How do you care for a patient with PEG?
Caring for the PEG-tube Site You will need to clean the skin around the PEG-tube 1 to 3 times a day. Use either mild soap and water or sterile saline (ask you provider). You may use a cotton swab or gauze. Try to remove any drainage or crusting on the skin and tube.
Do you crush meds for PEG tube?
Many immediate-release tablets can be safely crushed into a fine powder and diluted before they are administered. However, sublingual, enteric-coated, and extended-release (ER) or delayed-release medications should not be crushed.
What does PEG mean in medication?
PEG stands for percutaneous endoscopic gastrostomy, a procedure in which a flexible feeding tube is placed through the abdominal wall and into the stomach. PEG allows nutrition, fluids and/or medications to be put directly into the stomach, bypassing the mouth and esophagus.
Can lactulose be given via PEG tube?
Patients in the PEG group received 4 L of PEG orally or via nasogastric tube as a single dose over 4 hours. Patients in the lactulose group received 20 g to 30 g lactulose orally or via nasogastric tube for 3 or more doses over 24 hours, or a single dose of 200 g lactulose via rectal tube.
How often do you flush PEG tube?
When not in use, your tube should be flushed with water daily to ensure stomach contents do not solidify in your tube which, may cause it to block. Remember to wash your hands thoroughly with soap and water before and after completing daily flushing.
What are the key aspects of managing a PEG site?
Care of PEG tube
- Examine the skin for infection/irritation around the site.
- Note the measuring guide number at the end of the external fixation device.
- Remove the tube from the fixation device and ease away from the abdomen.
- Clean the stoma site with sterile saline.
- Dry the area with gauze.
What medications should not be crushed for administration?
Drugs that should not be crushed are those that are:
- Designed to be controlled release.
- Coated for protection or taste.
- Dissolvable.
- Liquid-filled gel capsules.
- Hazardous or irritants.
- Intended for a small therapeutic window.
What medicines should not be given via enteral feeding tubes?
To minimize drug-nutrient interactions, special considerations should be taken when administering phenytoin, carbamazepine, warfarin, fluoroquinolones, and proton pump inhibitors via feeding tubes.
Why is a PEG used?
Percutaneous Endoscopic Gastrostomy (PEG) A percutaneous endoscopic gastrostomy (PEG) is a surgery to place a feeding tube. Feeding tubes, or PEG tubes, allow you to receive nutrition through your stomach. You may need a PEG tube if you have difficulty swallowing or can’t get all the nutrition you need by mouth.
Is PEG tube enteral or parenteral?
Percutaneous endoscopic gastrostomy (PEG) tubes serve as the favorable route of feeding and nutritional support in patients with a functional gastrointestinal (GI) system who require long-term enteral nutrition, usually beyond 4 weeks.
How do you administer lactulose?
The usual dose for constipation is:
- adults – 15ml, taken twice a day as a starting dose.
- children aged 5 to 17 years – 5ml to 20ml, taken twice a day.
- children aged 1 to 4 years – 2.5ml to 10ml, taken twice a day.
- babies aged 1 month to 11 months – 2.5ml, taken twice a day.
Can you give Flomax via PEG tube?
For instance, tamsulosin (Flomax®) capsules should not be given through an EFT since they contain time-released pellets that may cause dose dumping if disrupted and/or clog the feed- ing tube. In this case doxazosin (Cardura®) tablets could be used as a therapeutic alternative since they may be crushed.
Why do you flush a PEG tube?
Daily flushing: When not in use, your tube should be flushed with water daily to ensure stomach contents do not solidify in your tube which, may cause it to block. Remember to wash your hands thoroughly with soap and water before and after completing daily flushing.
How much water should you flush a PEG tube with?
Flush tube with 30 ml of water at least once a day. You may shower 24-48 hours after tube placement. You may bathe after your PEG tube check-up appointment typically 7–10 days after tube placement, if your physician gives the OK. Check the markings at the base of the tube daily and as needed.
Do you aspirate a PEG?
Aspiration. Aspiration of stomach content/feed into the lungs can occur during insertion of the PEG tube because the oesophageal sphincter that stops gastric contents from refluxing into the oesophagus is held open by the endoscope.
Can omeprazole be crushed?
Do not crush, break, or chew the capsule or the tablet. If you cannot swallow the omeprazole delayed-release capsules, you may open it and sprinkle the pellets contained in the capsule on one tablespoon of applesauce. This mixture must be swallowed immediately with a glass of cool water.
Can you push meds through a PEG tube?
Giving medications by the PEG tube Do not mix medication with formula or other medications unless instructed to do so by your doctor. Liquids: Most liquid medicine may be given through a PEG tube. Draw up the exact amount of medicine into a syringe.
How to administer medicine via a gastrostomy/PEG tube?
Adults Medicines administration via a gastrostomy/PEG tubePage 3 Measure the water for diluting Mix the medicine Attach the syringe to the tube Administer the medicine: (a) (b) Repeat the procedure if necessary Make sure you mix the medicine and water together well. Do not allow the mixture to stand as the medication may thicken on standing.
What does peg stand for?
Medicines administration via a gastrostomy or percutaneous endoscopic gastrostomy (PEG) tube Protouch Protouch 350 Ambidextrous Powder-free non-sterile Nitrile examination gloves 100 PCS Ref: Size Large 350 Ambidextrous Powder-free non-sterile Nitrile examination gloves Ref: Size Large 100 S
How do I administer medication to a student with abdominal distention?
If student has abdominal distention do not administer the medication, instead contact parent/guardian and healthcare provider Measure the medication and water in separate measuring device, i.e. cup Fill the extension tubing with water using a syringe with at least 5 cc or ml of water and clamp the tube