RYLES TUBE FEEDING PROCEDURE | NASOGASTRIC INTUBATION

#NASOGASTRIC INTUBATION | RYLES TUBE FEEDING
⚠ DISCLAIMER : this video is for education purpose only and does not suggest any medical advice/treatment
📌INDICATIONS:
Unconscious and semiconscious patients
*Medical condition/ surgery
*Elderly patients who are too weak to swallow food orally
Patient who refuses food
📌CONTRAINDICATIONS:
*Gastric surgery
*Tracheosophageal fistula (TEF)
*Esophageal varices
📌ARTICLES REQUIRED FOR PROCEDURE
__ a tray containing:
Mackintosh and towel
50mL Syringe
Ryles tube(according to patient's size)
Lubricant jelly
Stethoscope
Adhesive plaster with scissors
A glass of feed
Ounce glass
A bowl of water
Kidney tray
📌PROCEDURE:
Wash hands with soap and water
Spread the mackintosh and towel
Clean the nostrils with cotton sticks
Take the ryles tube and measure the distance (from tip of the nose to the earlobe to the tip of the xiphoid process of the sternum) and mark with adhesive
Lubricate the tube with Lignocaine jelly 2%
Hold the tube in right hand to introduce it
Insert the tube into the nostrils , backward and downward
When the tube reaches the pharynx, the patient may gag
Instruct the patient to swallow sips of water
Aspirate the gastric contents in the syringe
Place the end of the tube in a bowl of water and notice the formation of bubbles if any
Ask the patient to speak
Confirmation of the tube placed can be done by Stethoscope
After the tube is in the correct place, secure it with adhesive tape
Before giving the feed, connect the funnel and syringe
Hold the syringe 8 inches above the bed and slowly introduce feeding, keep it full until total amount has been introduced
When the quantity of feed is over, clear the tube by introducing a small amount of clear water
Disconnect funnel and syringe, clamp the tube
Clean face and hands, remove the mackintosh and towel
Make the patient comfortable in bed
Take the articles to the utility room and discard the waste, clean the articles with soap and water, dry them and re-place the articles
Wash hands
Recording and reporting.
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[@mahendranursinggurukul131]

Mam good evening Msn 1st and 2nd all disease conditions video uploded as soon as possible mam because I love❤ MSN subject and knowing MSN IN DEEP KNOWLADGE

[@edumed9374]

Talented nurse👏

[@dr.nishantvijai638]

Very informative.

[@SHWETASINGHNURSINGEDUCATOR]

Glad it was helpful!

[@tanusingh2822]

Very well explained 🙂 Keep going👍

[@SHWETASINGHNURSINGEDUCATOR]

Thanks a lot 😊

[@singhshikha9151]

Ma'am app bsc nursing 3sem subject pe video upload kijiye

[@farhatara1189]

Well explained 😊

[@SHWETASINGHNURSINGEDUCATOR]

thankyou so much aunty!🙏😊

[@itsyashisworld189]

Very well explanation ma'am 👍🏻😘

[@SHWETASINGHNURSINGEDUCATOR]

Thanks a lot 😊

[@maggiedsilva2382]

Well explained

[@PushpaRani-hy1gc]

Mam please make vedio on IM injection in gluteal site, when patient is lying laterally

[@jameysiddiqui6910]

can we put pressure on feeding tube while feeding if something is stuck.

[@sandeepsingh-zs1ww]

Mam feed ko bar bar push karna padta hai please bataye kya karu

[@nikshithabhandary8491]

Why we should give feed 8f gastric content is more than 50ml

[@Born-Surgeon]

Pls mention some good feeding formulas available in india brand

[@vyshalivysh3548]

In bowl I checked it bubble has not come mam what should do mam

[@deepanjaligupta2104]

Bhot accha explanation

[@deepanjaligupta2104]

Keep it up👍👍👍

[@deepanjaligupta2104]

Baccha

[@SHWETASINGHNURSINGEDUCATOR]

❤❤

[@JyotiSilpa]

Can I use the same syringe for feeding and aspiration or different ones?

[@SHWETASINGHNURSINGEDUCATOR]

you can change the syringe , also if you want you can use the same syringe just make sure to clean that after aspiration

[@mampisen408]

Which type of fluid diet we can give through this tube ??

[@SHWETASINGHNURSINGEDUCATOR]

liquid diet depending upon the patient's condition, the feed may include juices/soup in addition with protien powders depending upon the disease condition ...diabetic patients require diabetic feed

[@mampisen408]

50ml syringe or 15 ml syringe

[@SHWETASINGHNURSINGEDUCATOR]

50 ml syringe for adults

[@kiransingh9786]

Very good beta...keep it up...keep going... Video is very informative.... Subscribe for more such videos

[@SHWETASINGHNURSINGEDUCATOR]

❤❤

[@pharmalover2889]

Hii mam

[@KrishAllalli]

Kannada 😊

[@ruqaya2873]

Supine position is not exact Standing position Elecated head