peg tube care

8/7/2019 PEG Tube Care

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ADMINISTERING FEEDINGS &

MEDICATION VIAPEG (G) TUBE

Training Material for Non-Licensed Caregivers


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OBJECTIVES:The participants will demonstrate

understanding of:

y The purpose of G-Tube

The equipment

The procedure for feeding and medication

administration

Placement and troubleshootingSite care and maintenance


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PURPOSE OF THE G-TUBE

To ensure :1. Normal growth and development

2. Maintenance of health andwellness


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CANDIDATES FOR APEG -

TUBE

When an Individual is unable to

meet nutritional requirements


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REASONS FOR INABILITY TO SWALLOW

SAFELY MAY INCLUDE:

1. Stroke2. Dementia (e.g. Alzheimer's disease)3.

Medication side effects (dry mouth,motility problems)4. Cerebral Palsy5. Muscular Dystrophy


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OVERVIEW OF DARLENES FEEDING TUBE

Gastrostomy (G-Tube) A flexible tube or button

It is placed into the stomach through an opening

in the abdominal wall It provides a route for feedings and medication

administration


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SYRINGE BOLUS TUBE FEEDING

Given via a syringe

Administered at specific times


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PREPARATION OF TUBE

FEEDING

Check the formula label

Shake container well

Wipe the top of the can

Check the expiration date


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ADMINISTRATION OF BOLUS

FEEDINGS

Verify the orders by

the Health Care

Provider Gather equipment

Wash hands

Don clean gloves Explain procedure


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FEEDINGS

Position individual appropriately

Connect extension tubing

Check for residual /placement

Replace residual and clamp tube


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FEEDINGS

1. Flush with warm water

2. Pour feeding into syringe3. Hold syringe approximately 8

10above button

4. Infuse slowly5. Avoid air entering tube


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FEEDINGS

yFlush extension tubing

until clear & clampy Disconnect the extension set

y Reinsert plug

y Keep Darlene upright for 1hour


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ADMINISTRATION OF BOLUS FEEDINGS

Upon completion of feeding:

Document procedure and individuals

toleranceClean equipment with warm soap and

water

Dry and store equipment


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ADMINISTRATION OF MEDICATION

VIA AG- TUBE

Wash hands

Prepare medications

Assemble equipmentExplain procedure to individual

Be sure to check that medication can

be crushed


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ADMINISTRATION OF MEDICATION VIAG- TUBE

Sit Darlene up

Put on gloves

Connect extension tubingCheck for residual /placement- again

if Darlene has milky liquid, > 100

ml, hold medication and replaceliquid


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VIAG- TUBE

1. Flush tube with warm water first (30 ml)

2. Dissolve and crushed pills or medication in

warm water (30 ml)3. These medications should be

administered separately

4. Pour medication into syringe

5. Rinse med cup with water, (30 ml), andpour into syringe

6. Allow to flow slowly by gravity

7. Flush tube with warm water & clamp


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VIA AG- TUBE

Following medication/flush:1. Disconnect the extension set

2. Reinsert plug3. Keep Darlene upright for 1 hour

4. Document procedure & observe


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ADMINISTERING MEDICATIONS

To ensure proper flow you should

give:1. Liquid medicines first

2. Medications that need to be dissolved

second

3. Thick medications last


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DOS AND DON'TS

Do:1. Prepare/administer medications separately2. Deliver medication slowly & steadily3. Flush G-Tube after:

1. checking placement

2. feeding/meds

Do not:1. Force medication or fluid into the tube

2. Mix medication with feedings


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G TUBE SITE CARE

Cleanse site with mild soap and

waterKeep area clean & dry

Observe the site for:y Redness

y Swelling

y Warmth

y Drainage/leakage

y Bleeding

y Unusual color or odor

y Check site for granulation tissue


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MOUTH CARE

Maintain oral hygiene

Brush teeth after each mealLubricate lips as needed

Dental care as directed


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WHEN TO STOP THE ADMINISTRATION OF

FEEDINGS &/OR MEDICATIONS

Nausea/vomiting

Coughing/chokingDifficulty breathing

Abdominal or chest

painFormula observed in

mouth


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OBSERVE/REPORT THE FOLLOWING POTENTIAL

COMPLICATIONS:Abdominal distentionDiscomfort/fullness/gasConstipationDiarrheaFeverWheezingGurgling or whistling

Change in behaviorChange in behavior


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TROUBLESHOOTING POTENTIAL

COMPLICATIONS

For accidental tube removal cover hole (stoma) with gauze

notify the nurse immediately

Tube/Button clogged check for kinked tube

flush with warm water or coke

notify nursing if unable to unclog

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