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I've not seen one with those labelshowever, most doctors will tell you that meds still need to go into the stomach, so my first GUESS would be the RX one goes to the stomach, then FEED would go to the Jejunum, as most people get a GJ so they can feed into the J The third port on the GJs we've used is for the balloon that holds it in placeMost GJtubes have separate ports to access both the stomach (Gport) and the small intestine (Jport), though some tubes, often called Transjejunal (TJ) tubes, only allow access to the small intestine GJtubes are available both as buttons or long tubes Switching from a Gtube to a GJtube is a relatively simple procedureAspiration gastric decompression port for drug administration;
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Where do meds go in gj tube-The tube is displaced, children typically have an increase in vomiting or pain They may begin vomiting up formula or you may see formula draining from the G port of a GJ tube A quick test to see if a GJ tube is displaced is to insert a colored juice or even water mixed with food coloring into the J tube Open up the G port to drain If theSome tubes have one lumen terminating in the stomach and another in the jejunum • function of the tube, drugs should not be administered by tube if it is on freedrainage or suction3 1 Drug charts should state the route of administration, eg NJ, and specify the lumen to be used
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GJ Tubes Indications GER Gastroparesis Gastrostomy tube inserted through a gastric opening into the jejunum, through radiology assistance Bypasses the stomach for feedings Disadvantages Requires continuous feedings for 14 hours Bolus feedings not usually given – may lead to dumping syndromePercutaneous GJ Tube A GJ tube is a soft, narrow tube that enters the stomach in the upper part of the abdomen and is threaded into the small intestine Once placed, this tube must remain in place for at least 8 weeks to allow your skin to heal On the outside of the tube there are three ports you will see labeled gastric,Before and after any tube feeding;
Disconnect the extension tubing from the G or GJ tube Close the feeding port on the G or GJ tube Wash your hands with soap and water when done Additional instructions _____ _____ _____ Flushing the tube using a pump Flush your child's G or GJ tube after each feeding, or as often as instructed by your child's healthcare provider TheGastrostomyJejunostomy (GJ) – a feeding tube which is inserted through the abdominal wall, containing two entry points (ports) a gastric port which opens into the stomach, and jejunal port which opens into the jejunumGastrostomy tubes have a rounded tip for easy insertion and a closure cap to seal tube between feedings;
Circular skin disk easily adjusts to maintain proper tube position and allow stoma observation;A jejunostomy tube (Jtube) is a soft, plastic tube placed through the skin of the abdomen into the midsection of the small intestine The tube delivers food and medicine until the person is healthy enough to eat by mouth You'll need to know how to care for the Jtube and the skin where the tube enters the bodyCategory Accessories (128) in Feeding Tubes & Adapters Nasogastric Tubes (90) in Feeding Tubes & Adapters Gastrostomy Tubes (64) in Feeding Tubes & Adapters Gastric Sump Tubes (32) in Feeding Tubes & Adapters Adapters/Connectors (31) in Feeding Tubes & Adapters Extension Sets (26) in Feeding Tubes & Adapters Jejunostomy Tubes (23) in Feeding Tubes & Adapters Tube Fasteners (17) in Feeding
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Some tubes have one lumen terminating in the stomach and another in the jejunum • function of the tube, drugs should not be administered by tube if it is on freedrainage or suction3 1 Drug charts should state the route of administration, eg NJ, and specify the lumen to be usedThe most important historical points are (1) how long has the patient had a Gtube, (2) any problems with administering feedings or medications through the tube, (3) and how long has the Gtube been out A new Gtube needs about 2 3 weeks to form a tract If the Gtube is new, notify the physician who placed it Replacing a Gtube in a new• Avoid adding medication directly to formula • Flush tube with water before and after each medication MEDICATION ADMINISTRATION • Do not use saline can clog access port DAILY SKIN CARE TIPS WASH YOUR HANDS ROTATE THE TUBE ¼ TURN (EXCEPT FOR JTUBES) CHECK EXTERNAL BOLSTER HEIGHT SECURE THE TUBE KEEP IT CLEAN
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Flush the Jport with 2 to 5 mL of water every 4 hours If your child has a break between feedings, flush after the feeding is done It is important to flush the Jport every 4 hours, even if a feeding is still going Flush the Jport after giving each medicine Crushed pills and thick medicines can clog the tube easilyJ tube is a medical device inserted directly into the middle of the small intestines known as jejunum The core duty of the J tube is to provide medication and necessary nutrition to the patient J tube is normally used in a situation where G tube is not applicable due to obstruction Therefore, the kind of tubing is rarely usedGastrostomyJejunostomy (GJ) – a feeding tube which is inserted through the abdominal wall, containing two entry points (ports) a gastric port which opens into the stomach, and jejunal port which opens into the jejunum
