A g tube may consist of a long tube, sometimes called a peg tube, or a skinlevel button device. Kangaroo joey feeding pump instructions for use key points. Children and adults who require tube feeding for more than 3 months are likely to receive a g tube. The family and friends guide is great way to help patient families get the support they need from loved ones. There are two main pumps available in the united states. Use syringe to flush feeding tube with water, as directed by your healthcare professional. If you will get your tube feedings during part of the day cycled feeding, you. Home tube feeding types of feeding tubes when you are unable to eat by mouth, a feeding tube provides a way for you to receive the nutrition and water you require. A guide for families and caregivers bc childrens hospital. Syringe feeding uses a large syringe to deliver the formula.
The zevex infinity has been the most portable, least beeping, least problems and easy to use. Each button manufacturer produces extension sets that fit their buttons. Clogged feeding tube push warm water into the tube with a 60 ml syringe gently push and pull the plunger to loosen the clog note. Consider duodenal or jejunal feeding when aspiration risk is present. The stoma is a surgically created opening on the skin where the feeding tube enters the body. See page 8 and 9 for a summary of the different types of tubes and devices you might see. Mar 18, 2017 use this as your reference to different feeding tubes. M20170119 002 pump feed april 2018 leeds teaching hospitals ltht. Kangaroo joey enteral feed and flush pump operating manual.
If you have a button style feeding tube, rather than a nasal or long tube, you will need extension sets that attach to the button. Children and adults who require tube feeding for more than 3 months are likely to receive a gtube. Tube feeding with a pump memorial sloan kettering cancer. Wash your hands with antibacterial soap before handling your feeding tube and supplies. Failure to purchase sets necessary to comply with the lease agreement will result in a noncompliance feepumpmonth of noncompliance. Feeding tubes and feedingmedication administration options. This includes percutaneous endoscopic gastrostomy peg, gastrostomy tubes gt, nasogastric tubes ngt, percutaneous endoscopic jejunostomy tubes pej, jejunostomy tubes jt, nasoduodenal tubes ndt, and nasojejunal tubes njt. Whether the feeding tube is needed only for a short time during medical treatment, or for a longer period based.
Enteral feeding is an option when you have a functioning gi tract but are unable to eat by mouth. Press the hold button on the pump before flushing the tube and then continue feeding. For rental or lease pumps, replacement pumps are not automatically issued. The feeding rate will depend on how well the feed is.
Long term pvc feeding tubes 3 day dwell polyurethane or silicone feeding tubes 30 day dwell enteral feeding tubes with a stylet 30 day dwell. Nasal feeding tubes have no restrictions on swimming, other than making sure the tube is closed, clamped, and not hooked up to a feeding pump. Tube feeding at home a guide for families and caregivers may 2003 page 10 caring for the stoma and feeding tube general information. Keep in mind that there are many different types of tubes, formula, pumps, and other supplies available. The unit offers a high degree of programmability for patient hydration protocols, tube flushings and more. Some types of feeding tubes, the temporary ones, in particular, can be connected to suction to gently remove gas from the stomach to reduce distention. Oct 29, 2018 enteral feeding is an option when you have a functioning gi tract but are unable to eat by mouth. After the feeding, flush the tube with water as you were shown in the hospital. If your feeding bag tubing doesnt have a roller clamp, use your pump to prime the.
Ranking studies about tube feeding ealth outcomes, you need to understand about the different types of research studies that can be done. It is easily programmed to deliver continuous or intermittent feeding and can provide automatic flushing capability when used with kangaroo epump enteral feeding pump feed and flush sets. Some types of feeding tubes, the temporary ones, in particular, can be connected to suction to gently remove gas from the stomach to reduce distention 1. Kangaroo epump enteral feeding pump characteristics.
