Home Health care nurse from Bon Secours (related to Maryview Hospital) came to show him how to care for wound and how to flush PEG tube:
Wear rubber gloves to maintain sterility
Remove old tape and dressing.
Soak gauze pad with betadine and use to clean all around site, especially around edge of circular plastic piece.
Then apply triple antibiotic ointment to area, squeeze under edge of circular plastic piece.
Coil up tube and appliance and hold in place while you-
Recover with fresh dressing and tape in place.
To flush tube – twice a day with 200 cc water using syringe supplied.
Take up 70 cc water in syringe, undo clamp on tube holding tube upright, flush through first 70 cc water. Re-fasten clamp to avoid backwash. Repeat this procedure twice, using only 60 cc water the third time. Be sure to unclamp and reclamp tube for each “push”. Getting a little air bubble into the line is not a problem – just would cause a little gas..
If there should be a little debris or particles apparent in the tube, can use Sprite or ginger ale for the flush – the carbonation will help to clear out any debris in the tube….this would only occur when the tube is being used for actual supplemental feeding, probably not at this point.
For second flushing of the day, it may be possible just to gently uncoil tube and pull out from top of dressing, then tuck back in afterwards – to avoid having to reapply tape and dressing each time.
The bottle of normal saline is to use for external cleaning only – do not use to flush tube.
Home Health care provides all necessary supplies – when you are running low on something, let them know and they will bring more out.
No comments:
Post a Comment