Care of feeding jejunostomy

1)  Balloon should be deflated after 12 hrs to prevent pressure necrosis of bowel wall.

2)  Patient who is NPO for long duration of time should receive normal saline through jejunostomy during first 24 hrs to regain the mucosal integrity and later replaced by nutrition, starting with low concentration and gradually increased. This will prevent osmotic diarrhea.

3)  Check the skin around the tube; look for skin redness(greater than half inch around the tube), look for drainage or leaking, swelling or cracked skin, pain or discomfort around the tube.

4)  Clean the skin around the tube daily and anytime there is leakage around the tube.

5)  To reduce the risk of tube clog, always flush with lukewarm water, carbonated water or soda bicarbonate before and after each intermittent feeding, before and after giving any medication through the tube, every 4 to 6 hrs if the feeding is continuous and whenever feeding is interrupted.

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6)  Any dislodged large bore percutaneous tube  should be replaced immediately if the tract is 5 to 7 days old. Tract nay seal within 6 to 8 hours.

 

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