostomy, and jejunostomy tubes used for feeding
a patient including: location,
diameter, advantages and disadvantages, safety precautions required, types of
feedings to be used, impact on medication administration
the best type of formula for a patient with: Diabetes mellitus, Renal disease,
Chronic pulmonary disease, Constipation, Milk allergies/intolerance
how to tell if a formula is isotonic or hypertonic.
nursing measures to be employed to prevent complications of enteral feedings:
diarrhea, dehydration, infection, aspiration
completion of the study of this module, the student should be able to:
- Identify the supplies
necessary for insertion and discontinuation of basic nasogastric tubes.
demonstrate steps involved in insertion and discontinuation of basic nasogastric
the supplies necessary and principles involved in maintaining gastric lavage.
irrigate an NGT.
and administer enteral feedings: continuous, intermittent (cyclic or bolus), gravity
drip, administered via a pump,
interrupt and reestablish a continuous enteral tube feedings.
how to check for residual.
decisions based on residual.
how to flush a feeding tube.
methods for preventing the clogging of a feeding tube.
a medication via an enteral tube (per tube or PT): liquid medications, crushable/dissolvable
medications, avoidance of enteric coated or time released medications, funnel
and injection technique.
| || Review
-- (2nd edition, pp. 577-580, 547-553, 556-558 interventions to manage impaired swallowing,
reduce aspiration), 3rd edition, pp. 629-32, 596-604, 591-92.
- A & P of GI
and Respiratory tracts
of physical assessment
for calculation of intake and output
of medical asepsis
- All skills videos pertaining to Nasogastric/Enteral Tubes made by ACC instructors
and Removal of Nasogastric Tubes” -- ACC lab video (This
Nursing Computer Lab: Mastering Clinical Skills, GI Tubes. This is only on computers
57 and 58. Ask Mike for help.
is a possible complication
Complete the following
good site about verification of placement
Review module objectives
and check for knowledge gaps. |
PRINT and BRING TO LAB:
- Word doc Check- off List from the student resources page for NGT Insertion, Suggested Sequence for NGT Irrigation, Suggested Sequence for NGT Removal, Enteral Feeding via Tube, and Administering Medication Via An Enteral Tube.
- Lab Review Questions
- Intramuscular Injection and Subcutaneous Injection check off lists from the student resources page
quiz – “Nasogastric Tube Feedings”