Gastrostomy Care

1. Definition of "gastrostomy."

1. It is a catheter through the abdomen into the stomach for the purpose of feeding.

2. It is used to provide complete nutrition when a client is unable to swallow for a long period of time.

2. How to perform the gastrostomy feeding.

1. Gather all equipment (feeding should be at room temperature).

2. Wash hands well.

3. Sit in an upright position.

4. Check feeding solution for expiration date.

5. Remove clamp and attach bulb syringe to end of gastrostomy tube.

6. Pour small amount of water into tube to chest patency.

7. Pour feeding solution into syringe and adjust height of syringe to increase or decrease rate of flow. Allow approximately 10-20 minutes.

8. When feeding is finished, tubing should be flushed with water as directed by physician.

9. Clamp tube securely.

10. Client should remain in an upright position at least 15-30 minutes after a meal.

11. Chart time and amount of solution and water given.

3. How to perform skin care around tube.

1. Skin around tube must be kept clean and dry.

2. A protective ointment and skin barrier is frequently used.

4. Possible complications.

1. Tube clogging (always rinse tubing after feeding with water).

2. Aspiration (always sit in an upright position after eating).

3. Electrolyte imbalance. (Provide "Electrolyte Imbalance" handout.)

1. Monitor closely; report signs and symptoms to physician.

2. Assess and monitor blood sugar.

4. Dehydration.

1. Assess closely and report to physician.

2. Increase fluids.

5. Diarrhea or constipation.

1. Discuss possible change in type of feeding with physician.

2. Increase fluids to decrease constipation.

3. Refrigerate opened cans of feeding solution to prevent spoilage, possible cause of diarrhea.

6. Inadequate nutrition.

1. Weigh to detect any weight loss.

2. Report to physician any intolerance to feeding.