What is tube feeding
Tube feeding means feeding liquid food through a tube directly into the stomach. In order to get enough food, water and medicine to meet the needs of the body. which will be given to those who are not three are able to eat on their own or have difficulty swallowing But the digestive system and absorption of food can still work. This may be due to many reasons, such as the patient’s insensitivity. the patient is exhausted Gastrointestinal surgery by a caregiver or relative must learn how to prepare and feed the tube to Getting the right food and preventing complications while feeding.
Equipment used for tube feeding
Liquid food or ready-to-eat food (according to doctor’s orders)
Tube feeding cylinder
Hand soap or alcohol for hand washing
Tube feeding procedure are as follows
Prepare tube feeding appliances liquid food and medicines prepared for the patient
In the event that the patient has sputum that cannot be excreted on its own Aspirate the sputum first. To prevent coughing patients choking on food while feeding through a tube.
Positioning – If you can sit up, stay in a sitting position.
If you can’t help yourself Keep your head elevated at least 60 degrees.
wash your hands
Hold the end of the hose Fold the hose in place to prevent air from entering the stomach. The patient will not have flatulence.
Test to see if the end of the feeding tube Still in the stomach? by opening the cork and taking the cylinder with the piston Then release the folded cable, afraid to pull the pump. to assess food or water remaining in the stomach
If there is more than 50 cc of food or snss.co.th water left over, slowly push the food back in. And postpone the time for 1 hour each time and then come to evaluate again
If food or water remains less than 50 cc, slowly push the food back in. and can give food
If there is no food and water left can feed at all
In the event that the food has been pulled out Food color changes to red, brown, black. You should consult a public health center or hospital near your home.
After evaluating food can feed Fold the hose and release the cylinder. Then bring the end of the food bag string to the stopper. Hang the food bag on a tall pole and turn the lock up to let the food flow.
When the food runs out, turn the latch down to close it. And to fold the strap and disconnect the food bag strap. Connect the cylinder without piston to the stopper, add water to about 10 -20 cc. Release the folded line to allow the water to flow until about 10 cc of water remains in the cylinder, fold the line, then pour the dissolved drug in water. fill in (Be careful, the medicine will clog up.) Release the folded cord. When the drug is almost completely drained To fold the cable and add about 30 cc of water, leave the folded cable in place. Let the water run out and see no residual water in the hose. (From the end of the line to the patient’s nose), then close the stopper.
After feeding and medication The patient should be kept in a 60-degree head position for another 1 hour.
food storage Usually it can be stored for 1 day or 24 hours in the ordinary compartment. If food is brought to the patient, it must be warmed first. By putting the food bag molded into hot water.
Caring for the feeding tube
Change the plaster attached to the hose to the nose every 2-3 days or when it comes off.
clean the nostrils and around the nose with a cotton swab or damp cloth
Be careful of the rubber hose slipping. It should be marked as an observance point as well.
If the hose slides off, you shouldn’t put it on yourself. Because it may be wrongly inserted into the windpipe, see a doctor.
Should bring to the doctor to change the feeding tube when it is dirty or every 1 month.