Doctor insights on:
Nasogastric Tube Drainage
Nasogastric tube: A nasogastric tube is used to evacuate stomach contents. It is commonly used in surgery when the stomach contents need to be removed, or when the GI tract cannot move things through on it own (as with bowel obstruction). An ng tube can also be used in the emergency room to administer medications or remove poisons or overdoses. They go through the nose to prevent the gag reflex, and can stay there.
Discharge can be a noun or a verb; it has multiple meanings in physics, chemistry, military, and legal usage. The most common medical meaning is a substance that is being excreted. Examples: pus is the discharge from a pimple; a vaginal discharge can mean infection; an ear discharge can mean an infection of the outer ear tract; a nasal discharge ...Read more
No: Long term use of nasogastric tube can cause erosion to the nose and nostrils and can cause all kind of sinus problems if tube feeding warranted the use PEG tube which a tube that could go directly to the stomach via the abdomen bypassing the upper part and could be inserted by a scope no need for surgery or anesthesia and tolerated by any body regardless how sick they are it could be done bed side
Simple bypass: Ng feeding is a simple and short term way to maintain enteral (using the digestive tract) feedings to maintain adequate nutrition while a patient is not aleart enough to feed or has problems with the swallowing process. If the patient has long term needs, a tube thru the abdominal wall to the stomach can do the same thing. Good nutrition is important to healing.
No.: I don't see this as helpful, and it certainly does not address the core of the problem.
Location: The location of the tube tells which one it is. A nasogastric tube is a temporary tube placed through the nose into the stomach. It can be used to remove fluid from the stomach, or used for instilling liquid food. A gastrostomy tube is a surgically placed tube through the abdominal skin into the stomach, usually used for longer term nutritional liquid feeding.
Depends...: If someone is vomiting blood, it could be used to determine if there is ongoing bleeding. If someone has a bowel obstruction, you might be looking for the volume of fluid from the stomach to decrease to show that the intestines are beginning to work again. Sometimes it is checked after a feeding is given to make sure that the stomach is properly emptying.
Depends, usually yes: Most ng tubes are designed to be left in place as long as they are needed for drainage and/or feeding after serious injury/illness or when recovering from major surgeries on the digestive tract. Replacing an ng tube, especially after certain types of surgery, may actually risk causing new injury. If we expect to need a tube for more than 4-6 weeks, a more permanent tube may be placed surgically.
No: On occasions, it can be life saving. If someone is unable to talk food orally, the next best approach is a feeding tube, either through the nose or percutaneously, which would be for long-term use. An esophagostomy tube is used for drainage of the esophagus, and is not used as a feeding tube.
Many things: No body use nasal gastric feeding tube now unless it have been used for a very short period of time if it was used they use it on any patient that not capable of eating but his guts is capable of digestion the food good way of nutrition for a patient that could not feed themselves IV fluid has no nutritional values only good for hydration if feeding needed they use now PEG tube
Varies with cause: Good nursing question! Check with the doc who placed the tube. If just for keeping stomach empty without overproduction (post-op, etc.), minimal to few 100ccs per shift is typical, but if actively draining overproduction, may be much more. Ask the doc who placed the tube for parameters when to call, whether/when to draw labs or supplement fluids with exceptionally high outputs.
Like a tube: Tube inserted through the nose and place the tip in the stomach to feed the patient long term use of nasogastric tube can cause erosion to the nose and nostrils and can cause all kind of sinus problems if tube feeding warranted the use PEG tube which a tube that could go directly to the stomach via the abdomen bypassing the upper part and could be inserted by a scope
NG tube: This is a flexible tube inserted through the nose and then carefully advanced into the stomach. It is used to suction fluids and gases out of the stomach, often for surgical patients.See 1 more doctor answer
Gently pull: The tube is released from the tape which holds it in place. It is gently pulled and withdrawn out the nose. It requires no medication and is not painful although many people will have a significant gag reflex during the process.
You can't...: If the tube is clogged, only by unclogging it can you either instill new medications or remove fluid from the stomach.
Yes.: This is not appropriate for any healthy babies, but premature and ill infants, as well as some with certain swallowing issues, could possibly benefit from short-term use of n-g feeding.
Not necessarily.: An "ng" tube is often placed to help determine where in the GI tract the bleeding source is and how much blood loss there is. It will not stop the bleeding. Gastrointestinal bleeding often stops on its own. If it does not, an endoscopy or surgery may be needed. Sometimes a radiologist can stop the bleeding by plugging (embolization) the bleeding blood vessel.
Several reasons: If the patient needs oral nutrition or oral medication & has trouble eating or swallowing, a nasogastric tube provides a relatively short term solution other than ivs or tpn. Also, if there is any impairment of gastric motility in a stroke patient, this may alleviate discomfort. Reducing risks of aspiration (inhaling stomach content into the lungs creating a bad pneumonia) may be another reason.See 1 more doctor answer
Gastrostomy: A gastrostomy tube is a tube inserted through the skin into the stomach, used for long term feeding in patients who cannot swallow. A nasogastric tube is a tube inserted through the nostrils into the stomach. It is a short term catheter which can be used for feeding, but it must be removed or it will cause erosion of the mucosa in the nose.See 1 more doctor answer