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Gastric balloon expands evenly with sterile water or saline solution for a secure, comfortable fitBefore and after any medications (all medication should not be visible in the tube or extension after flushing) At least once every 24 hours For medications Give liquid medications directly into the medication port For pills, check with your doctor or pharmacist before crushing any medicationsAspiration gastric decompression port for drug administration;
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Children with GJtubes need a flush that will clear their extension set or tube on the outside plus the Jtube on the inside Depending on the length of the inner J tube (22cm, 30cm, or 45cm), the size of the flush may vary In general, a minimum of 10ml is recommended, though less may be used for a shorter inner J tubeConnect syringe to medication port or "G" port on tube and gently push in medication If medication port is not available, connect syringe to end of tube Flush tube well following all medications to make sure the tube does not clog and then reconnect feeding bagSimply insert about 15ml of dyed formula or Kool Aid into the Jport and allow the Gtube to drain into a diaper, basin, or bag If the colored formula or Kool Aid immediately flows out of the Gport, the tube may be out of place
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Remember to flush with lukewarm water before and after feedings or medications to help prevent clogs The button came out Buttons come out if the balloon lost water or if it is pulled by accident Find the "Use and Care of a GButton" brochure on how to put tubes or buttons in the stoma and follow the steps below Check the balloonBalloon GJ Tube A gastrostomyjejunostomy tube, commonly abbreviated as "GJ tube," is actually two tubes in one One tube ends in the stomach and the other tube ends in the small intestine This tube is used to vent your child's stomach for air or drainageand/or for feeding if your child unable to take food and fluids by mouthR GJ button (or skinlevel gastrojenunal tube) a tube placed into the stomach through the gastrostomy, and threaded into the jejunum The GJ button lies flat against the skin and has a balloon inside the stomach An extension set is used to give the feedings and medicines Notes about your child's device extension set Jejunal tube
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Flush the GJ tube with 5ml (10ml for adults) of warm water before and after administering food or medication or every 6 hours for continuous feeding DO NOT place foreign objects down the center of either port on the GJ tube DO NOT mix medications with formula while feedingFlushing the Tube To flush the GJ port of your tube, slowly push warm clean tap water into the side opening of the Gport or Jport of the connector The syringe may be washed in warm water, air dried and reused Medication or Feeding Your doctor or nurse will give you instructions through what port medications and feedings should be givenThe stomach A gastrojenunal tube (or GJ tube) is a "tube within a tube" placed through this opening One tube ends in the stomach and the other extends into the jejunum (the small intestine) This allows food and medicine to be given directly into the stomach or jejunum instead of through the mouth Giving feedings this way can be done
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Instructions for feedings through your tube Medications Do not give crushed pills through the "J" port Only give liquid medicine through the "J" port Do not give the following medicines through any port ("J" or "G") of a feeding tube Carafate or antacids Entericcoated tabletsBefore and after any medications (all medication should not be visible in the tube or extension after flushing) At least once every 24 hours For medications Give liquid medications directly into the medication port For pills, check with your doctor or pharmacist before crushing any medicationsMade from medicalgrade silicone;
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Lesson 52 Administering Medications via the Gastrostomy Tube (GTube) or Jejunal Tube (JTube) I Introduction to GTubes and JTubes Tube Feedings – The resident who is unable to take food or fluids by mouth, or is unable to swallow, may be fed through a tube Feeding tubes are used when food cannot pass normally from the mouth into theSome tubes have one lumen terminating in the stomach and another in the jejunum • function of the tube, drugs should not be administered by tube if it is on freedrainage or suction3 1 Drug charts should state the route of administration, eg NJ, and specify the lumen to be usedGJ Tubes Indications GER Gastroparesis Gastrostomy tube inserted through a gastric opening into the jejunum, through radiology assistance Bypasses the stomach for feedings Disadvantages Requires continuous feedings for 14 hours Bolus feedings not usually given – may lead to dumping syndrome
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For the last few days I've had pretty major pain around the port of my GJ tube No sign of infection, the tube didn't get yanked or anything (that I know of), and it doesn't hurt more or less when I'm feeding It seems mechanical in nature, that is, I can make the pain mostly go away based on position, feeding/bowel movements are fineThe port is a small drum made of plastic or metal, with a thin tube (called a line) going into a large vein The drum is covered with a selfsealing membrane (called a septum ) made of silicone To use the port, a nurse sticks special needle through the skin and into the port's septumMeds CAN be given through a Jtube, I've seen it many times with kids whose Gtubes are to drainage 24/7 Some have G/J tubes with G for meds and J for feeds while others have G/J tubes where the J is used for everything and the G is used for drainage only That said, it sounds like in this patient, the meds are supposed to be given through the G
