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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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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 • 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 • Nasogastric Tubes- Primarily inserted fo decompression of the stomach • Types of tubes • Levin • Salem Sump • Dobhoff or Duo
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 • 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 • Anchoring the tube • Pin tube
Prevention of Injury • Prevent Oral Inflammations • Keep oral membranes moist • Use of ice chips • Hard candy • Prevent reflux and/or aspiration
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 • Sengstaken- Blakemore Tube • Used to control esophageal varices • Multi-lumen tube with 2 balloons