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If indicated, add more formula to syringe as formula flows into feeding tube. You have nausea, diarrhea, or abdominal bloating or discomfort. Your PEG tube is longer than it was when it was put in. Patients can live for a month on a few bites and sips a day. Check for redness, swelling, or pus in the area where the tube goes into your body. Leave clean bandages over the tube area for the first 24 hours after the tube is put in. Aspiration occurs when material such as gastric contents, saliva, food, nasopharyngeal secretions are inhaled into the airway or upper respiratory tract. Which medications should not be given together. Peg tube feeding patient teaching. It is titled Making Choices: Long Term Feeding Placement in Elderly Patients. If applicable, open roller clamp on pump set. Open flow regulator clamp to adjust flow rate, as directed by your healthcare professional. Open clamp on flow regulator until the formula fills the tubing.
Freshen mouth and breathe by using mouthwash. You start coughing or vomiting during or after a feeding. Do not let the end of the PEG tube touch anything. Nasogastric tubes are considered a temporary solution. Peg tube care pdf. Dry the skin around the feeding tube site thoroughly. You may need to put antibiotic cream on the skin around your tube after you are done cleaning it. It is considered a medical intervention, not obligatory care. You have severe abdominal pain. This true if the illness is cancer, chronic lung disease, dementia, kidney failure etc. Report anything unusual to your healthcare professional. The tubing from the gravity drip bag is connected to the end of the PEG tube.
Artificial nutrition often brings additional medical complications. A chest X-ray that may show infiltrates or pneumonia confirms diagnosis of pneumonia, most consistently in the right lower lobe. Not enough research exists to definitively answer this question. The syringe is connected to the end of the PEG tube. The diameter of the tube varies, however a narrow tube is preferred to create minimal irritation in the pharynx. · Clinical assessment of GI tolerance including Abdominal distention, Fullness, Discomfort, Excessive residual trends. An intermittent feeding is scheduled for certain times throughout the day. You may also need to keep a record of how much you urinate and how many times you have a bowel movement each day. You have discomfort or pain around your PEG tube site. Peg tube care education. Use syringe to flush feeding tube with water, as directed. Research has shown that many patients are actually more comfortable when the body does not have to struggle with fluid overload. Routine skin care: - Clean the skin around your tube 1 to 2 times each day.
Reality: Patients with advance diseases do not necessarily live longer and may in fact suffer more. Follow directions for flushing your PEG tube. Disadvantages of the NG tube are the physical presence in the pharynx and esophagus and the potential for regurgitation. ADMINISTERING MEDICATIONS. How to Use and Care for your Peg Tube - What You Need to Know. A PEG tube is a soft, plastic feeding tube that goes into your stomach. The syringe plunger may be used to gently push the last of the liquid through the PEG tube. It is usually those still healthy who love the dying individual that prolong the struggle by emotionally distressing their loved one. NG – Nasogastric Tube – thin flexible tube inserted into the nasal cavity through the pharynx, esophagus, down into the stomach.
MYTH: TF prevents bedsores and other problems of malnutrition. Usually consider a short-term alternative. MYTH: TF prevents pneumonia in those with dysphagia. TUBE FEEDING BY GRAVITY. Wash hands thoroughly. Do not remove the stitches or medical tape. Learn how to take medications through your feeding / Print.
Rinse the top of the formula container with hot water or wipe with clean wet paper towel. It is not intended as medical advice for individual conditions or treatments. It is given in bolus or continuous infusion. Hang feeding container on pole so it is at least 18 inches above stomach. Clean measuring cup with pour spout. Shake formula container well before opening.
Remove crusting on nostrils with warm water or on a cotton swab. You will pour the liquid into the syringe and hold it up high. Enteral feeding pump. It may also help prevent an infection.
· Maintain HOB above 30 degrees at all times. No randomized controlled studies have been published, only observational studied have been published. Discuss treatment options with your healthcare providers to decide what care you want to receive. Your healthcare provider may have you use a medicine or a plastic brush to help unclog your tube. Reality: In the end stages of life the body can simply not process all those fluids. Body image can cause distress after a stomach tube is placed. It should be snug against your skin. Tube feeding education. Reality: TF may make it harder for the patient to move around depending on the disease process, causing more bedsores. Use liquid medications whenever possible. Gradual dehydration is not painful! 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.
Refusing to let go can prolong dying but will not prevent it. Where true hunger and thirst exists, quality of life may be enhanced (such as GI obstruction).
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