The Levin tube and the Salem sump tube are used most commonly for stomach decompression. Which of the following statements about these tubes is true? (Select all that apply.)
a. Levin tubes have a blue "pigtail" that functions as an air vent.
b. These tubes are inserted as a sterile procedure.
c. The blue air vent should not be used for irrigation.
d. The Salem sump tube has a blue "pigtail" that functions as an air vent.
e. The Salem sump is preferred for stomach decompression.
C, D, E
The Levin tube is a single-lumen tube with holes near the tip. You connect the tube to a drainage bag or to an intermittent suction device to drain stomach secretions. The Salem sump tube has two lumina: one for removal of gastric contents and one to provide an air vent, which prevents suctioning of gastric mucosa into eyelets at the distal tip of the tube. A blue "pigtail" is the air vent that connects with the second lumen. Never clamp off the air vent, connect it to suction, or use it for irrigation. NG tube insertion does not require sterile technique. Clean technique is adequate. The Salem sump is preferred for gastric decompression.
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