Problem Solving - Halyard MIC GE FEEDING TUBE Instrucciones

Problem Solving

Problem
1. Gastric leakage.
2. External Retention Ring
slips.
3. Tube decreasing in
length.
4. Tube increasing in length.
5. Balloon leak or rupture.
6. Patient vomits and/
or aspirates stomach
contents.
7. Formula will not flow
freely through jejunal
lumen.
8. Gastric lumen not venting
properly.
4
Cause
The External Retention Ring is not
properly adjusted or the balloon is
not against the stomach wall.
The balloon is under-inflated.
Build-up of skin oils or other
lubricants on the tube.
Oily build-up on tube resulting in
slippage of the External Retention
Ring.
Balloon under-inflated or
inoperative.
Variable.
Jejunal lumen in the stomach
instead of the jejunem.
Formula flow rate too high.
Jejunal lumen kinked or clogged.
Possible obstruction in the gastric
lumen of the tube.
Remedy
Adjust the External Retention Ring. It should be 1-2 mm (about the
thickness of a dime) from the skin. Once you have adjusted the ring,
check the water volume in the balloon. Do not add more water to
the balloon before you first withdraw all of the water originally used
to fill the balloon.
Note: The maximum balloon volume is 10 ml. Do not
exceed that amount.
Make sure that the skin around the tube (stoma) is clean and dry.
Wait 15 minutes and check to see if the problem has been corrected.
If the problem has not been corrected, notify your physician.
Clean the tube and the External Retention Ring with warm, soapy
water. After cleaning, re-adjust the External Retention Ring, 1-2
mm (about the thickness of a dime) away from the skin, and make
sure the balloon is up against the stomach wall. DO NOT APPLY
EXCESSIVE TENSION. Check in one hour to be sure that the External
Retention Ring is still holding the tube properly in place. If the
problem has not been corrected, notify your physician.
Clean the tube and the External Retention Ring following the
instructions in #2 above.
Withdraw water from the balloon and compare the volume against
the amount originally used to fill the balloon. If the balloon is
under-inflated, fill again to the original, prescribed volume. Recheck
the volume periodically. If size continues to change, notify your
physician.
Notify your physician.
Stop the feeding and decompress (drain) the stomach through the
gastric access port.
Notify your physician immediately.
Irrigate the Jejunal lumen with 20–30 ml water (adults), or 10–15
ml (children). If resistance is felt or water does not flow freely, notify
your physician immediately.
Irrigate the Gastric lumen with 20–30 ml water (adults), or 10–15
ml (children). If resistance is felt or water does not flow freely, notify
your physician immediately.