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Tube Feeding

Updated on October 5, 2014

Tube feedings of infants and children can be administered by continuous gravity drip, regulated infusion pump, periodic bolus, or some combination. Tube feeding is also intended to improve the nutritional status of these patients so they can better function, and better fight off infections if they occur. Tube feeding is also called artificial feeding or enteral nutrition.

Patients with a tight blockage of the esophagus. Patients with poor blood clotting either from liver disease, a blood disorder, or due to a "blood thinner" such as Coumadin blood thinners. Patients should be sitting upright at 30 to 45 ° during tube feeding and for 1 to 2 h afterward to minimize incidence of nosocomial aspiration pneumonia and to allow gravity to help propel the food. Tube feedings are given in boluses several times a day or by continuous infusion.

Feeding tubes are not used for everyone. Feeding tubes do not come without the possibility of serious medical problems. A nasogastric feeding tube or NG-tube is passed through the nares (nostril), down the esophagus and into the stomach.

A tube is placed into the stomach to deliver liquid food. The tube is placed through the nose and down the esophagus (nasogastric [NG] tube) or directly into the stomach (often called a percutaneous endoscopic gastrostomy [PEG] tube) or intestine (usually called a jejunostomy tube [J-tube]). A G-J tube is placed when the stomach must be bypassed for dietary reasons or dysmotility (slow stomach emptying). Tube feeding is ideal because (1) you put the food into the stomach with no chance of getting it into the lungs, (2) you know and control exactly how much to give the kitten, and (3) you need not feed nearly as often because you are giving more at one feeding than is possible with the other methods.

Foods, liquids, and medicines are given using the tube. Food and fluid have a definite symbolic role; they imply care. Food intolerances are also important to recognize.

Care of feeding bag and tubing: Change every day. Rating long-term care facilities on pressure ulcer development: importance of case-mix adjustment. The amount of care needed for the PEG tube varies among patients.

I found it easier to put the ground up medication -- which I ground to a dust -- into a small cup and mix a tablespoon of the food into that. You know how the last couple of cc's of food stay in the tip of the syringe after the feeding? To avoid having medication in that part, I'd put a few cc's of food without medication in the syringe, then get the medicated food from the cup. That way the food with the medication would go into his tube first. In tube feeding, a formula passes through a small tube that connects directly to part of your child’s digestive system (the body system that processes food). b. A smaller syringe may be used for small volume feedings.

Should the tube accidentally come out, it must be replaced within twenty-four hours or the incision may begin to close and new PEG procedure may be required. If the tube falls out, a physician should be contacted as soon as possible. For example, the crop of a debilitated 100-gram bird should hold approximately 5 ml of fluid. For the first feeding, tube feed 2 to 3 ml of food. As long as this volume is tolerated, increase the next tube feeding to 3 or 4 ml. Patients should be sitting upright at 30 to 45 ° during tube feeding and for 1 to 2 h afterward to minimize incidence of nosocomial aspiration pneumonia and to allow gravity to help propel the food. Tube feedings are given in boluses several times a day or by continuous infusion.

Gastrostomy is performed by using a flexible endoscopic tube with a camera attachment. Gastrostomy tubes: For this type of tube feeding, you are given an anesthetic so that you will not feel any pain. Your healthcare provider will place a feeding tube into the stomach through a cut in your belly. Gastrostomy tubes, or G-tubes, help provide extra calories.

Gastric tubes (or G-tubes) go through the abdominal wall directly into the stomach. For gastric access using conscious sedation, PEG is usually preferred. OG is comparable but is more expensive and requires more recovery time. The diet reportedly uses a nasal gastric tube, which doesn't require a surgical procedure like the gastric feeding tubes.

The burdens of a feeding tube include the minor discomfort of its insertion and diarrhea that is often caused by tube feeding. Measure feeding volume into the graduated container or cup. 5. But a lot of people in healthcare industry are reaping the benefit.

Perform frequent oral hygiene using mouthwash or sponge-tipped swabs. Bauer LA. Interference of oral phenytoin absorption by continuous nasogastric feedings. Nasogastric intubation is a medical process not requiring surgery by which a flexible tube is passed through the nose, down through the throat and esophagus, and into the stomach.

Your body may absorb too much or too little of various nutrients. Your body needs nutrition to stay strong and help you live a healthy life. Tape the tube to your body so the end is facing up. Look for medical tape in your local drugstore.

What should I do if my tube feeding formula will not flow into the tube? • Check if your equipment is working. Now let's talk about how you and your caregiver will do a feeding at home. If using a gravity bag: Connect the bag to the tube, and add the formula to the bag.

Blenderized feeds are also difficult to customize. Blenderized formulations are a combination of table foods with added vitamins and minerals. Blenderized tube feedings are made of whole foods that have been pureed using a blender and delivered through a patient’s feeding tube.

Finally, a blenderized tube feeding is a big commitment, and doing it on your own is very challenging. Unfortunately, J-tube feeds are not compatible with the blenderized diet and cannot be used. Some parents report using the blenderized feed with a continuous feed but this is not recommended due to concerns over food safety and the challenge of keeping the homemade formula at a cold enough temperature to prevent bacterial contamination. Polymeric formulas (including blenderized food and milk-based or lactose-free commercial formulas) are commercially available and generally provide a complete, balanced diet.


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