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Nasogastric and Gastrointestinal Intubations. A client’s condition may warrant special interventions to decompress the gastrointestinal tract. GI intubation is one of these interventions. Paralytic ileus is one of the conditions that would warrant intubation. Paralytic Ileus.

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Presentation Transcript
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A client’s condition may warrant special interventions to decompress the gastrointestinal tract. GI intubation is one of these interventions. Paralytic ileus is one of the conditions that would warrant intubation
paralytic ileus
Paralytic Ileus
  • Etiology- Cessation of peristalsis resulting from:
    • Neurogenic impairment
    • Mechanical obstruction
    • Direct irritation
  • Pathophysiology- When peristalsis ceases, the stomach or small intestine (depending on location of problem or impairment) becomes distended from large quantities of air and fluid
  • Signs and Symptoms- Abdominal distention, cessation of BMs, absent bowel sounds, vomiting
purpose and types of tubes
Purpose and Types of Tubes
  • Nasogastric Tubes- Primarily inserted fo decompression of the stomach
  • Types of tubes
    • Levin
    • Salem Sump
    • Dobhoff or Duo
purpose and types of tubes5
Purpose and Types of Tubes
  • Intestinal Tubes- Long intestinal tubes serve several purposes:
    • Decompression
    • Splinting
    • Determination of obstruction site
  • Types of tubes
    • Miller-Abbott
    • Cantor
facilitating tube drainage
Facilitating Tube Drainage
  • Because gastric and intestinal fluid must move against gravity to be removed suction is required
    • Low Suction
    • High Suction
    • Intermittent Suction
    • Constant Suction
  • Proper functioning
prevention of injury
Prevention of Injury
  • Anchoring the tube
  • Pin tube
prevention of injury9
Prevention of Injury
  • Prevent Oral Inflammations
    • Keep oral membranes moist
    • Use of ice chips
    • Hard candy
  • Prevent reflux and/or aspiration
promotion of comfort
Promotion of Comfort
  • Removal of excess secretions
  • Water soluble lubricant
  • Relief for sore throat
    • Warm saline gargles
    • Ice bag to neck
    • Prescribed throat lozenges
    • Position changes
specialty tube
Specialty Tube
  • Sengstaken- Blakemore Tube
    • Used to control esophageal varices
    • Multi-lumen tube with 2 balloons