Procedure of NG Tube Care and Removal

Procedure of NG Tube Care and Removal

Patient Care
■ Reassess placement of tube prior to administering bolus feedings, fluids, or meds and q shift for continuous feedings.
■ Flush tube with 30 mL of water after each feeding and after each administration of medication.
■ Assess for skin irritation or breakdown. Retape daily and alternate sites to avoid constant pressure on one area of the nose. Gently wash around nose with soap and water and dry before replacing tape. Provide nasal hygiene daily and p.r.n.
■ Provide good oral hygiene every 2 hours and p.r.n. (mouthwash, water, toothettes → clean tongue, teeth, gums, cheeks, and mucous membranes). If Pt is performing oral hygiene, remind him or her not to swallow any water.

Removal
■ Explain procedure to Pt. Observe standard precautions.
■ Remove tape from nose and face.
■ Clamp or plug tube (prevents aspiration), instruct Pt to hold breath, and remove tube in one gentle but swift motion.
■ Assess for signs of aspiration.