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MYTH: TF prevents pneumonia in those with dysphagia. Learn how to take medications through your feeding / Print. Dry the skin around the feeding tube site thoroughly. Stitches or medical tape hold your PEG tube in place when you first get it.

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The feeding tube passes through the nose, down the throat and esophagus and ends in the stomach. Your PEG tube comes out. Discuss treatment options with your healthcare providers to decide what care you want to receive. It is given in bolus or continuous infusion. Feedings can run over night to supplement partial oral daytime intake. Learn which of your medicines can be crushed, mixed with water, and given through the PEG tube. Clean nostrils at least once a day with a soft washcloth or cotton swabs moistened with warm water. The bumper is a piece that goes around the tube, next to your skin. Comprehensive Guides. 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. How much is too much aspiration?? You have nausea, diarrhea, or abdominal bloating or discomfort. Types of Feeding Tubes.

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Where true hunger and thirst exists, quality of life may be enhanced (such as GI obstruction). It is not intended as medical advice for individual conditions or treatments. Follow directions for flushing your PEG tube. Gradual dehydration is not painful! Properly used it can be helpful. Implementation of prevention strategies is a key factor for improving safety if tube feeding and decreasing risk of aspiration.

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Before starting, follow your healthcare professional's instructions to check the position of your tube before you begin a feeding. Care AgreementYou have the right to help plan your care. Your PEG tube is longer than it was when it was put in. How do I use a PEG tube for feedings? Do not remove the stitches or medical tape. Your healthcare provider will tell you when and how often to use your PEG tube for feedings. Some people had described it as a sense of profound tiredness that no longer goes a way with rest. MYTH: Artificial feeding is like eating. Follow any other special instructions from your healthcare professionals. Sit or lie with head elevated at least 30 degrees (about the height of two pillows) and remain in this position for 30 to 60 minutes after each feeding to help prevent nausea or reflux. Use syringe to flush feeding tube with water, as directed. The diameter of the tube varies, however a narrow tube is preferred to create minimal irritation in the pharynx. Cleanse the skin around the tube daily with soap and warm water as directed by your healthcare professional.

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Leave clean bandages over the tube area for the first 24 hours after the tube is put in. A PEG tube is a soft, plastic feeding tube that goes into your stomach. Gently turn your tube daily after your stitches come out. How do I care for the skin around my PEG tube? Hang feeding container on pole so it is at least 18 inches above stomach. Gently push water and medication into tube. Patients loose the pleasure of eating that includes flavor and sharing meal times. Open flow regulator clamp to adjust flow rate, as directed by your healthcare professional. The skin around your PEG tube is red, swollen, or draining pus. Always flush your PEG tube before and after each use. If you have difficulty flushing your feeding tube, contact your healthcare professional. Do not let the end of the PEG tube touch anything. Open feeding tube and connect syringe into feeding tube. Further information.

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Use syringe to flush feeding tube with water, as directed by your healthcare professional. If applicable, open roller clamp on pump set. You start coughing or vomiting during or after a feeding. A chest X-ray that may show infiltrates or pneumonia confirms diagnosis of pneumonia, most consistently in the right lower lobe. Keep the skin around your PEG tube dry. Clean before you connect tubing or a syringe to your PEG tube and after you remove it.

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Learn about your health condition and how it may be treated. This will help prevent skin irritation and infection. Use at least 30 milliliters (mL) of water to flush the tube. The tubing from the gravity drip bag is connected to the end of the PEG tube. When re-taping, allow some slack so the tube does not rub against nostrils. When should I call my doctor? Go to all follow-up appointments. Printable Quick Start Guides. Aspiration may be silent or with overt symptoms.

You may need to put antibiotic cream on the skin around your tube after you are done cleaning it. You will also be taught how to care for the PEG tube and the skin where the tube enters your body.

Follow your healthcare professional's instructions for taking your medication. If using a pre-filled feeding container, shake and connect as directed. OWN YOUR FEEDING TUBE: A five-part video series with Gunnar Esiason. · Remove Naso/oroenteric tubes as soon as possible.

Raise or lower height of syringe to increase or decrease flow (feeding) rate. If you have a gastrostomy or jejunostomy tube, care of the skin surrounding the feeding site is very important. Set flow rate on pump to recommended mL per hour. You may also need to keep a record of how much you urinate and how many times you have a bowel movement each day. JEJUNOSTOMY (OR J TUBE). MYTH: Without nutrition the patient will suffer more. Shake formula container well before opening. Reality: Patient's stop eating due to end stage disease and die of the illness, not lack of food. This helps prevent blockage from formula or medicine.

What do I need to know about a percutaneous endoscopic gastrostomy (PEG) tube? This true if the illness is cancer, chronic lung disease, dementia, kidney failure etc. Reality: TF may make it harder for the patient to move around depending on the disease process, causing more bedsores. Tube Feeding Formulas – A variety of formulas from several manufactures are available; they differ in osmolarity, calories per milliliter, and amount of carbohydrate, protein, fat, and fiber.

Report any redness, bleeding, numbness or anything unusual to your healthcare professional. Reality: There is a still a risk depending on care of the TF, gastric status including reflux, and positioning. Until more research is available, the SLP should use clinical judgment and assume that the least amount of aspiration is safest for the patient (Hardy & Robinson, 1999). The bag hangs on a medical pole or similar device. A person can remain on a feeding tube for as long or as short amount of time as needed. Tell your healthcare provider if the bumper seems too tight or too loose. Check your weight as directed. Do not force the water flush. Using a 60 mL or larger syringe, rinse or flush feeding tube with 15-30 mL of warm water before administering medication (unless instructed otherwise by your healthcare professional).

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