What do I need to know about a percutaneous endoscopic gastrostomy (PEG) tube? Further, you will see how the extra nutrition gives one person with a feeding tube an improvement in both energy and overall health. How much water to mix with your medication. The tubing from the gravity drip bag is connected to the end of the PEG tube. Disadvantages of the NG tube are the physical presence in the pharynx and esophagus and the potential for regurgitation. MYTH: Artificial feeding is like eating. Peg tube patient education pdf download. Remove crusting on nostrils with warm water or on a cotton swab. Your healthcare provider will take them off once the skin around your tube heals. Wash hands thoroughly. The bag hangs on a medical pole or similar device.
Your healthcare provider may have you use a medicine or a plastic brush to help unclog your tube. Flush your PEG tube with a 60 mL syringe filled with warm water. Peg tube care pdf. You may also need to keep a record of how much you urinate and how many times you have a bowel movement each day. A gravity drip bag allows liquid food to drip more slowly into the PEG tube. MYTH: TF prevents pneumonia in those with dysphagia.
Reality: It is not natural. MYTH: TF prevents bedsores and other problems of malnutrition. IV fluids do not prevent dry mouth. If using pills, crush medications into a very fine powder and dissolve in water. A wire can poke a hole in the tube. MYTH: Without nutrition the patient will suffer more. Use syringe to flush feeding tube with water, as directed by your healthcare professional. · Maintain HOB above 30 degrees at all times. You will pour the liquid into the syringe and hold it up high. The feeding tube is surgically inserted into the jejunum, the middle section of the small intestine. Peg tube patient education pdf to word. Reality: There is a still a risk depending on care of the TF, gastric status including reflux, and positioning. Check the PEG tube daily: - Check the length of the tube from the end to where it goes into your body.
Before starting, follow your healthcare professional's instructions to check the position of your tube before you begin a feeding. How to Use and Care for your Peg Tube. Learn how to take medications through your feeding / Print. Patient and Family Education Sheet on NPO and Tube Feeding. Open flow regulator clamp to adjust flow rate, as directed by your healthcare professional. You have severe abdominal pain. Stitches or medical tape hold your PEG tube in place when you first get it.
Pour formula into clean measuring cup or directly into the syringe. Never use a wire to unclog the tube. Your PEG tube comes out. Certain medicines should not be crushed or may clog the PEG tube.
Gently turn your tube daily after your stitches come out. Decreasing Risks of Aspiration with Tube Feeding – Despite multiple risk factors, enteral nutrition remains the safest and most cost effective means to promote nutritional requirements in the hospitalized patients who cannot take nutrition orally (Braunschweig et al, 2001). It may also help prevent an infection. Set flow rate on pump to recommended mL per hour. Literature supports PEG placement in patients recovering from a traumatic accident or expected to make a recovery process. There is evidence that cancer grows faster with nutrition by feeding the tumor. Tube feeding can be a mixture of regular foods blended with liquid but nutritional balanced liquid products ensures proteins, fats, carbohydrates, vitamins, and minerals.
NG – Nasogastric Tube – thin flexible tube inserted into the nasal cavity through the pharynx, esophagus, down into the stomach. Your healthcare provider will teach you how to set up and use the pump. The bumper is a piece that goes around the tube, next to your skin. You weigh less than your healthcare provider says you should. Cleanse the skin around the tube daily with soap and warm water as directed by your healthcare professional. 125, 000 procedures are performed annually.
Your mouth feels dry, your heart feels like it is beating too fast, or you feel weak. In a healthy population, micro aspiration is common and pulmonary secretions seldom occur. Bolus feedings are for ambulatory patients and for convenience. You have stomach pain after each feeding or when you move around. Body image can cause distress after a stomach tube is placed. You start coughing or vomiting during or after a feeding. You have questions or concerns about your condition or care. ADMINISTERING MEDICATIONS. Aspiration may be silent or with overt symptoms.
MYTH: If a patient does not eat well they will die of starvation. Follow any other special instructions from your healthcare professionals. JEJUNOSTOMY (OR J TUBE). Water (room temperature). Consider more long term, but not permanent.
Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Some people had described it as a sense of profound tiredness that no longer goes a way with rest. Reality: It depends on the disease process and the expected progress. Close clamp on the flow regulator. It is titled Making Choices: Long Term Feeding Placement in Elderly Patients.
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