Check your weight as directed. When should I call my doctor? The above information is an educational aid only. After feeding, close and disconnect gravity set from feeding tube. Leave clean bandages over the tube area for the first 24 hours after the tube is put in. A gravity drip bag allows liquid food to drip more slowly into the PEG tube.
An intermittent feeding is scheduled for certain times throughout the day. Detach syringe from feeding tube and close (reclamp or recap) feeding tube. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Patients loose the pleasure of eating that includes flavor and sharing meal times. What else do I need to know about a PEG tube?
Close clamp on the flow regulator. You can adjust the flow rate on the tubing according to your healthcare provider's instructions. Using a 60 mL or larger syringe, draw up correct dose of medication. Follow your healthcare professional's instructions for flushing your feeding tube before and after medications and feedings. Check for fluid draining from your stoma (the hole where the tube was put in). To moisten lips, use lip balm or lanolin-based moisturizing cream. Connect tip on the end of pump set into feeding tube. MYTH: Artificial feeding prolongs life. You will also be taught how to care for the PEG tube and the skin where the tube enters your body. The feeding tube passes through the nose, down the throat and esophagus and ends in the stomach. A bronchoscopy can give a definitive diagnosis. Properly used it can be helpful.
It is given in bolus or continuous infusion. Remove syringe from feeding tube and refill syringe with warm water as needed until desired amount of water is given, or to flush all medication from the syringe. This may decrease pressure on your skin under the bumper. Your healthcare provider will tell you when and how often to use your PEG tube for feedings. Also the body can not always regulate the amount of intake relative to the amount that is delivered. · Clinical assessment of GI tolerance including Abdominal distention, Fullness, Discomfort, Excessive residual trends. Clean before you connect tubing or a syringe to your PEG tube and after you remove it. Enteral feeding pump. Flush your PEG tube with a 60 mL syringe filled with warm water. How do I use a PEG tube for feedings? Tracheal placement of the tube is common in patients with a reduced gag reflex. You may also need to keep a record of how much you urinate and how many times you have a bowel movement each day. Use topical medicines as directed.
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. Usually consider a short-term alternative. If your PEG tube becomes clogged, try to unclog it as soon as you can. Set flow rate on pump to recommended mL per hour. 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). If using a pre-filled feeding container, shake and connect as directed.
The feeding tube is surgically inserted into the jejunum, the middle section of the small intestine. The following provides directions for administering medication through your feeding tube. You have stomach pain after each feeding or when you move around. Reality: In the end stages of life the body can simply not process all those fluids. The amount of aspiration will also depend on the patient's current medical condition and varying diagnosis' involved. NASOINTESTINAL (OR NI TUBE). Report any redness, bleeding, numbness or anything unusual to your healthcare professional. You start coughing or vomiting during or after a feeding. The syringe is connected to the end of the PEG tube. Never use a wire to unclog the tube.
PEG – Percutaneous Endoscopic Gastrostomy – surgical procedure that creates an external opening in the abdomen that leads to the stomach. The diameter of the tube varies, however a narrow tube is preferred to create minimal irritation in the pharynx. You will pour the liquid into the syringe and hold it up high. Mouth: - Brush teeth, gums, and tongue at least two times a day using toothpaste and a soft toothbrush.