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NOTE: There are many types of G- and G-J tubes, syringes, and pumps. Your child’s tube and supplies may look or work differently from what are described and shown here. Always follow the instructions given by your child’s health care provider or home health nurse. Ask them for phone numbers to call if you need help. Also, make sure you have the phone number for your child’s medical supply company. You’ll need to order more supplies for your child in the future. Write all of these phone numbers below.
Health care provider phone number: ____________________________________
Home health nurse phone number: _____________________________________
Medical supply company phone number: __________________________________
There are two types of feeding that can be done with a G- or G-J tube:
Bolus feeding. A meal-sized amount of liquid food is given through the tube several times a day. Bolus feeding is given using a syringe or a pump.
Continuous feeding. Liquid food is dripped slowly through the tube. Continuous feeding is given using a pump.
Your child may be prescribed one or both types of feeding. Detailed instructions for each type of feeding are given below.
Your child’s health care provider or home health nurse will tell you how much liquid food to use for each bolus feeding. You’ll also be told how often to feed your child every day. Write these numbers below:
How much to give at each feeding: _________________________
How often to feed: __________________________
G- or G-J tube
Wash your hands with soap and water.
Check the label and expiration date of the liquid food. Don’t use any can (or bag) if the expiration date has passed. Instead, get a new can (or bag).
Open the feeding port cap on the G- or G-J tube.
Connect the extension tubing to the feeding port of the G- or G-J tube.
Make sure the clamp on the extension tubing is closed.
Pull the plunger out of the feeding syringe.
Connect the feeding syringe to the other end of the extension tubing.
Pour the liquid food into the feeding syringe. Fill only to the amount that was prescribed by your child’s health care provider.
Open the clamp on the extension tubing.
Hold the feeding syringe straight up. This allows the food to run through the G- or G-J tube by gravity. Adjust the angle of the feeding syringe to control the flow rate of the food.
If the food flows too slowly or doesn’t flow at all, place the plunger in the syringe. Gently, push the plunger a bit. This can help remove anything that is blocking or clogging the tube. Do not push the plunger all the way into the syringe or with force.
Refill the feeding syringe with food, if needed. Repeat steps until your child has received the prescribed amount of food.
After the feeding, flush the extension tubing with water (as you were shown in the hospital).
Disconnect the syringe from the extension tubing.
Disconnect the extension tubing from the G- or G-J tube.
Close the feeding port cap on the G- or G-J tube.
Additional instructions: ___________________________________________________________________________________
Your child has trouble breathing.
Redness, swelling, leakage, sores, or pus develops in the skin around the tube site.
You see blood around the tube, in child’s stool, or in contents of the stomach.
Your child coughs, chokes, or vomits while feeding.
Your child vomits between feeds.
Your child has a bloated or rigid abdomen (belly feels hard when gently pressed).
Your child has diarrhea or constipation.
Your child has a fever 100.4°F (38°C) or higher.