The Selection and Care of Enteral Feeding Tubes
The Selection and Care of Enteral Feeding Tubes
The Selection and Care of Enteral Feeding Tubes
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<strong>Care</strong> <strong>of</strong> Enterostomy <strong>Tubes</strong><br />
Regularly assess <strong>and</strong> monitor to:<br />
• Ensure correct placement<br />
• Protect skin at the exit site<br />
• Maintain tube patency <strong>and</strong> integrity<br />
If problems arise, early intervention<br />
is key to maintaining enteral access<br />
<strong>Enteral</strong> Nutrition: Procedures <strong>and</strong> Guidelines<br />
Routine Stoma Site <strong>Care</strong><br />
Strict adherence to infection control<br />
protocols<br />
Daily inspection for irritation or infection<br />
Cleanse skin per facility policy<br />
Inspect gastrostomy tube <strong>and</strong> rotate<br />
the bumper/bolster to ensure proper fit<br />
Do not rotate jejunal tubes<br />
<strong>Care</strong> <strong>of</strong> Enterostomy <strong>Tubes</strong><br />
Infection (i.e. bacterial, fungal):<br />
Practice appropriate h<strong>and</strong> hygiene<br />
Assess skin daily for signs <strong>of</strong> irritation or infection<br />
Document findings<br />
Keep dressing dry<br />
Protect skin from moisture<br />
Wound Ostomy <strong>and</strong> Continence Nurses Society, Management <strong>of</strong> Gastrostomy Tube Complications for Pediatric <strong>and</strong> Adult Patient.<br />
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<strong>Care</strong> <strong>of</strong> Enterostomy <strong>Tubes</strong><br />
Tube displacement/migration:<br />
Secure the device<br />
Check for placement, stabilization <strong>and</strong> fit daily <strong>and</strong> prn<br />
Balloon retention devices should have the internal<br />
balloon checked for proper inflation every 7 to 10 days<br />
Guenter, P. 2001. Chap 4. Tube <strong>Feeding</strong>: Practical guidelines <strong>and</strong> Nursing Protocols..;<br />
<strong>Care</strong> <strong>of</strong> Enterostomy <strong>Tubes</strong><br />
Skin Irritation/Allergy:<br />
Inspect skin around tube site daily for signs <strong>of</strong> skin<br />
breakdown, infection, tenderness or excoriation; if<br />
present, assess <strong>and</strong> address cause<br />
Cleanse skin with warm water <strong>and</strong> mild soap; avoid<br />
routine use <strong>of</strong> hydrogen peroxide<br />
Assess for tube migration <strong>and</strong>/or inappropriate inflation<br />
<strong>of</strong> balloon (if applicable)<br />
Bowers, S. All About <strong>Tubes</strong>: Your Guide to <strong>Enteral</strong> <strong>Feeding</strong> Devices. Nursing2000.<br />
Wound Ostomy <strong>and</strong> Continence Nurses Society, Management <strong>of</strong> Gastrostomy Tube Complications for Pediatric <strong>and</strong> Adult Patient.<br />
<strong>Care</strong> <strong>of</strong> Enterostomy <strong>Tubes</strong><br />
Hypergranulation Tissue:<br />
Restrict the use <strong>of</strong> hydrogen peroxide<br />
Prevent:<br />
• excessive tube movement<br />
• excessive moisture<br />
• constant exposure to drainage<br />
Wound Ostomy <strong>and</strong> Continence Nurses Society, Management <strong>of</strong> Gastrostomy Tube Complications for Pediatric <strong>and</strong> Adult Patient.<br />
44<br />
46<br />
48
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