How to Check NG Tube Placement?

NG Tube Placement

Confirm Ryle's tube insertion by following methods;

1. Place a stethoscope over the patient’s epigastrum and auscultate while instilling a 50 cc air bolus using an irrigation syringe (air enters the stomach when a whooshing sound is heard).

2. Use an irrigation syringe and aspirate gastric contents

3. Place the lower the open end of the NG tube into a cup of water (bubbles indicate that the tube is in place)

4. Chest X-ray; to confirm placement 

5. Ask the patient to hum or talk (coughing or choking; indicates tube is properly placed)

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