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SN instructed patient / caregiver to always flush your PEG tube before and after each use. This helps prevent blockage from formula or medicine. Use at least 2 tablespoons (30 ml) of water to flush the tube. Follow directions for flushing your PEG tube. If the PEG tube becomes clogged, try to unclog it as soon as you can. Flush your PEG tube with a 60 ml syringe filled with warm water. Never use a wire to unclog the tube. A wire can poke a hole in the tube. Your healthcare provider may have you use a special medicine or a plastic brush to help unclog your tube.
Caregiver instructed about feeding and tube care to prevent a clogged feeding tube, flush your tube with water each time after giving a feeding or medication. If your feeding tube becomes clogged, you can use these methods: Place the syringe into your feeding tube, and pull back on the plunger. Flush your tube with warm tap water.
Skilled nurse teach caregiver A bolus feeding is an amount of formula given over a short period of time. Feeding syringe: Connect the feeding syringe to the end of the PEG tube. Pour the correct amount of formula into the syringe. Hold the syringe up high. Formula will flow into the PEG tube. The syringe plunger may be used to gently push the last of the formula through the PEG tube. Caregiver always need to flush your PEG tube before and after each use with 100 ML H2OD
Instructed patient abdominal drainage when you have infection You might get an infection in the cuts made to put in the tube, or in the abdomen. If you get an infection you have antibiotics. These might be as tablets or through a drip. If you get a severe infection, your doctor might take the tube out. Instructed patient abdominal drainage when you have Tube blockage The tube might stop draining. Changing your position or sitting upright can sometimes get rid of the blockage. If not, your doctor might need to replace the tube. Patient verbalized understanding.
Instructed patient it is important to keep the tube free of thick mucus. You should always carry an extra tube with you in case your tube gets plugged. Once you put in the new tube, clean the old one and keep it with you as your extra tube.
The patient was instructed in gastrostomy indicating the training and management of tube feedings, including quantity and regularity. The patient was advised to sit upright during feeding and for 1 hour after feeding to prevent reflux into the esophagus or backflow into the gastrostomy tube. The patient was explained to take care of the gastrostomy tube. The patient was taught that the tube may eventually be removed and inserted only for feeding. The patient was taught to protect the stoma with a small gauze pad.
Instructed patient drink 2 to 3 liters of liquid each day unless you were told to limit liquids because of another condition. Instructed patient when should I seek immediate care or call 911? The nephrostomy tube comes out completely. There is blood, pus, or a bad smell coming from the place where the tube enters your skin. Urine is leaking around the tube 10 days after the tube was placed.
Instructed patient for the first 4-6 weeks after placement of a new PEG, bath water should not be so deep that the tube is under the water. Shower water should fall on your back only. For a balloon, low profile, or older PEG tube you can take a bath or shower as you normally do. Instructed patient call nurse or doctor if your body changes: your skin around tube has signs of infection: redness, warm to touch, firm to touch , tender.
Instructed patient when you cough, have a tissue or cloth ready to catch the mucus coming from your tube. Is important to keep the tube free of thick mucus. You should always carry an extra tube with you in case your tube gets plugged.
Instructed patient Wipe the connecting ends of the drainage bag with alcohol or iodine before you reconnect the bag to the tube. This helps prevent infection. Instructed patient check the catheter to be sure it is in place after you change your clothes or do other activities. Do not wear tight clothing over the tube. Place the tubing over your thigh rather than under it when you are sitting down. Be sure that nothing is pulling on the nephrostomy tube when you move around.