Ryles Tube Insertion

Ryles Tube Insertion

Ryles Tube popularly referred to as ‘Nasogastric tube’ or NG tube is a long and narrow bore tube, made out of silicone or polyurethane. prominently ryles tube uses to gain access to a patient’s stomach and its contents. The Nasogastric tube is mainly used for the treatment of stroke patients with dysphagia and on patients on ventilators

Purpose Of Ryles Tube Insertion:

The Nasogastric tube is inserted primarily for two purposes;

For Nasogastric Aspirations – Nasogastric Aspiration is the process of emptying the upper gastrointestinal tract of gastrointestinal secretion and swallowed air. Nasogastric aspiration is also used in cases of poisoning to drain the ingested toxic liquid and to extract gastric liquid samples for analysis.

Ryles tube uses for feeding and administering medicines and other oral agents like activated charcoal.

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Ryles Tube Types:

Nasogastric tubes are of three types, namely;

Levin Tube: Levin tube is a single lumen rubber or plastic tube mainly used for the administration of medication and or nutrition.

Salem Sump Tube: The Salem sump tube is a large bore tube with double lumen. One lumen is meant for suction and drainage, while the other smaller lumen is used for ventilation.

Moss Tube: The Moss tube is a triple lumen tube with radiopaque tip. The first lumen is positioned and inflated in the cardia, the second lumen serves as oesophageal aspiration port and the third lumen is used as duodenal feeding port.

Ryles Tube Or Ng Tube Care At Home:

Here are a few pointers to follow for effective nasogastric tube care at home;

  • Brush your teeth twice daily.
  • Change the nasal tape on every alternate day or when it gets loose.
  • Always clean your nostril area where the NG tube goes, with a cotton tip applicator dipped in warm water. If the nose has become sore you can apply water soluble lubricant.
  • Keep the nasal tape secured at all times, if incase the nasogastric tube comes out contact your doctor immediately.
  • Flush the feeding tube with water after every feeding session or medication.
  • In case the nasogastric tube gets clogged flush it with warm tap water. You can also try putting a syringe into the feeding tube and pull back the plunger. If the NG tube still stays clogged contact your doctor as soon as possible.

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