How to take care of the jejunal nutrition tube

I believe that many patients who cannot swallow or take food normally due to stomach diseases know what a jejunal feeding tube is? Yes. It is a tube specially prepared for people who cannot eat, which is placed in the stomach and intestines to artificially infuse nutrient solution. So, how to take care of this tube to achieve health and hygiene? Let's take a look at the following points:

The so-called jejunal feeding tube refers to a method of providing nutrients needed to maintain human metabolism through the mouth or feeding tube.

1. Selection of nutrient solution: Nasojejunal nutrition is different from gastric nutrition, and has relatively higher requirements on the formula, concentration, osmotic pressure and contamination of the nutrient solution. Since there is no bactericidal effect of gastric acid in the jejunum, special attention should be paid to bacterial contamination of the nutrient solution. Standard intravenous infusion operations should be followed to avoid contamination as much as possible. If you prepare the nutrient solution yourself, prepare only the amount for that day and store it at 4°C. The temperature of the diet during infusion should be close to body temperature, the prepared diet should not be suspended in the container for more than 8 hours, and fresh diet should not be mixed with used diet. Preparation time exceeded

Food may deteriorate and solidify over time, which may also cause pipe blockage. Be careful to prevent moldy or rotten food from causing bacteria or

Fungal enteritis.

2. Infusion method Clinical practice shows that continuous infusion of nutrient solution is better in absorption than intermittent infusion, with fewer gastrointestinal adverse reactions in patients and better nutritional support effects. After intubation, 50 mL of normal saline should be injected immediately to flush out gastric juice, bile and other mucus secreted during intubation. Before the first pumping of nutrient solution, 500 mL of 5% glucose saline should be slowly pumped in to check whether the pipeline is unobstructed and to allow the intestine to adapt. Start with an infusion rate of 60 mL/h. If tolerated well, the rate can be gradually increased to 120 mL. The speed is slow at the beginning of the infusion, which makes tube blockage more likely to occur. Close observation should be made and, when conditions permit, use an infusion pump as much as possible. Problems should be dealt with promptly if discovered. After the infusion is completed, the tube should be flushed with warm water or saline. Once poor perfusion occurs, consider the possibility of tube blockage and use a 20 mL syringe to repeatedly flush and aspirate, or dissolve pancreatic enzyme in warm water and inject it.

3. Properly fix the gastric tube using the high-viscosity and good-breathability 3M gastric tube stickers, stick them on both sides of the nose and firmly fix the tube. The tail end of the tube should be fixed on the ear or the side of the head to avoid compression of the tube. Check the position of the feeding tube once every 4 hours, measure the length of the exposed part, keep records, and complete the handover between shifts. If the tape used to fix the pipe becomes damp, contaminated, or falls off, replace it immediately.

4. Provide good health education and communication. Provide good health education for patients and their families, explain that after the nasojejunal tube is inserted, do not pull or fold the tube. Inform the nursing staff when getting out of bed and fix the tube completely before getting out of bed. Avoid compressing or pulling the tube when sleeping at night. The patient cannot inject other substances into the tube at will. Medical staff communicate well, and nurses take the initiative to ask doctors about the patient's treatment plan and participate in the catheterization process to understand the patient's movements so that the tube can be fixed in time after the patient returns to the ward.

5. Psychological care: Due to the serious condition and long course of illness, this type of patients are under heavy mental and financial burdens and need enhanced psychological care. In order to avoid patients being unwilling to continue treatment or becoming bored after complications occur, when implementing EN, patients should be informed of the importance of nutritional support and the possible complications that may occur during the treatment process should be explained. If complications occur, they should be discovered and dealt with in a timely manner so that patients can actively cooperate and successfully complete the treatment.

In fact, gastrointestinal nutrition tubes have appeared for a long time. They are undoubtedly a blessing for patients with stomach diseases or even those who cannot eat. Just as its literal meaning suggests, it is a tube placed in the gastrointestinal tract to deliver nutrient solution to maintain the patient's nutrition. You should also pay attention to daily care. After all, it is something put into the body. If it does not cure the disease, it will cause infection which is not good.