Ordinary people look at a long pipe inserted in the nose, it is difficult to do a normal thing, but after returning home, you have to continue to use it, what to do?
Today, share with you the precautions of gastric tube home care!
The gastric tube is a method that the patient cannot eat independently through the mouth, or in the case of drinking water and coughing, in order to ensure his body nutrition, the amount of water to drink, and maintain life, through the gastric tube can provide enough nutrition and water to the patient's body! The general use period of the gastric tube is strictly more than one month, but some gastric tubes are of good material, and there are indeed records of patients using the tube for three months before changing the tube.
Many patients who take the tube home need the home care of the tube after returning home. For most family members, the knowledge of the use of gastric tubes is slightly lacking! So here, I would like to share with you the relevant precautions for the use of gastric tubes.
In fact, eating through the stomach tube is the same as eating through the mouth of normal people, but it is just a different way. Therefore, those things that we normal people need to pay attention to when eating, we should also pay attention to when eating from the stomach tube.
First of all, we normal people have to sit and eat when they eat, right? So when eating from the gastric tube, for bedridden patients, we need to shake the head of the bed to 30-45 degrees of feet, if there is no such thing as a bed that can be shaken up at home, the family can use a quilt, pillow and other patients to cushion the upper body height, if it is a patient who can sit firmly by himself, sit directly on the chair, wheelchair is OK! After feeding water or nutrient solution to each gastric tube, maintain an upper body angle tilt for at least half an hour to 45 minutes, and do not let the patient lie flat, otherwise the food will regurgitate, and it is easy to choke and cause aspiration pneumonia! In short, pay attention to the angle!
Second, we normal people can't eat too cold, can't eat too hot, right? So the same, from the stomach tube injected food, but also pay attention to a suitable temperature, about to maintain a temperature of 38 ~ 40 degrees, when we are at home, if there is no thermometer measurement, you can put the nutrient solution in the wrist of the internal test to feel it! This needs to be noted that we sometimes may prepare the amount of a day in advance, and then divide the ton to heat, this time need to pay attention, sometimes the cup wall is hot, but the middle is cool, must be shaken evenly, to make sure that the whole has been heated. Simply put it as paying attention to the temperature!
Third, we have to chew and swallow slowly when we eat, right? So the same, when injecting food from the gastric tube, whether it is water or nutrient solution, it needs to be slightly slower, not too fast, and a tube is directly pushed forward at once! In short, pay attention to speed!
Fourth, the diameter of the gastric tube is very thin, there are several small holes at the end, from the gastric tube to inject food and water, from the end of the hole into the stomach, the hole is also very small. Therefore, if the concentration of nutrient solution is particularly large, or the particles are very coarse, it is easy to cause clogging of the pipeline, so the nutrient solution cannot be too thick! Even if you feed a millet porridge, you need to filter out the millet residue before you can inject it from the stomach tube! All homemade other nutrient solutions, vegetables, fruits or various meats need to be broken with a wall breaker, and there is no residue! Simply put it as attention to concentration!
To sum up, you need to pay attention to angle, speed, temperature and concentration!
In addition, the gastric tube itself uses several points of attention
First, before injecting something from the gastric tube, you need to withdraw it, if the gastric juice has red or coffee-colored substances, it means that there is bleeding in the stomach, you can not continue to inject food for the time being, you need to go to the hospital for treatment. There is also a situation that is pumped out of the thing, no red, no coffee color, that is, the color of the food you injected last time, but the amount is relatively large, more than 100ml, indicating that the food in the stomach has not been digested and not absorbed, this situation needs to delay the time a bit, lengthen the interval between the injection of food! It should be emphasized that as long as it is not gastric bleeding, the gastric juice withdrawn from the pumping needs to be re-pushed into the stomach and does not need to be discarded! To be less likely to cause an electrolyte disorder!
Second, after each gastric tube is injected with food and drugs, it is necessary to inject 40 to 50ml of warm boiled water to rinse the gastric tube! Otherwise, the food remains in the tube, after a long time, it is easy to deteriorate, and the next time the food is injected, the spoiled residue will be pushed into the stomach! In addition, if the food residue is hung in the pipe wall, it is easy to cause a pipe blockage!
Third, the amount of each injection, generally even rinsed warm water plus nutrient solution, it is recommended that the amount of one time does not exceed 200ml, which can be fed a small amount and multiple times.
Fourth, the fixation of the gastric tube, we must pay attention to the regular replacement of the fixed tape, when the tape is fixed, do not use force, fix it in the direction of the pipeline itself, to avoid long-term compression, causing pressure ulcers.
Finally, a reminder needs to be noted, if it is a conscious patient, the entire bolus process, we must pay attention to asking the patient's feelings, if it is a conscious patient, we need to carefully observe, through the gastric tube to let the patient get a better quality of life.