Gastrostomy Care

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Gastrostomy Care

• Done by
• Salwa Maghrabi

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Outlines

• Gastrostomy tube definition .
• Indications of gastrostomy tube .
• Advantages of gastrostomy tube.
• Disadvantages of gastrostomy tube.
• Gastrostomy care
• Purposes .
• Equipment .
• Procedure .

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Objectives

• Identify gastrostomy tube (GT) .
• List the indications of gastrostomy tube (GT).
• Enumerate advantages and disadvantages of
  gastrostomy tube ( GT ).
• Apply gastrostomy care to the patient.

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Definition of GT

• Placement of feeding tube through the skin and
  stomach wall directly into the stomach.

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Indications

1. Prematurity .
2. Sever cerebral pulse.
3. Burns.
4. Head trauma .
5. Gastrointestinal disorder.
6. Sever refusal to eat food.
7. Sever food allergy .
8. Sever cleft lip / cleft palate.
9. Cancer .

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Advantages of GT

• The ability to provide additional food and
  calories .
• No nasogastric tube are needed.
• Less time spent giving feeding.
• Feeding can be done at night when child is sleep.
• Dose not interfere with daily activities.
• Less chance of tube coming out.

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Disadvantages of GT

• Infected .
• Lack.
• Irritated.
• Malfunctioning.

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Gastrostomy Care

• PURPOSES
• Promote healing and prevent skin breakdown.
• Provide comfort.
• Teach child/parent self care.

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Equipments
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Procedure of GT Care

• Introduce your self .
• Prepare equipment .
• Explain procedure to the child and his parent
• Maintain privacy.
• Put on non sterile gloves .
• Assess the child into comfortable supine
  position.

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Procedure of GT Care Cont

1. Remove old dressing and discard in appropriate
   waste container.
2. Pour normal saline for newly placed tube into a
   medicine cup , wash around stoma use betadine
   for healed site.
3. If the skin become red, irritated, clean site
   with hydrogen peroxide.

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Procedure of GT Care Cont

1. Rinse insertion site with sterile solution
   (saline) and gauze.
2. Dry insertion site with gauze.
3. Apply skin barrier or antibiotic ointment around
   site.
4. Apply dressing around and secure loosely with
   tape.

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Procedure of GT Care Cont

1. Secure tube to skin on abdomen at another site
   with tape.
2. Discard used supplies.
3. Keep child in comfortable position.
4. Wash hand .
5. Document the procedures.

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