When checking placement after insertion -
When to proceed to check X-ray?
Elevated pH
 
  • If pH is >5.5, repeat after one hour with nothing running through NG tube
  • during this time
    •  
  • If pH is still >5.5 proceed to check position with X-ray
    •  
  • Reasons for an elevated pH in a correctly placed tube include use of
  • antacid medication or feed raising the pH by diluting gastric secretions
    •  
  • However, never assume that an elevated pH is acceptable whatever the
  • cause
    •  
  • Always proceed to check X-ray
  • National Patient Safety Agency (NPSA). Patient Safety Alert 05