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estimate the length of tube to be inserted note markings on the tube where the tube should exit the nostril gently insert the NG tube through the nostril at an angle parallel to the floor of the nasal canal pass the tube along the floor of the nasal passage aiming down toward the patients ear continue inserting the tube until it is just past the nasopharynx advance the tube with swallowing if fluids are not permitted instruct the patient to swallow and advance the tube during the swallowing motion advance until docHubing the tape or mark on the tube attach a syringe to the end of the tube and aspirate gently to obtain gastric contents