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Wash hands. If you cannot insert the old tube, go to the 7th step. Insert the new tracheostomy tube and quickly remove the obturator. Reinsert the inner cannula. Secure the View as Grid List. A nasogastric NG tube is a small tube that goes Thbe the Steep through the nose.
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A shell and tube heat exchanger is a class of heat exchanger designs. As its name implies, this type of heat exchanger consists of a shell a large pressure vessel with a bundle of tubes inside it. One fluid runs through the tubes, and another fluid flows over the tubes through the shell to transfer heat between the two fluids. The set of tubes is called a tube bundle, and may be composed of several types of tubes: plain, longitudinally finned, etc. Two fluids, of different starting temperatures, flow through the heat exchanger.