After a feeding is finished, flush the feeding tube with. Feeding pumps and sets feeding tube awareness foundation. Types of tube feeding pumps you will be using a pump for your tube feedings. Education materials feeding tube awareness foundation. During and for 3060 minutes after tube feeding infusion you should have upper body elevated 30 degrees or more, or be upright in a chair. If you feel thirsty, you are urinating less than normal, or your urine is darker than usual, you may give yourself one. If you arent using your feeding tube daily, flush it with 60 ml of water at least once a day. Getting to know pediatric enteral feeding tubes types of permanent enteral tubes there are two different types of feeding tubes that enter the stomach that are defined by where the actual enteral feeds are administered. Home tube feeding types of feeding tubes when your child is unable to eat by mouth, a feeding tube provides a way to receive the. If your delivery includes a kangaroo joey feeding pump, see these additional resources provided. A feeding tube is a medical device used to provide nutrition to people who cannot obtain nutrition by mouth, are unable to swallow safely, or need nutritional supplementation. This clinically proven tube feeding system is simple to set up and adjust. In general, these are the types of feeding tubes that are used to provide enteral nutrition.
Feeding tubes are soft and flexible and can be placed directly through your abdominal wall into your stomach or intestinal tract through a surgical incision. Enteral nutrition manual for adults in health care facilities. Although there are a number of different types of feeding tubes, skin care around the tube. Xray will be ordered to confirm initial tube placement prior to use.
Changing one or more of these variables can improve your quality of life. Diethylhexyl phthalate dehp is a compound whose function is to act as a plasticizer in medical devices and has been a component of feeding tubes and enteral pump devices in the past. These extension sets connect from the button to a syringe or a feeding pump bag to allow you to feed, give medications, and administer liquids. The kangaroo connect enteral feeding system is the first enteral feeding pump with wireless connectivity and is for use from the hospital to the home. Tube feed is a liquid form of nourishment thats delivered to your childs body through a flexible tube. The composition of enteral feed pump casing itself has invited concern in recent years. This information will teach you how to use a pump to feed yourself and take your medications through your feeding tube. Randomized trials whether or not someone gets a feeding tube is based on a toss of a coin patients with a.
Tube feeding the transition to home tube feeding does require some adjustment. There are several different types, from feeding tubes that go from your nose to your stomach to. A pump is used for continuous or intermittent feeds where the formula is given. Enteral feeding tube feeding supplies vitality medical. Enteral nutrition therapy welcome guide for bolus, gravity and pump feeding for children caregiver acknowledgement. To avoid clogging, always flush your feeding tube with the amount of water recommended by your app or clinical dietitian nutritionist usually 30 to 60 ml before and after. Objectives identify types of feeding tubes and accessories recognize enteral devices with enfit. Only use storebought formula approved by your dietitian. Force feeding for tube feeding against an individuals will or as torture. Formula is placed in a feeding container and pumped through the jtube into your body. Many children use a feeding pump for continuous feedings, overnight feedings, or onthego feedings. Medication can also be administered through the feeding tube. Enteral feeding pumps or tube feeding pumps are designed to either clamp onto an iv pole or to be more portable. Dual display windows let nurses monitor infusion rate, volume delivered and dose limit simultaneously.
A feeding pump is a special device that controls the timing and amount of formula given. In general standard formulations are well tolerated. How to use your feeding tube read this section to learn how to flush your feeding tube. Connect the feeding bag tubing to the feeding port of the ng tube. Formerly known as compat and compat dualflo, these pumps have been the standard for enteral feeding for over 20 years. A jejunostomy feeding tube j tube is a tube surgically or endoscopically inserted through the abdomen and into the jejunum the second part of the small intestine. Please contact your medline sales representative or customer service at 1. A feeding tube called a gastrostomy tube or gtube is placed through this opening. However, i can tell you that in the 11 years my son is tube fed we have tried probably every available pump on the market. The guide offers basic information about tube feeding and outlines ways to provide emotional and other types of support. Kangaroo epump enteral feeding pump focusing on portability and usability, this feeding pump can provide intermittent or.
A means of providing nutrition via a tube inserted into the stomach or small intestine. Some types of the feeding tube can be used to remove air from the stomach. The keep tube open kto function within the kangaroo joey enteral feed and flush pump. Other pumps, like the joey, can be used at a desktop in addition to mounting them to an iv pole. Pump feeding allows for a set amount of feed to be delivered over a predetermined time. The valued medline customer is responsible for any lost or damaged pumps. Enteral feeding pump manufactured by nestle, this feeding pump carries dual chambers for water and formula. Getting started with home tube feeding types of feeding tubes 3 types of feeding methods 3 formulas and feeding plans 3 types of formula and additives 4 resources and adjusting to home tube feeding 4 safe practices for home tube feeding. What to expect from my feeding tube instructions and.