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Aspiration gastric decompression port for drug administration;• Avoid adding medication directly to formula • Flush tube with water before and after each medication MEDICATION ADMINISTRATION • Do not use saline can clog access port DAILY SKIN CARE TIPS WASH YOUR HANDS ROTATE THE TUBE ¼ TURN (EXCEPT FOR JTUBES) CHECK EXTERNAL BOLSTER HEIGHT SECURE THE TUBE KEEP IT CLEANWelcome to the American College of Surgeons (ACS) Feeding Tube Home Skills ProgramYou and your family are important members of the surgical team Watching t
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The Gtube can be used for decompression of gastric contents, and also can be used for medications You can medicate via a Jtube but you may run in to some absorption issues depending on what medication the pt is on The balloon is used to secure the tube in place (much like a Foley) and should not be messed withA jejunostomy tube (Jtube) is a soft, plastic tube placed through the skin of the abdomen into the midsection of the small intestine The tube delivers food and medicine until the person is healthy enough to eat by mouth You'll need to know how to care for the Jtube and the skin where the tube enters the bodyA GJ tube is just like a Gtube (see "Percutaneous Gastrostomy Tube) except that it contains an extra portion of tubing that extends from the stomach to the intestine An extra side port allows feeding and medication delivery directly in to the intestine through extension tubing
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Conventional gastrostomy tubes (Gtubes) – Gtubes have 3 ports (openings) one (1) for feedings, another for medicines, and a third that goes to the balloon that holds the tube steady Gastrojejunal tubes (GJtubes) – GJtubes have 3 ports one (1) goes to the stomach, another to the intestine, and a third to the balloon that holds the tube steadyMedications should be given in liquid form if possible If only pills are available, crush finely Mix the powder in water until there are no clumps Give each medication separately Flush tube with 10 cc of warm water between medications Flush tube with 60 cc warm water before giving any medications and again before tube is clamped off• Avoid adding medication directly to formula • Flush tube with water before and after each medication MEDICATION ADMINISTRATION • Do not use saline can clog access port DAILY SKIN CARE TIPS WASH YOUR HANDS ROTATE THE TUBE ¼ TURN (EXCEPT FOR JTUBES) CHECK EXTERNAL BOLSTER HEIGHT SECURE THE TUBE KEEP IT CLEAN
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I had a Gtube few years back and it never clogged Couple of weeks back I got a GJ tube My feedings are through the J tube and it has clogged twice in the last 2 weeks I think it is because the J tube is much smaller than the G tube When my J tube got clogged the first time we went to our GI doctor and he used a long wire with a brush atAm J Health Syst Pharm 08;65(24) Administer medications via the oral route when possible Determine the enteral feeding tube size (eg, small bore or large bore), insertion site (eA GJ tube can only be used for "continuous" feeds (slow feeding rate that is easier to tolerate for the stomach) because the small intestine cannot handle large amounts of fluid quickly You cannot give bolus feeds into the Jport of a GJ tube As with a Gtube, a GJ tube can be removed very easily when all of
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Before and after any tube feeding;GJ Tubes Indications GER Gastroparesis Gastrostomy tube inserted through a gastric opening into the jejunum, through radiology assistance Bypasses the stomach for feedings Disadvantages Requires continuous feedings for 14 hours Bolus feedings not usually given – may lead to dumping syndromeProviding medication Medications, including many pills and tablets, can be given through a feeding tube Tablets may require grinding and some capsules may need to be opened, but if the particles are small enough most medications can be blended with water and administered through a feeding tube
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Taking Medication with Your Drainage GTube You can swallow medication tablets, but you will need to clamp your tube first You will also need to leave your tube clamped for 15 to 30 minutes after you take your medicationJtube is a medical device, inserted into the middle part of the small intestine (the jejunum) Gtube is used to provide the necessary medications and nutrition, to release stomach gases, and for gastric drainage Jtube is used to provide the necessary medications and nutrition The Gtubes can be placed endoscopically and surgicallyFor the last few days I've had pretty major pain around the port of my GJ tube No sign of infection, the tube didn't get yanked or anything (that I know of), and it doesn't hurt more or less when I'm feeding It seems mechanical in nature, that is, I can make the pain mostly go away based on position, feeding/bowel movements are fine
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