Care Instructions - Nutricia FLOCARE DirectPEG Gebrauchsanweisung

CARE INSTRUCTIONS

• To prevent the tube from becoming blocked, it must be fl ushed with 20 – 50 ml of lukewarm
water before and after each administration of tube feed or fl uids (tap water that is boiled and
cooled to body temperature, alternatively still mineral water, fresh tap water with drinking water
quality or sterile water are suitable). If the probe is not used for a long time, it should be rinsed
every 8 hours.
• When administering several fl uids one by one please make sure, that the tube is suffi ciently
fl ushed with water between each one to avoid interaction of individual fl uids.
• The balloon indicator should be checked daily. It provides information on the integrity of the
balloon and indicates whether the tube has been pulled fi rmly against the stomach wall. See
also „balloon indicator".
• To prevent material wear, the ratchet clamp should be moved daily. The clamp can be left open
when not in use.
• The condition of the direct puncture tube should be checked daily. Any signifi cant changes to
the tube (discoloration, hairline cracks, leaks, etc.) must be reported to the attending doctor.
• In the fi rst week after placement the tube, a sterile dressing change is required every day
and should be carried out by a nurse. In the case of a healed wound and irritation-free wound
conditions, the dressing can be changed twice a week or may even be dispensed entirely at
discretion of the doctor.
• After wound care, the tube must be returned to its original position. As a check, the correct
position of the external retention disc can be checked via the length marking of the tube. The
balloon indicator is used for additional security. See "Balloon Indicator".
• With every dressing change, the condition of the skin around the gastric stoma should be
checked in order to detect infl ammation, swelling and / or redness at an early stage. The area
around the tube should always be kept clean and dry.
• The time of the fi rst mobilization must be specifi ed by the doctor who placed the tube. From
this point on, the tube must be mobilized each time the dressing is changed to prevent the tube
from growing into the inner wall of the stomach.
• To mobilize the tube, the tube must be loosened from the external retention disc. The tube
must then be moved up and down in the stoma (at least 1.5 cm) and then rotated 180° around
its axis. The tube must now return to the original position. The balloon indicator shows whether
the tube is fi xed with too much or too little tension.
• In rare cases, excessive mobilisation of the tube or changes in the position (several times a day)
of the tube can cause the formation of hypergranulation tissue and should, therefore, be avoided.
• The risk of buried bumper syndrome is minimised due to the tyre-shaped balloon design of the
tube and the therefore enlarged contact area, however in rare cases, inadequate mobilisation of
the tube may result in buried bumper syndrome.
Further information for laypersons and nursing personnel can be found
under www.nutricia.de, www.nutricia.ch, www.nutricia.at
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