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									<p style="text-align: justify;">Es la introducción de una <a href="https://youtu.be/tSJB2QuG8D0?si=RisaI_4QV8Wbm5fk">sonda en el estómago</a> de una persona, por vía nasal, con fines diagnósticos o terapéuticos.</p><p><img class="aligncenter wp-image-16235" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/05/servicio-colocacion-sonda-nasogastrica-k108-domicilio.jpg?resize=611%2C221&#038;ssl=1" alt="" width="611" height="221" /></p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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</script><h3> </h3><h3 style="text-align: justify;">Objetivos</h3><ul style="text-align: justify;"><li>Descomprimir la cavidad gástrica de su contenido líquido o gaseoso.</li><li>Administrar alimentos o medicamentos al paciente.</li><li>Tomar muestras para exámenes.</li><li>Realizar lavado gástrico.</li></ul><p><img class="aligncenter wp-image-16240" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/05/descarga.jpg?resize=376%2C292&#038;ssl=1" alt="" width="376" height="292" /></p><h3> </h3>								</div>
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									<h3 style="text-align: justify;">Equipo</h3><ol><li style="text-align: justify;">Sonda nasogástrica (SNG) de calibre adecuado.</li><li style="text-align: justify;">Riñón con agua.</li><li style="text-align: justify;">Jeringa de 20- 60 ml punta sonda y fonendoscopio.</li><li style="text-align: justify;">Lubricante hidrosoluble.</li><li style="text-align: justify;">Vaso con agua.</li><li>Jarro graduado.</li><li>Baja lengua.</li><li style="text-align: justify;">Tela adhesiva.</li><li style="text-align: justify;">Guantes de procedimientos.</li><li style="text-align: justify;">Toalla desechable.</li><li style="text-align: justify;">Pinza Kocher para obturar.</li><li>Pechera protectora.</li><li>Frasco para caída libre si es necesario.</li><li>Bolsa para residuos.</li></ol><p><img class="aligncenter wp-image-16238" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/05/images.jpg?resize=285%2C311&#038;ssl=1" alt="" width="285" height="311" /></p><h3 style="text-align: justify;">Procedimiento</h3><p style="text-align: justify;">Reunir el equipo y llevarlo a la unidad del paciente.</p><p style="text-align: justify;">Verificar la identificación del paciente verbalmente o con la ficha y la indicación de la instalación de la sonda.</p><p style="text-align: justify;">Explicar el procedimiento al paciente y como cooperar.</p><p style="text-align: justify;">Lavarse las manos y colocarse guantes de procedimientos.</p><p style="text-align: justify;">Colocar al paciente en <span style="color: #3366ff;"><a style="color: #3366ff;" href="https://prevencionsaludproactiv.com/2020/09/20/posiciones-anatomicas-del-paciente/">posición Fowler</a></span> o semisentado si su condición lo permite.</p><p style="text-align: justify;">Proteger al paciente y ropa de cama con sabanilla o toalla desechable.</p><p style="text-align: justify;">Efectuar aseo de cavidad nasal en caso de ser necesario.</p><p style="text-align: justify;">Tomar medidas de la sonda desde la punta de la nariz a la oreja y luego al apéndice xifoides del esternón.</p><p><img class="aligncenter wp-image-16234" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/05/medir-sonda-nasogastrica.jpg?resize=316%2C492&#038;ssl=1" alt="" width="316" height="492" /></p><p>Comprobar indemnidad de la sonda.</p><p style="text-align: justify;">Lubricar o humedecer la sonda e introducir con suavidad sin forzar a través de un orificio nasal.</p><p style="text-align: justify;">Pedir a paciente que trague, dándole pequeñas cantidades de agua.</p><p style="text-align: justify;">Verificamos que se encuentre correctamente instalada aspirando contenido gástrico con la jeringa; también se puede comprobar inyectando 20 cc de aire rápidamente y auscultando con el fonendoscopio en apéndice xifoides, el paso del aire que administramos con la jeringa. Comprobada la instalación aspirar el contenido gástrico y depositar en jarro graduado para su medición.</p><p style="text-align: justify;">Fijar la sonda para evitar desplazamiento, cuidando que no haga presión en la nariz.</p><p style="text-align: justify;">Realizar el procedimiento indicado, ya sea aspiración, administración de medicamentos u otros y dejar la sonda según indicación ( cerrada, a caída libre, etc. ).</p><p style="text-align: justify;">Conectar la sonda a bolsa recolectora si es drenaje a caída libre y asegurarse que al movilizarse el paciente no tire la sonda.</p><p style="text-align: justify;">Dejar cómodo al paciente.</p><p style="text-align: justify;">Retirar el equipo, lavar, secar y guardar.</p><p style="text-align: justify;">Retirar y eliminar los guantes, lavarse las manos.</p><p style="text-align: justify;">Registrar el procedimiento: fecha, hora, procedimiento realizado, persona responsable y observaciones.</p>								</div>
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									<h3 style="text-align: justify;">Manejo y cuidado de la sonda nasogástrica</h3><ul><li style="text-align: justify;">Realizar aseo de cavidades cada 4 horas o según necesidad, utilizando un aplicador con algodón y agua tibia.</li><li style="text-align: justify;">Mantener lubricada la fosa nasal que contiene la sonda y prevenir resequedad bucal.</li><li style="text-align: justify;">Girar diariamente la sonda para evitar que se adhiera a la pared de la fosa nasal.</li><li style="text-align: justify;">Cambiar la fijación al menos una vez al día, retirando el adhesivo de la piel.</li><li style="text-align: justify;">Aspirar el contenido gástrico según indicación o al menos cada 4 horas.</li><li>Observar y registrar características del drenaje.</li><li style="text-align: justify;">Medir el contenido drenado según indicación o cada 12 horas.