NG Tube Medication Administration



ng – is a plat flexible plastic tube that goes in through the patient's nose down the nasal pharynx through the esophagus and into the stomach ng tubes are used for two main purposes one purpose is for taking content out of the stomach and the other for administering medications or nutrition into the stomach for patients that cannot receive it orally they're used in situations where the intestines need to rest for example bowel obstructions in this video we're going to show you how to properly administer medications through an NG tube step one the first step is gathering supplies you will need gloves water does not have to be sterile a stethoscope medication cups medications a 60 milliliter syringe step to follow all protocols of patient safety including three checks and five wipes perform proper hand hygiene step 3 preparing the medications for pills use a pill crusher crush each pill one at a time dissolve the powder with water or other recommended liquids keeping each medication separate from the others for liquids be sure to read the amount of medication at the bottom of the meniscus at eye level step 4 assists patient to high Fowler's position ask them to state their name and date of birth can you tell me your daily date of birth yes my name is Fergie Johnson and I was born on April 24th 1970 thank you for key inform the patient of the medications they will be receiving and ask if they have any questions or concerns today I'm going to be giving you your tylenol Adam in and Sima statin do you have any questions about them no I take those all the time step 5 the next step to administering medications is to check for tube placement placement is verified most accurately by using multiple methods one method is to check the mark made on the tubing okay I'm going to check the mark for you to be here when ng tubes are inserted a mark is made by the nostril once placement is confirmed by x-ray this provides a way to see if the tube has moved another method is to aspirate the stomach contents and check the pH it should be less than 5.5 the definitive way to confirm placement is by x-ray one other method that is commonly used called the whooshing method you the stethoscope is placed over the stomach area a small amount of air is injected through the tube and a whooshing sound is heard step six before administering medications it is important to flush the tubing to ensure patency the steps to doing this are connect the syringe to the tubing clamp the NG tube remove the plunger from the sixty milliliter syringe pour 60 milliliters of water into the syringe unclamp the tube and allow the water to enter the stomach via gravity infusion step seven after flushing medications are ready to be administered administer the first dose of medication by pouring it into the syringe follow this with a 5 to 15 milliliter flush of water continue administering medications one at a time while flushing in between each dose follow the last dose of medication with a 60 milliliter water flush first wreak lamp the tube for 60 milliliters of water into the syringe unclamp the tube and allow the water to enter the stomach this ensures that medication is not left in the tubing the most important things to remember about NG tube medication administration are a to check for tube placement to ensure that the meds will be reaching the stomach be flush before medet medication administration to make sure the tube is patent and C flush after med administration to make sure that no medication is left in the tubing it is important to keep track of the amount of fluid used during this process for in taken out purposes as well

21 comments

  1. Fgtube Nasopyloric Ngt gas evacuation fg tube inducing Cardiac decompression by fgtubing Chest pain relieving open Google Doc Rajendra sheregar And see images videos litreture medical science institution

  2. Whatever amount of air you push into the stomach to listen, you have to withdraw it back. Failure to do so will leave air inside the stomach. Dangerous!

  3. clamp tube each time you give medication/water to prevent air from entering the stomach. other than that good job

  4. Lol the patient was hinting the nurse that the wrist band should be checked 🙂 Lol.. The nurse noticed it late and just smirked. Nice video though 🙂

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