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Giving feedings through a G-tube or J-tube



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there are many ways to feed your child

through a g-tube or j2 one method is

giving feedings through a feeding pump

another method is giving feedings

through a syringe or a large gravity bag

also known as gavage method let's talk

about the feeding pump method first some

children get a specific amount of

formula fed through the tube on a pump

at various times during the day and

night this is called a bolus feeding

some children get their feelings all of

the time or for many hours at a time

this is called a continuous drip feeding

there are many different types of tubes

in this video I will show you how to

give a feeding through a low profile

button type of G to an extension set is

needed with this type of tube I will be

using a kangaroo Joey pump in this video

your child may not have this pump for

detailed instructions on how to use this

pump go to the following website gather

your supplies feeding pump formula

feeding bag extension set if your child

has a button tube syringe and water for

a flush at the end of feeding depending

upon the age of your child this will

most likely be 5 to 10 ml wash your

hands if there is a clamp on the feeding

bag be sure it is clamped hang the bag

on the pole pour the prescribed amount

of formula into the bag turn on the pump

load the tubing by opening the door and

wrapping the tubing around the rotor

close the door

the tubing will need to be primed which

allows the pump to push the formula

through the hole tubing

program the pump to deliver the formula

at a specific rate and volume put your

child in an upright position if possible

if your child has a button to attach the

extension set with the clamp closed if

your child needs venting or burping now

is a good time to do this

attach the feeding tubing to your

child's feeding port unclamp the g tuber

extension set start the feeding on the

pump after the feeding is done stop the

pump some children will need extra water

your child's doctor or dietitian will

let you know if extra water is needed

put the recommended water into the back

set the pump volume and rate to give the

water after the water is given clamp the

g2 if your child does not require extra

water the g-tube will need to be flushed

this will keep a residue from building

up in the g-tube follow these steps for

a water flush clamp the tube attach a

syringe filled with 5 to 10 MLS of water

to the feeding port unclamp the g2 push

the water into the tube clamp the tube

remove the extension set be sure to wash

the supplies when done with warm soapy

water now let's talk about giving

feedings through a syringe or a large

gravity bag this is also known as gavage

method some people also call this method

of bolus feeding which is true it is

just that the feeding is not on a pump

this type of feeding is given over a

short period of time and not given on

the pump it is best to give this feeding

when your child is sitting upright let's

get started gather your supplies large

syringe or large gravity bag extension

set if your child has a button to

syringe in water for plush at the end of

a feeding depending on your child's age

this will most likely be 5 to 10 MLS

wash your hand

make sure the tubing is clamped if your

child has a button tube attached the

extension set with the clamp closed

attach the syringe to your child's

feeding port on clamp the g-tube or

extension set pour formula into the

syringe and let gravity draw the formula

through the tube

sometimes the formula may not go down

the tube you can either milk the tube by

gently squeezing it or you can use the

plunger from the syringe and give it a

slight push into the syringe continue

pouring the formula into the syringe

allowing some breaks you can give breaks

by lowering the syringe or by clamping

the tubing for a brief period it should

take at least 20 minutes to give all the

formula after the prescribed amount of

formula is given pour 5 to 10 MLS of

water into the syringe to flush the

formula into the stomach if you were

told to give extra water at the end of a

feed pour that amount into the syringe

clamp the G to remove the extension set

wash supplies with warm soapy water some

things to keep in mind if you have a

baby being fed through a g-tube offer a

pacifier while being fed to the tube so

they can associate oral stimulation with

a full tummy if your child has a GJ tube

know that one port is for the G tube

into the tummy and one port is for the J

tube into the jejunum the J tube must

never have feedings given by bullets

always give by a drip on a pump another

important thing to do especially if your

child has a GJ tube is to flush the J

port with 5 to 10 ml of water at least

twice daily to prevent clogging if the G

tube is sluggish you may need to flush

the tube with 5 to 10 MLS of water each

day if your child can tolerate it if

your child has a break with their

feedings

flush after the feeding is done here are

some tips on lowering the chance of the

two wiggling at the site if your child

is receiving feedings over a long period

be sure the tubing is secured if your

child has a low profile button to remove

the extension set when not being used

thank you for watching

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