Question of the Week for group: How do you prevent a feeding tube from becoming clogged?

Ask us your questions about feeding tube clogs.

Helpful tips on this subject can also be found below or at at:

http://www.mic-key.com/index.a­sp?page=faqs&id=2169

– Nurse Jayne’s helper Pete Daniel with Kimberly-Clark

Q: How do I prevent the tube from becoming clogged?

Proper tube flushing is the best way to avoid clogging the MIC * lush the tube with water every 4-6 hours during continuous feeding, before and after every intermittent or bolus feeding, or at least every 8 hours if the tube is not being used. The MIC* feeding tube should also be flushed before and after administration of medications and after checking for stomach residuals. Medications should be given in liquid form. If a medication is only available in tablets or capsules, make sure it can be crushed and mixed with water. Medication should not be mixed with formula. Never crush enteric-coated medication. Before and after giving medication, the port should be flushed with water. Medications should not be administered through the jejunal port of jejunal tubes as this may clog the tube lumen. When flushing a tube, use water and a 30cc-60cc catheter tip syringe. Do not use smaller sizes as this can increase pressure on the tube and potentially rupture the tube. The amount of water used to flush the tube will depend on the individual’s needs, clinical condition and type of tube, but the average volume ranges from 10-50 ml for adults, and 3-10 ml for children. Do not use excessive force to flush the tube as this can perforate the tube and can cause injury to the gastrointestinal tract.

Q: How do I unclog a tube?

If a tube does become clogged:

• Attach an extension set to the clogged port (gastric or jejunal) of the MIC* feeding tube. Place a catheter tip syringe filled with warm water into the extension set and gently pull back on then depress the plunger to dislodge the clog.

• If the clog remains, repeat the previous step. Gentle suction alternating with syringe pressure will relieve most obstructions.

• If this fails, consult your clinician and consider trying a solution of pancreatic enzymes and sodium bicarbonate instilled through a catheter tip syringe. Do not use cranberry juice, cola drinks, meat tenderizer or chymotrypsin, as these can actually cause clogs or create adverse reactions in some cases. Diet sodas (non-cola) and carbonated or seltzer water may prove successful in removing some clogs.

• If the clog is stubborn and cannot be removed, the tube will have to be replaced.

NOTE: The short length of the MIC* Gastric Feeding Tubes make them quite clog resistant. The MIC* Jejunal Feeding Tubes must be monitored carefully to prevent clogging.

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Mickey nurse

Hi All!

I am a pediatric nurse working with Kimberly-Clark and would like to help anyone who has questions and concerns about the Use & Care of MIC*/ MIC-KEY* feeding tubes. There are a few new exciting web pages you might find helpful including “My MIC-KEY” a Facebook Page (www.Mic-key.com/facebook) where you can talk with other users or caregivers and/or ”My MIC-KEY* Tube”(www.Mic-Key.com/youtube) including many helpful videos and content from people like yourself with demonstrations etc..

I will frequently check this site for all discussions or questions.

Glad to be here for you!

Nurse Jayne

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Important Product Information

Indications For Use
The Kimberly-Clark* MIC-KEY* Low-Profile & MIC* Feeding Tubes are indicated for use in patients who require enteral feeding, are unable to tolerate oral feeding, require gastric decompression and/or medication delivery directly into either the stomach, distal to the stomach, distal duodenum or proximal jejunum (tube types vary from G, J, TJ/ GJ & GE depending on what your medical professional has prescribed/placed).

Contraindications
Contraindications for placement of a feeding tube include, but are not limited to ascites, colonic interposition, portal hypertension, peritonitis and morbid obesity.

If you have any questions about your tube, consult your medical professional or call Kimberly-Clark Customer Care call 1-800-KCHELPS (1-800-524-3577) in the United States or visit us online at:

Patient support website: http://www.Mic-Key.com

Medical Professional website: http://www.KCDigestiveHealth.com

*Registered Trademark or Trademark of Kimberly-Clark Worldwide, Inc. or its affiliates. ©2010 KCWW.

Your visit to this site and use of the information hereon is subject to the terms of our Legal Statement (http://www.kchealthcare.com/Abtlegal.asp). Please review our Privacy Statement (http://www.kchealthcare.com/AbtPrivacy.asp).

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