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A member of our team will call you back within one business day.
Your child is going home with a gastrostomy tube (G-tube) or gastro-jejunum tube (G-J tube) in place. These tubes are used to deliver liquid food directly to your child’s stomach or small intestine. One of the things you must do is flush your child’s tube to keep it from getting clogged. You were shown how to do this before your child was discharged from the hospital. This sheet can help you remember those steps when you and your child are at home. Arrangements may also be made for a home health nurse to help you.
NOTE: There are many types of G- and G-J tubes, extension tubing, and syringes. Your child’s tube and supplies may look or work differently from what are described and pictured 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.
Make sure you have the phone number for your child’s medical supply company. You may 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: _________________________________
Flush your child’s G- or G-J tube after each feeding or as instructed by your child’s health care provider or home health nurse.
Wash your hands with soap and water.
The feeding syringe should already be connected to the extension tubing.
Pour water into the syringe. Let it run through the extension tubing by gravity.
If the water 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 G- or G-J tube. Do not push the plunger all the way into the syringe or with force. Changing the child’s position so that he or she is lying down or sitting upright may also improve the flow.
Disconnect the syringe from the extension tubing.
Disconnect the extension tubing from the G- or G-J tube.
Close the feeding port on the G- or G-J tube.
Wash your hands with soap and water when done.
Additional instructions: _________________________________________________________________________________________________
5–10 cc/ml syringe
Make sure the pump is in the STOP/OFF mode.
Close the clamp on the feeding bag tubing.
Disconnect the feeding bag tubing from the extension tubing.
Put the tip of the empty syringe in water.
Draw up 5–10 cc/ml of water.
Connect the syringe to the extension tubing.
Gently push the plunger all the way into the syringe.
Close the feeding port cap of the G- or G-J tube.
Additional instructions: _____________________________________________________________________________________________
Call the doctor right away if any of the following occurs:
The tube feels loose, comes out, or the size of the opening where the tube enters the skin increases.
Redness, swelling, leakage, sores, or pus develops around the tube.
Red, rough tissue develops around the tube site.
You see blood around the tube, in child’s stool, or in contents of the stomach.
The tube becomes clogged or blocked and you can’t clear it.
Your child coughs, chokes, or vomits while feeding.
Your child has a bloated or rigid abdomen (belly feels hard when gently pressed).
Your child has diarrhea.
Your child has a fever:
In an infant under 3 months old, a rectal temperature of 100.4°F (38.0°C) or higher
In a child of any age who repeatedly has a temperature of 101°F (38.3°C) or higher
A fever that lasts more than 24-hours in a child under 2 years old, or for 3 days in a child 2 years or older
Your child has had a seizure caused by the fever