Caring for a patient with a Ryle’s tube (nasogastric tube) requires careful attention to ensure the patient’s comfort, prevent complications, and maintain the tube’s functionality. Below are key points to guide the care:
1. General Hygiene and Comfort
- Hand hygiene: Wash hands before and after handling the tube.
- Skin care: Inspect the nostril where the tube is inserted for redness, irritation, or pressure sores. Clean with a saline-soaked gauze and dry gently.
- Securing the tube: Ensure the tube is securely taped to the nose and avoid unnecessary pulling or tension.
2. Tube Position and Patency
- Check placement regularly:
- Confirm the correct position of the tube before use by checking:
- The tube marking at the nostril matches the recorded length.
- Aspirating stomach contents and checking pH (should be ≤5.5 for gastric placement).
- A chest X-ray may be done to confirm the position of the tube.
- Confirm the correct position of the tube before use by checking: