Kimberly-Clark MIC-KEY Gebrauchsanweisung Seite 7

Balloon Maintenance
Check the water volume in the balloon once a week.
• Insert a Luer slip syringe into the balloon inflation port and withdraw the fluid while holding
the tube in place. Compare the amount of water in the syringe to the amount recommended
or the amount initially prescribed and documented in the patient record. If the amount is less
than recommended or prescribed, refill the balloon with the water initially removed, then
draw up and add the amount needed to bring the balloon volume up to the recommended
and prescribed amount of water. Be aware as you deflate the balloon there may be some
gastric contents that can leak from around the tube. Document the fluid volume, the amount
of volume to be replaced (if any), the date and time.
• Wait 10-20 minutes and repeat the procedure. The balloon is leaking if it has lost fluid, and
the tube should be replaced. A deflated or ruptured balloon could cause the tube to dislodge
or be displaced. If the balloon is ruptured, it will need to be replaced. Secure the tube into
position using tape, then follow facility protocol and/or call the physician for instructions.
Note: Refill the balloon using sterile or distilled water, not air or saline. Saline can crystallize and
clog the balloon valve or lumen, and air may seep out and cause the balloon to collapse. Be sure
to use the recommended amount of water as over-inflation can obstruct the lumen or decrease
balloon life and under-inflation will not secure the tube properly.
Tube Occlusion
Tube occlusion is generally caused by:
• Poor flushing techniques
• Failure to flush after measurement of gastric residuals
• Inappropriate administration of medication
• Pill fragments
• Viscous medications
• Thick formulas, such as concentrated or enriched formulas that are generally thicker and more
likely to obstruct tubes
• Formula contamination that leads to coagulation
• Reflux of gastric or intestinal contents up the tube
To Unclog A Tube
1. Make sure that the feeding tube is not kinked or clamped off.
2. If the clog is visible above the skin surface, gently massage or milk the tube between fingers
to break up the clog.
3. Next, place a catheter tip syringe filled with warm water into the appropriate adaptor or
lumen of the tube and gently pull back on then depress the plunger to dislodge the clog.
4. If the clog remains, repeat step #3. Gentle suction alternating with syringe pressure will
relieve most obstructions.
5. If this fails, consult with the physician. Do not use cranberry juice, cola drinks, meat tenderizer
or chymotrypsin, as they can actually cause clogs or create adverse reactions in some patients.
If the clog is stubborn and cannot be removed, the tube will have to be replaced.
Diameter Length
Quantity
Single Use
Rx Only
REF
Reorder Number
Balloon Longevity
Precise balloon life cannot be predicted. Silicone balloons generally last 1-8 months, but the life
span of the balloon varies according to several factors. These factors may include medications,
volume of water used to inflate the balloon, gastric pH and tube care.
Kit Contents:
• 1 MIC-KEY* Low-Profile Feeding Tube
• 1 – 6 ml Luer Slip Syringe
• 1 – 35 ml Catheter Tip Syringe
• 1 MIC-KEY* Extension Set with SECUR-LOK* Right Angle Connector and 2 Port "Y" and
Clamp 12
• 1 MIC-KEY* Bolus Extension Set with Cath Tip, SECUR-LOK* Straight Connector and Clamp 12
• 4 Gauze Pads
Warning: For enteral nutrition and/or medication only.
For more information, please call 1-800-KCHELPS in the United States,
or visit our web site at www.kchealthcare.com.
Educational Booklets: "A Guide to Proper Care" and "A Stoma Site and Enteral Feeding Tube Troubleshooting Guide"
is available upon request. Please contact your local representative or contact Customer Care
Sterilized Using
Read
Ethylene Oxide
Instructions
LOT
Lot Number
Do Not Use If DEHP (Di(2-ethylhexyl) Phthalate)
Package Damaged
Use By Date of Manufacture
Free Formulation
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