The probe is nasogastric. Feeding through nasogastric tube

Nasogastric probe is a special device intended for human enteral nutrition. It is necessary in cases when he himself can not eat. This introduction of food is required in case of trauma or edema of the tongue. Also, the food is thus carried out if the pharynx, larynx or esophagus is damaged, with mental disorders of the person associated with refusal to eat.

The introduction of food through a probe may be necessary when the patient is unconscious. There are contraindications for this method of food intake - this is a peptic ulcer of the stomach at the time of its aggravation. In addition to introducing food through the nasogastric tube, you can take medication. All manipulations should be under the strict guidance of a physician.

How to insert a probe?

In order to enter a nasogastric tube for a patient, it is first necessary to label it. Also check the nasal passages of the person. If the patient is unconscious, the probe is inserted in the recumbent position, his head is turned to the side. The nasogastric tube can be left for 3 weeks.

Preparation for

1. procedure It is necessary for the doctor to establish a trusting relationship with the patient or with his relatives.
2. The doctor should tell the patient the purpose of the forthcoming procedure and familiarize him with what food he will be given. Also the doctor should tell about the stages of the forthcoming procedure.
3. The room should be ventilated in advance.
4. The next step in the preparation for probe insertion is the measurement of the distance from the throat to the stomach. For this, the patient must sit straight. Then the doctor should make a measurement. There is an alternative way to calculate the distance to the stomach, for this it is necessary to take 100 cm from the growth of a person.
5. In order for a nasogastric tube to easily enter the stomach, it is recommended to moisten it in a solution of "Furacilin".The solution is diluted in a ratio of 1 to 2000. The nasogastric tube is wetted to the deposited mark.
6. Next, put the patient on the couch. He lies on his back. Under the head is a pillow. It is necessary to make the head slightly inclined. This position will ensure free insertion of the probe into the nasopharynx. A napkin is placed on the patient's chest.

How is the probe inserted?

The doctor should carry out this procedure with gloves.

1. A probe is inserted into the nasal passage of the patient to 15 centimeters. Next, you should put the patient in a half-lying position. Then you should tell him to swallow the probe. It should be that a person assumes a position in which the instrument will freely enter the stomach.
2. Then the air is pumped into Jan's syringe. Then it joins the probe and is injected into the stomach. You can hear specific sounds that are evidence that everything is done right.
3. In order to prevent leakage of liquid, after the syringe is disconnected, a clamp is placed on the probe. In this case, the outer end is placed in the tray.
4. Next, fix the probe. For this, a bandage is wound on the face and head of the patient.
5. The next step in the procedure is to remove the clamp and attach the funnel.

Feeding through a nasogastric tube

The probe descends to the level of the stomach. It should not be allowed to get air there. For this, the funnel tilts and is filled with food. The food should be warm, its temperature should be 38-40 degrees. After the funnel is filled with food, it is gradually raised up until the food is left only in the neck of the funnel. Then the funnel again goes down to the level of the stomach. Then it is filled with food, the process is repeated in a similar way. After the introduction of all food, boiled water or tea is poured into the probe. The feeding procedure is simple through a nasogastric tube. The algorithm is pretty simple.

After the food input is complete and the probe is rinsed, a clamp must be fitted to the end of it. Next, remove the funnel. After the tip of the probe is wrapped with a sterile napkin or placed in a tray, or you can fix it on the patient's neck. Leave in this condition until the next meal.

Features of nasogastric probe

The nasogastric tube is made of polyvinyl chloride. This material has a transparent color. It has the property of thermoplasticity. This means that under the influence of warm tissues it softens. Also modern probes are equipped with additional characteristics, which greatly facilitate the process of use. These include the radiopaque line, which is present along the entire length of the probe. In some models, the side holes are arranged in a special way. This is done in order to reduce the risk of dumping syndrome. The probes are provided with connectors that interact well with the dispensing feeders. Also modern connectors have special plugs. They, if necessary, are hermetically sealed. Thanks to these plugs, you can not use a clamp.

At first glance such modifications of the manufacturers seem insignificant, but the use and setting of the nasogastric probe are much easier.

Child probe

The principle of operation of the probes is the same. But children have their own characteristics. It should be said that they can also be used for an adult. Children's probes are also made of high quality PVC.They are absolutely harmless, do not cause allergic reactions and can be used up to 3 weeks. Children's probes have a soft rounded end. This characteristic ensures good probe entry and protects against getting any injuries while entering. Swallowing a probe with a soft tip is painless.

There are also side openings at the end, through which the patient feeds through the nasogastric tube, and nutrients enter the stomach. Children's models are equipped with connectors, which can be tightly and hermetically closed, as well as special adapters for connecting syringes and funnels. Also, the probes have a radiopaque band with marks in centimeters. This allows you to determine the depth at which the probe is located.

Some manufacturers produce tools with color coding. That is, a certain color has an established diameter and size. Thanks to the color coding, medical personnel can easily navigate which probe is suitable for a particular person. The encoding tables are applied to the tools.

Conclusion

Now you know what a nasogastric probe is. We also told you how to prepare for the introduction of it. They also described how nasogastric feeding takes place.