Nutricia Flocare G-TUBE Instrucciones De Uso página 8

Remove the tube as per relevant instructions. Clean the exit of the stoma with dry gauze. Apply
a water-soluble lubricant or an anaesthetising gel on the tip of the new tube, keeping the outlet of the
tube tip clear.
5. Introduce the new tube as far as possible into the stoma (fig.6).
6. Keep the tube in place and confirm the position of the tip by aspirating gastric contents via the
tains: feeding port (B) and by measuring the gastric pH. The tip of the tube is situated in the stomach
when the pH is lower than 5.5 (fig.7). When there is any doubt, confirm the position by means of an
endoscope or X-ray. When opening the feeding port, the quick release clamp (D) prevents backflow
of nutrition or other gastric content. It is recommended to open the quick release clamp (D) when the
feeding port is closed.
7. Inflate the balloon via the balloon inflation port (A), with the quantity of sterile water indicated on the
tube tube (see fig. 8). Never exceed the volume capacity of the balloon.
Pull the tube slightly upwards until the length of the tube coming out of the stoma is identical to the
length of the previous G-tube in situ (if relevant) (fig.9).
Note the Charrière, length of tube introduced and the amount of water injected in the balloon, in the
nursing and medical records.
8. Flush the tube with 20-50 ml of water via the feeding port of the tube (B) to avoid an obstruction of
the tube (fig.10).
9. Slide the external fixation disc (C) approximately 5 mm from the skin and fix the tube in the
90°-angled disc (fig.11).
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Inspect the stoma-site daily for any redness and swelling. Disinfect the skin, when necessary. As soon as
the stoma is completely formed it is sufficient to wash, rinse and dry the skin thoroughly.
Daily Care: remove the tube out of the external retention disc and gently introduce the tube further into
the stoma. Turn the tube 180° on its axis, pull the tube upwards to its original position and fix the tube
back in the external fixation disc (fig.12).
Check the position of the tube by checking the position of the external fixation disc or, if possible, by
measuring the pH value of aspirated gastric content. pH value below 5.5 confirms a correct position of
the tube in the stomach. Do this each time you connect a new packaging of tube nutrition or if there is
any doubt whether the tube is in the correct position (fig 13).
Flush the G-tube with 20-50 ml of water before and after the administration of feed or medication and at
least every 8 hours to prevent tube blockage (fig.14).
Check on a weekly basis the volume of sterile water in the balloon. If necessary fill up or replace the
volume to the same amount as documented in the medical or nursing records.
Never administer tube feeding or medication into the balloon inflation port (A).
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and The Flocare
(A) according several factors which include medication, gastric pH, patient motility, duration of use and tube
care.
it is Replacement and removal of the G-tube depends upon the viability of the product and/or should be
performed under medical instruction.
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DURATION OF USE AND REMOVAL
G-tube is designed to have a life span of several months. The life span of the tube varies
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MAINTENANCE
20/04/17