PERSONAL CARE AND HYGIENE. Keep the skin around your PEG tube dry. The diameter of the tube varies, however a narrow tube is preferred to create minimal irritation in the pharynx. Mouth: - Brush teeth, gums, and tongue at least two times a day using toothpaste and a soft toothbrush.
Check for fluid draining from your stoma (the hole where the tube was put in). You will pour the liquid into the bag. Take your medicines as directed. Types of Feeding Tubes. MYTH: Artificial feeding is like eating. Use syringe to flush feeding tube with water, as directed. What else do I need to know about a PEG tube? The amount of aspiration will also depend on the patient's current medical condition and varying diagnosis' involved. Your healthcare provider will teach you how to set up and use the pump. When re-taping, allow some slack so the tube does not rub against nostrils. Your PEG tube is longer than it was when it was put in. Check the tube site every day for signs of redness, soreness, swelling, foul smelling odor, or unusual drainage. MYTH: Without nutrition the patient will suffer more.
At the same time the body seems to compensate for the lack of food by producing a chemical that acts as a buffer preventing hunger that healthy people experience when they do not eat. You have severe abdominal pain. How much is too much aspiration?? Blood or tube feeding fluid leaks from the PEG tube site.
Do not force the water flush. Follow instructions provided to set up and operate pump. A great act of kindness and love may be to say "You may go when you feel it is time. Certain medicines should not be crushed or may clog the PEG tube. Discuss treatment options with your healthcare providers to decide what care you want to receive. MYTH: Dehydration causes suffering. A wire can poke a hole in the tube. Continuous feedings run all the time. Bring this record to your follow-up visits. The feeding tube passes through the nose, throat and esophagus, continues through the stomach, and ends in the first section of the small intestine. Medications – Numerous medications have to be crushed and mixed in solvents before administering thus altering their bioavailability and characteristic release properties.
Medications that need special considerations when given through a feeding tube. Tube feeding education. · Remove Naso/oroenteric tubes as soon as possible. Reality: There is a still a risk depending on care of the TF, gastric status including reflux, and positioning. Reality: Patients with advance diseases do not necessarily live longer and may in fact suffer more. Wash hands thoroughly. How do I care for my PEG tube? There is evidence that cancer grows faster with nutrition by feeding the tumor. It's always important to maintain good oral health. Always flush your PEG tube before and after each use. It should be snug against your skin.
Use an alcohol pad to clean the end of your PEG tube. Detach syringe from feeding tube and close (reclamp or recap) feeding tube. Stitches or medical tape hold your PEG tube in place when you first get it. Make sure drip chamber on the tubing is about half full. Research has shown that many patients are actually more comfortable when the body does not have to struggle with fluid overload. Close (reclamp or recap) feeding tube and recap syringe. A helpful publication that can guide families through some of these decisions can be found online at. A person can remain on a feeding tube for as long or as short amount of time as needed. Feeding tubes should always be flushed with at least 30-60mL of water after administration of medications to prevent clogging.
MYTHS AND REALITIES. Keep a record of liquids you have each day. Clean before you connect tubing or a syringe to your PEG tube and after you remove it. MYTH: Artificial feeding prolongs life. Artificial feeding is likely to extend life for those with neurological disorders such as stroke or coma. If you have difficulty flushing your feeding tube, contact your healthcare professional. What one person considers "quality of life", someone else may think differently. In the unhealthy population risk for pneumonia is higher due to levels of consciousness, altered airway defenses, and depressed immune function. To moisten lips, use lip balm or lanolin-based moisturizing cream. Nose: - If you have a nasogastric or nasointestinal tube, it is important to take care of your nose as the tube may cause mild soreness or mucus in your nostrils. Clean nostrils at least once a day with a soft washcloth or cotton swabs moistened with warm water.
The syringe is connected to the end of the PEG tube. Learn about your health condition and how it may be treated.
To prevent chapping, avoid licking lips. You may need to have blood tests and other tests when you see your healthcare provider. Remove crusting on nostrils with warm water or on a cotton swab. When should I call my doctor? This helps prevent infections. It is performed under general anesthesia. GASTROSTOMY (OR G TUBE). MYTH: Patients will become stronger if fed by a tube. You always have the right to refuse treatment. If you have a gastrostomy or jejunostomy tube, care of the skin surrounding the feeding site is very important.
A bronchoscopy can give a definitive diagnosis. It may also help prevent an infection. After feeding, close and disconnect gravity set from feeding tube. Tube feeding is an art and a science that is increasingly used in our aging society as more people become physically incapacitated or have dementia. The following provides directions for administering medication through your feeding tube. How much water to mix with your medication. You can adjust the flow rate on the tubing according to your healthcare provider's instructions. NASOINTESTINAL (OR NI TUBE). Shake formula container well before opening. A chest X-ray that may show infiltrates or pneumonia confirms diagnosis of pneumonia, most consistently in the right lower lobe. The feeding tube is surgically inserted into the jejunum, the middle section of the small intestine.
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