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Asked by BarristerArt6851

Patient Information
Jessica Fong is an active 30 year old who was involved in a motor vehicle accident. She sustained a closed head injury, and a fractured right tibia and fibula, which required an ORIF (Open Reduction and Internal Fixation). Her other injury is a perforated bowel. She has had a laparotomy and loop ileostomy formation. After surgery she developed a paralytic ileus.
Medical/Surgical Issues:
• Closed head injury
• # right tib/fib – ORIF now using a walking frame
• NGT (Nasogastric tube) – for paralytic ileus
• Loop ileostomy
• Surgical abdominal wound

 

Q1

The Doctor has decided to go ahead with the NGT insertion. Whilst you are inserting the NGT, Jessica shows signs of respiratory distress And you have decided to remove it. What could be the cause of this? Hint: it is not an allergic reaction

 

Q2

After the NGT removal and you have completed a respiratory assessment and provided oxygen, Is there anything else anything else that is require? Is inserting it something to consider and would it still be required?

SCIENCE
HEALTH SCIENCE
NURSING
HLTENN 005

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