Getting to Know the Use of Nasogastric Hoses and Their Maintenance

Installation of a nasogastric tube or nasogastric tube (NGT) is often done to provide a food and drug to patients , or to empty the hull. Not only installed while in hospital, nasogastric tube can also be installed until the patient returns home.

A nasogastric tube (NGT), also known as a food tube or sonde, is a soft plastic tube that is inserted through the nose (nasal) to the stomach (gastric). In order not to change position, the hose will be glued to the skin near the nose with adhesive tape.

Getting to Know the Use of Nasogastric Hoses and Their Maintenance

The purpose of installing a nasogastric tube is to help provide food and medicine to patients who cannot consume food or medication from the mouth, for example premature babies or comatose patients. In addition, the nasogastric tube can also be used to remove gas or fluid from the stomach.

Apart from the nose, the tube can also be inserted through the mouth (oral). This is called the orogastric tube (OGT).

NGT and OGT are used for the same purpose, but the orogastric tube is usually placed in patients who cannot use nasogastric tubes, for example patients with nasal injuries or newborns who need to breathe completely from the nose.

Conditions that require Nasogastric Hose

One of the purposes of nasogastric tube placement is for nutrition, namely to:

  • Patients who are in a coma
  • Patients who experience narrowing or blockage of the digestive tract
  • Patients who use assistive devices breathing (ventilator)
  • Infants born prematurely or suffering from birth defects
  • Patients who are unable to chew or swallow, such as stroke or dysphagia

In addition, nasogastric tube insertion can also be done for sampling stomach contents and cooking gastric support, for example to excrete toxic substances.

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Duration

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The duration of use of the nasogastric tube depends on the patient's condition and purpose installation, but it should be used only in the short term. This hose can be installed for up to 4-6 weeks, but it must be replaced every 3-7 days or as needed.

Care / strong> N asogastric at umah

If you have family members you must keep using the nasogastric tube after returning from the hospital, here are the things that are important for you to know about nasogastric tube care:

  • Before returning from the hospital, ask your doctor or nurse about how to make food and administering it through a nasogastric tube, and don't forget to ask for a feeding schedule.
  • Wash your hands before and after touching the hose.
  • Before giving food or medicine, make sure the hose is still perfectly attached by looking the location of the marker on the hose, and make sure the adhesive tape is still in place.
  • When feeding up to 1 hour after m will, straighten the patient's body so that the head is higher than the stomach.
  • Attach the adhesive tape properly so that the hose stays in place. The adhesive tape can be replaced every day, or when the adhesive tape is dirty or wet. Before removing the adhesive tape, apply a small amount of water on it and the surrounding area, then pull it out gently.
  • Rinse the hose after you have finished giving food or medicine, so that the hose is not blocked. The trick is to drain the water using the syringe recommended by the doctor.
  • Take care of the patient's oral hygiene by brushing his teeth and giving him mouthwash, or as directed by the doctor.
  • The patient can still shower as usual after the hose cover is firmly attached and the adhesive tape is securely fastened. After bathing, dry the nose and adhesive tape until it is completely dry.
  • Clean and dry the skin around the patient's nose with warm water periodically. Apply a moisturizing cream to the skin in the nose area, especially if there is redness.
  • If there is a blockage in the nasogastric tube, make sure the tube is not bent or folded, then drain warm water with medium strength using syringe .
  • If the patient needs to use the nasogastric tube for a long time, replace the nasogastric tube periodically with the help of a doctor or medical officer. Do not try to install the nasogastric tube yourself if you have not been trained to do it.

Signs P usages eagle asogastric

Contact a doctor or medical officer immediately if you find that a patient using a nasogastric tube has the following condition:

  • Shortness of breath
  • Vomiting
  • Pain in the pit of the stomach
  • Fever
  • Irritation, redness, peeling, or swelling of the nostrils where the nasogastric tube is attached
  • Blockage in the tube that cannot be overcome by flushing at home

Transition and Adaptation for Returning to Eat Via M

If the patient is considered ready to start eating normally, then the transition can be made below supervision of a doctor or medical officer. Some ways that can be done are:

  • Give food alternately through nasogastric tubes and directly through the mouth.
  • Give soft-textured food first, then increase its density slowly.
  • Pay attention to the patient's ability to chew and swallow food, its nutritional status, and adequacy of fluids. Also monitor whether he experiences disturbances in his respiratory tract, for example choking, during the transition process.
  • Create a meal schedule according to doctor's recommendations.

If the patient is able to eat directly and nutritional needs are met, then the nasogastric tube can be removed and the patient can fully re-eat by mouth.

Although it causes discomfort and risks causing side effects, nasogastric tube is very important to provide nutrition and medicines to patients, if giving food or medicine by mouth is not possible. As long as the nasogastric tube is used and treated properly according to doctor's recommendations, the risk of side effects can be minimized. Therefore, if you are still confused or have difficulty treating nasogastric tubes at home, don't hesitate to ask the doctor.

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Andi Marsa Nadhira

Label : Health cat_Health

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