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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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ADMINISTRATION OF BOLUS
FEEDINGS
Position individual appropriately
Connect extension tubing
Check for residual /placement
Replace residual and clamp tube
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ADMINISTRATION OF BOLUS
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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ADMINISTRATION OF BOLUS
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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ADMINISTRATION OF MEDICATION
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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ADMINISTRATION OF MEDICATION
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