Daily Use - Kimberly-Clark Gastrostomy Feeding Tube Gebrauchsanweisung

NEW TUBE PLACEMENT - continued
3. Remove the syringe and ensure that the balloon is evenly
filled and does not leak. Reinsert the syringe and remove
water from the balloon.
4. Lubricate the tip of the tube with a water-soluble lubricant.
DO NOT USE OIL OR PETROLEUM JELLY.
5. Gently insert the tube all the way through the tract and
into the stomach.
6. Fill balloon with the appropriate amount of sterile water or
saline solution as follows:
A. 3-5 ml for a low volume balloon (these tubes have LV
following the product REF code).
B. 7-10 ml for the standard balloon.
C. NEVER USE AIR. Water volume required to stop
gastric leakage may vary; increase balloon volume in
1-2 ml increments.
D. DO NOT EXCEED INDICATED BALLOON CAPACITY
OF 7 ml IN THE LV BALLOON, 15 ml IN THE
STANDARD BALLOON.
7. Gently pull the tube up and away from the abdomen until
the balloon contacts the inner stomach wall.
8. Clean residual fluid or lubricant from the tube and stoma.
9. Gently slide the external retention ring to approximately
1-3 mm (approximately 1/8 inch) above the skin.
VERIFY PROPER TUBE PLACEMENT
1. Check tube patency. Attach a bolus syringe with 10 ml
water to the feeding port. Aspirate gastric contents. When
air or gastric contents are observed, flush the tube.
2. Check for moisture around the stoma. If there are signs of
gastric leakage, check the tube position and the external
retention ring placement. Add fluid as needed in 1 to 2 ml
increments. DO NOT EXCEED BALLOON CAPACITY AS
INDICATED IN 6D ABOVE.

DAILY USE

1. Insert the feed set or bolus syringe tip into the open port
(see fig 1A). Use a FIRM 1/4 twist to make a secure
connection. Begin the procedure.
DO NOT ADMINISTER FEEDINGS OR MEDICATIONS
INTO THE BALLOON PORT (SEE FIG. 1C).
2. After feeding, disconnect the set or syringe tip from the
port with a firm 1/4 twist.
3. Flush the tube with the prescribed amount of water. Allow
all the water to run through the tube.
SKIN AND STOMA CARE
The stoma and surrounding skin should be inspected after
each feeding. The skin should be clean, dry, and free of
drainage. Both the stoma and surrounding skin should be
washed at least once daily with mild soap and warm water.
Be sure to clean under the external retention ring. Rotate the
tube in place while cleaning to decrease the chance of
adhesion of the tube to the stoma. Rinse and dry the skin
thoroughly.
NOTE: Tape or other dressing is not necessary for a
healthy stoma and may cause airflow restriction and skin
problems.
Report any redness, irritation, soreness or unusual
drainage to the physician or other health care
professional.
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