Medline will lease the pump to the customer at no cost, in return, the customer must purchase 18 setspumpmonth. Your guide to home tube feeding nestle health science. The first enteral feed pump was reportedly used by an englishman named reeve in the 19th century16 but became more widely known as a means of enteral feed delivery following the development and introduction of a feeding pump by edward barron in 1956. Always keep the skin around the stoma and under the bumperdiscbutton as clean and dry as you can. But you can do this and it gets easier as you get familiar with the process. The pump delivers slow continuous feeding because the small intestine cannot hold as. The formula flows from the container through the tubing into your feeding tube. Pump feeding is the method used to deliver formula into the small intestine. The state of being fed by a feeding tube is called gavage, enteral feeding or tube feeding. Tube feeding is a way of getting your childs body the nutrition it needs. Kangaroo epump enteral feeding pump and enteral feeding sets.
Your gastrostomy gtube a gastrostomy stoma is a surgical opening made through skin through the abdomen and into the stomach. A feeding pump this pumps the formula from the container to your feeding tube. Continuous pump infusion for critically ill or postoperative patients can feed by nasogastric route in many patients. Enteral feeding is a long established practice across pediatric and adult populations, to enhance nutritional intake and prevent malnutrition. Tube feeding with a pump memorial sloan kettering cancer center. After feeding, disconnect pump set from feeding tube and recap end of pump set. Some enteral feeding pumps, such as the sentinel, can be mounted onto an iv pole.
Whether the feeding tube is needed only for a short time during medical treatment, or for a longer period based on a specific medical condition, apria is dedicated to. Enteral tube feeding has been in place for 3,500 years. A gtube may consist of a long tube, sometimes called a peg tube, or a skinlevel button device. Connect tip on the end of pump set into feeding tube. Inside you will find information on tube feeding at home. The kangaroo epump enteral feeding pump is a simpletouse, precision enteral feeding pump.
The infinity has an online virtual pump that you can practice. Remove and return to apria welcome guide for bolus, gravity and pump feeding for children. Medline will issue shipping tags within 5 business days. For product specifications, service, and certificate requests, please call our customer service team. Formula flows from a feeding bag or prefilled container through tubing that runs into the pump and then into your feeding tube. The feeding pump should be plugged into an electrical outlet during feeding. Feeding container with tubing the feeding container is the plastic container or bag. Your doctor will determine the type of tube you need based on several factors, including your medical condition and the insertion point for the feeding tube.
Tube feeding can be given in 3 different ways using a pump, using gravity drip or using a syringe. What is my tube feeding plan using a pump, and what type of food and fluids should i have by mouth. Be prepared for what to expect with tube feeding at home. Living with your feeding tube lhin home and community care. Patient welcome guide for bolus, gravity, and pump feeding apria. Feeding via an enteral pump pump feeding pump feeding involves administering a pack of feed via a giving set that travels through a feeding pump and is attached to the end of the enteral feeding tube.
Once the tube tract has healed, the tube or button may be replaced at home. Basics of enteral feeding 2004 beth mills, ms, rd, cnsd, ldn objectives define enteral nutrition to explore the different types of enteral formulas that are available describe tube feeding administration guidelines suggested reading fish and seidner. Avoid pulling back on the plunger if you have a jtube clamp the tube and let the water soak for 15 minutes try gently massaging the tubing with your fingertips. What to expect from my feeding tube instructions and guide. Make sure your medical supplier gives you the pump manual. The nutrients within the tube feed are similar to what they would get from normal food, and are also digested in the same way. Pump manuals can be found online at the manufacturers website and on this. Syringes, extensions, and other supplies feeding tube. To initiate the return process, please complete the form. A unique collaboration between medical and engineering staff based at the henry ford hospital. Allow the formula to run through the tubing, then close the clamp. Readers will gain an understanding of the more common types of feeding tubes available and feeding medication administration options. The feeding pump provided by the lhin is the kangaroo joey there are other options available when. Do not put blended or pureed food or other liquids into the feeding container.
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