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OBJECTIVES:
 Theparticipants will demonstrate
understanding of:
½ The purpose of G-Tube
The equipment
The procedure for feeding and medication
administration
Placement and troubleshooting

Site care and maintenance

PURPOSE OF THE G-TUBE
To ensure :
1. Normal growth and development
2. Maintenance of health and
wellness
CANDIDATES FOR A PEG -
TUBE
GWhen an Individual is unable to
meet nutritional requirements
REASONS FOR INABILITY TO SWALLOW
SAFELY MAY INCLUDE:

1. Stroke
2. Dementia (e.g. Alzheimer's disease)
3. Medication side effects (dry mouth,
motility problems)
4. Cerebral Palsy
5. Muscular Dystrophy
OVERVIEW OF DARLENE·S FEEDING TUBE
D Gastrostomy (G-Tube)
D A flexible tube or button
D It is placed into the stomach through an opening
in the abdominal wall
D It provides a route for feedings and medication
administration
SYRINGE BOLUS TUBE FEEDING
GGivenvia a syringe
GAdministered at specific times
PREPARATION OF TUBE
FEEDING
Check the formula label
Shake container well
Wipe the top of the can
Check the expiration date
ADMINISTRATION OF BOLUS
FEEDINGS
‡ Verifythe orders by
the Health Care
Provider
‡ Gather equipment
‡ Wash hands
‡ Don clean gloves
‡ Explain procedure
ADMINISTRATION OF BOLUS
FEEDINGS
‡ Positionindividual appropriately
‡ Connect extension tubing
‡ Check for residual /placement
‡ Replace residual and clamp tube
ADMINISTRATION OF BOLUS
FEEDINGS

1. Flush with warm water

2. Pour feeding into syringe
3. Hold syringe approximately 8
² 10µabove button
4. Infuse slowly
5. Avoid air entering tube
ADMINISTRATION OF BOLUS
FEEDINGS
½ Flush extension tubing
until clear & clamp
½ Disconnect the extension set
½ Reinsert plug
½ Keep Darlene upright for 1
hour
ADMINISTRATION OF BOLUS FEEDINGS

 Upon completion of feeding:

Document procedure and individual·s
tolerance
Clean equipment with warm soap and
water
Dry and store equipment
ADMINISTRATION OF MEDICATION
VIA A G- TUBE

Wash hands
 Prepare medications
 Assemble equipment

 Explain procedure to individual

 Be sure to check that medication can

be crushed
ADMINISTRATION OF MEDICATION VIA G- TUBE

GSit Darlene up
GPut on gloves
GConnect extension tubing
GCheck for residual /placement- again
if Darlene has ´milky liquidµ, > 100
ml, hold medication and replace
liquid
ADMINISTRATION OF MEDICATION
VIA G- TUBE

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

2. Dissolve and crushed pills or medication in
warm water (30 ml)
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4. Pour medication into syringe
5. Rinse med cup with water, (30 ml), and
pour into syringe
6. Allow to flow slowly by gravity
7. Flush tube with warm water & clamp
 ADMINISTRATION OF MEDICATION
VIA A G- TUBE

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1. Disconnect the extension set
2. Reinsert plug
3. Keep Darlene upright for 1 hour
4. Document procedure & observe
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
DO·S AND DON'TS

1. Prepare/administer medications separately
2. Deliver medication slowly & steadily
3. Flush G-Tube after:
1. checking placement
2. feeding/meds
 
1. Force medication or fluid into the tube
2. Mix medication with feedings
G ² TUBE SITE CARE
Cleanse site with mild soap and
water
 Keep area clean & dry
 Observe the site for:
½ Redness
½ Swelling
½ Warmth
½ Drainage/leakage
½ Bleeding
½ Unusual color or odor
½ Check site for granulation tissue
MOUTH CARE

Maintain oral hygiene

Brush teeth after each meal
Lubricate lips as needed

Dental care as directed

WHEN TO STOP THE ADMINISTRATION OF
FEEDINGS &/OR MEDICATIONS

Nausea/vomiting
Coughing/choking
Difficulty
breathing
Abdominal or chest
pain
Formula observed in
mouth
OBSERVE/REPORT THE FOLLOWING POTENTIAL
COMPLICATIONS:

 Abdominal distention
 Discomfort/fullness/gas
 Constipation
 Diarrhea
 Fever
 Wheezing
 Gurgling or whistling
 Change in behavior
 Change in behavior
TROUBLESHOOTING POTENTIAL
COMPLICATIONS

A For accidental tube removal

A cover hole (stoma) with gauze
A notify the nurse immediately

A Tube/Button clogged
A check for kinked tube
A flush with warm water or coke
A notify nursing if unable to unclog