</li><li style="text-align: justify;">Instilar agua tibia cocida (20 a 40cc.) después de administrar medicamentos o alimentación y pinzar la sonda según indicación.</li><li style="text-align: justify;">Registrar el procedimiento: fecha, hora, procedimiento realizado, persona responsable y observaciones.</li></ul><h3>Sondas nasogástricas</h3><p><img class="aligncenter size-full wp-image-16260" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/05/sonda-gastrica-levin.png?resize=640%2C296&#038;ssl=1" alt="" width="640" height="296" /></p><p style="text-align: justify;">Habitualmente es una sonda de polivinilo de una sola luz. Presenta una punta cerrada y cuatro orificios laterales en su extremo distal Mide 115 cm y tiene calibres que varian entre 12 Fr y 20 Fr.</p><p><img class="aligncenter size-full wp-image-16262" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/05/SONDA-SALEM.png?resize=640%2C358&#038;ssl=1" alt="" width="640" height="358" /></p><p style="text-align: justify;">La sonda salem es similar a la levin pero con doble luz y con varios orificios de salida en la zona distal de la sonda, se utiliza para lavado gástrico y/o irrigación gástrica continua del estómago.</p><h3> </h3><p><img class="aligncenter wp-image-16263" src="https://i0.wp.com/prevencionsaludproactiv.com/wp-content/uploads/2021/05/SNG-ewald.jpg?resize=424%2C282&#038;ssl=1" alt="" width="424" height="282" /></p><p style="text-align: justify;">La sonda ewald puede ser de una o dos luces, es una sonda gruesa para uso en adultos, en calibre 28 Fr a 40 Fr. Se utiliza para lavado gástrico en pacientes con intoxicación exógena.</p>								</div>
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									<p>Procedimiento:</p><p><a href="https://youtu.be/tSJB2QuG8D0?si=RisaI_4QV8Wbm5fk">Instalación de SNG</a></p>								</div>
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									<h3 style="text-align: justify;">Retiro de la sonda nasogástrica</h3><p style="text-align: justify;">Explicar al paciente el procedimiento de retiro de sonda.</p><p style="text-align: justify;">Lavarse las manos y colocarse guantes de procedimientos.</p><p style="text-align: justify;">Proteger al paciente colocando toalla de papel sobre su pecho.</p><p style="text-align: justify;">Aspirar la sonda y luego ocluir con una pinza.</p><p style="text-align: justify;">Retirar la tela adhesiva que fija la sonda.</p><p style="text-align: justify;">Pedir al paciente que retenga la respiración unos segundos.</p><p style="text-align: justify;">Retirar la sonda con un movimiento suave y continuo.</p><p style="text-align: justify;">Pasar toalla de papel para que el paciente se limpie la nariz.</p><p style="text-align: justify;">Si es necesario efectuar aseo de cavidades.</p><p style="text-align: justify;">Retirar los restos de tela adhesiva de la piel.</p><p style="text-align: justify;">Eliminar sonda y desechos.</p><p style="text-align: justify;">Retirar los guantes y lavarse las manos.</p><p style="text-align: justify;">Registrar el procedimiento: fecha, hora, procedimiento realizado, persona responsable y observaciones.</p><h3>Contraindicaciones</h3><ul><li style="text-align: justify;">Obstrucción rinofaríngea o esofágica.</li><li style="text-align: justify;">Anomalías incontrolables de la coagulación.</li><li style="text-align: justify;">Vómitos persistentes.</li><li style="text-align: justify;">Hemorragia gastrointestinal aguda.</li><li style="text-align: justify;">Traumatismo maxilofacial severa y/o sospecha de fractura de la base del cráneo.</li><li style="text-align: justify;">Sospecha o evidencia de perforación esofágica.</li><li style="text-align: justify;">La presencia de varices esofágicas o de esofagitis severa no es una contraindicación absoluta, pero exige valorar muy bien su indicación en el primer nivel de atención y extremar las precauciones.</li></ul><h3 style="text-align: justify;">Complicaciones de la técnica</h3><ol><li style="text-align: justify;">Irritación y erosión de la mucosa nasal, faríngea y esofágica.</li><li style="text-align: justify;">Ulceración y necrosis de la piel por compresión.</li><li style="text-align: justify;">Epistaxis, disfonía y perforaciones.</li></ol>								</div>
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Paula Rojas Hormazábal</p> 
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank" target="_blank" >Riesgo Eléctrico</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank" target="_blank" >Primeros Auxilios</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/20/rcp-solo-con-las-manos/" class="_blank" target="_blank" >RCP Solo con las Manos</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/01/18/maniobra-de-heimlich-charla-de-seguridad/" class="_blank" target="_blank" >Maniobra de Heimlich</a></h4>
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<div class="pt-cv-content">El aumento del estrés, el estilo de vida sedentario, el ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/12/07/importancia-de-tener-un-dea-en-el-lugar-de-trabajo/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/12/07/ley-numero-21-156-desfibriladores-dea/" class="_blank" target="_blank" >Ley N° 21.156 Desfibriladores (DEA)</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank" target="_blank" >Escala de EVA en Enfermería</a></h4>
<div class="pt-cv-content">La escala del dolor EVA en enfermería (Escala Visual Analógica), ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/18/estados-de-inconsciencia/" class="_blank" target="_blank" >Estados de Inconsciencia</a></h4>
<div class="pt-cv-content">Estado de inconsciencia El estado o situación en que una ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/11/18/estados-de-inconsciencia/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/03/conducta-pas/" class="_blank" target="_blank" >Conducta PAS</a></h4>
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Instalación de Sonda Nasogástrica
