gastrostomy and gastro-jejunotomy tube care: lab

Question 1

GTs and GJTs are indicated for children with

Answer 1

a functional GI tract who are unable to swallow adequate oral nutrition,
have gastric reflux, are at risk for aspiration, or need supplemental feeding therapy for an extended length of time.

Question 2

Assess for signs of

Answer 2

of gastric distention and assess for any GI symptoms, including vomiting.

Question 3

remove old dressing and tube stabilizer (if there) and check for…

Answer 3

for skin redness, rash, edema, drainage, and
excess granulation tissue. If leaking is present, assess the tube for proper size, balloon functioning, tube
stability, and proper tube position. Refer to the manufacturer’s recommendations regarding the amount of
water the balloon should have for proper stabilization.

Question 4

what do you not use at the tube site

Answer 4

antibiotic

ointments or hydrogen peroxide

Question 5

if the site is leaking or red consider the application of…

Answer 5

skin barrier cream or ointment

Question 6

if drainage is present apply…

Answer 6

foam dressing or one split gauze

Question 7

GT flush

Answer 7

with 5 to 10 ml of tap water after medications and with feedings. For children with fluid restrictions
or for infants, 1 to 5 ml is typically adequate.

Question 8

GJT flush

Answer 8

Flush jejunal port every 4 hours with the lowest volume needed to clear the tube, and flush the gastric
port after use.

Question 9

GT vent

Answer 9

via syringe or Y tubing (Farrell valve) for at least 30 minutes after feedings.

Question 10

Low-profile device vent

Answer 10

Vent via appropriate decompression or feed set tube for at least 30 minutes after
feedings.

Question 11

GJT vent

Answer 11

via gastric port with gravity drainage. Do not use continuous or high intermittent suction.

Question 12

monitor for…

Answer 12

redness, rash, blisters, pain, odor, site drainage, or granulation tissue.

Question 13

Cleanse the site with…

Answer 13

soap and water and dry once daily and when needed. Avoid the use of hydrogen
peroxide, alcohol, or Betadine.

Question 14

GT button

Answer 14

Rotate GT “button” in a circle one to two times with care daily. GJTs should not be rotated. monitor for leakage on both

Question 15

For moderate to large drainage or leakage,

Answer 15

consider application of a fenestrated foam dressing or ostomy
pouch.

Question 16

For granulation tissue,

Answer 16

consider application of silver nitrate or a steroid cream to granulation tissue as ordered
until resolved.

Question 17

when do you flush

Answer 17

Flush before and after medications and formula administration.