Unclogging a g-tube - page 2

How do you unclog a g-tube? I haven't had a pt with a clogged g-tube in a long time and can't remember what we did to unclog them. It seems like Coke was involved...... Read More

  1. Visit  nursinger} profile page
    0
    http://www.activeforever.com/p-2828-...ing-tubes.aspx

    holy cow!...check out the price...box of 10 packs. $399.00. :uhoh21:
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  3. Visit  Reno1978} profile page
    1
    Quote from nursinger
    http://www.activeforever.com/p-2828-...ing-tubes.aspx

    holy cow!...check out the price...box of 10 packs. $399.00. :uhoh21:
    yes, much cheaper than replacing the gtube.
    turnforthenurseRN likes this.
  4. Visit  NurseNinaFla} profile page
    0
    Quote from nursinger
    http://www.activeforever.com/p-2828-...ing-tubes.aspx

    holy cow!...check out the price...box of 10 packs. $399.00. :uhoh21:
    that is insane but so is the cost of most medical supplies (wish i would have thought to invent these! :d
  5. Visit  Pediatric4077} profile page
    1
    I used to work in pediatric LTC and spent a lot of time unclogging g and j tubes. I had an order of what I would try for a J tube:

    Start with a 5 or 10ml syringe, it makes a BIG difference than the 60ml syringe.
    1. Warm water
    2. club soda
    3. coffee
    4. sodium bicarb+viokase tablet (if you work in LTC they might have a standing order so you can use this, it's pretty successful.) You crush both tablets, mix with a small amount of water, warm it up and place in the tube.

    For a g-tube just remove the tube (place a same size foley to hold the stoma open) and then you can look at where it's clogged and flush it out, clean the tube and put the tube back in the patient. This is a lot easier on the patient. Of course this all depends on your hospital's policy. We did it all the time in LTC.

    Hope this helps!

    Meredith
    icuRNmaggie likes this.
  6. Visit  NurseAdida} profile page
    0
    Quote from trujrzygirl
    Step 1: Insert a 60 cc syringe into the end of the feeding tube. Pull the plunger back to suction the clog out of the feeding tube. If this does not work, go to the next step. Step 2: Fill a cup with warm water. Add a feeding tube unclogging medication to the water if one has been prescribed by your doctor. Put the end of the syringe into the cup and pull the plunger back to draw the water up into the syringe. Completely fill the syringe with warm water. Insert the syringe into the end of the feeding tube. Push the plunger in gently to release the warm water into the feeding tube and to flush out the clog. Avoid forcing the water into the tube. If the warm water does not remove the clog, get medical assistance from a doctor or at the emergency room. Prevent future clogs in the feeding tube by using a syringe to flush warm water through the feeding tube before and after every feeding. Ask a doctor for a recommendation on the proper amount of water to use for regular G-tube flushing.
    Are you a CNA?

    If so your facility allows you to perform this? Thats not in your scope of practise.

    In the real world, there is a low likelihood that a doctor will advise you on how much water to use to flush a Gtube
  7. Visit  Bellarubia18} profile page
    0
    She may have gotten that information from the internet or a textbook, and just wants to share the info to help all of you. She's probably not unclogging g tubes as a CNA.
  8. Visit  caliotter3} profile page
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    Quote from Bellarubia18
    She may have gotten that information from the internet or a textbook, and just wants to share the info to help all of you. She's probably not unclogging g tubes as a CNA.
    This was my take on that post, especially since it mirrored info in a subsequent post.
  9. Visit  txspadequeenRN} profile page
    0
    i have always put coke in my tubes and let it sit there for about 15-30 min...works every time...
  10. Visit  Schmoo1022} profile page
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    Would you need an order to flush with cola?
  11. Visit  wuhts} profile page
    0
    As a nurse on a nutritional support service, I have placed, unclogged, repositioned, and replaced feeding tubes for 28 years. The clogging of tubes is at times a daunting challenge. We were lucky enough to use the "InTRO-ReDUCER" for many years. It was discontinued last year. However, we do have "CLOG ZAPPER" which works very well. And I have read the comments about the cost - but when you think that each of these little gems costs about $40 vs the cost of replacing a tube - if it is a G or PEG tube - the MD, x-ray, new tube costs or a small bore tube and the x-rays that go with it - plus the down time waiting for the procedure while the patient isn't getting any nutrition. I discourage our nurses from the juice and soda route simply because we have a great product that does the job without the potential problem of causing a clog in the future. Has anyone else ever used the InTRO-ReDUCER? I am always looking for something new and just found this site today. Love the comments and sharing.
  12. Visit  wised} profile page
    0
    Nutrition support RD here. You should never unclog a feeding tube with any liquid that has syrup or sugars. Will only continue to promote more clogging. Negative pressure and warm water. Meat tenderizers or enzymes.
  13. Visit  Altra} profile page
    0
    Quote from wised
    Nutrition support RD here. You should never unclog a feeding tube with any liquid that has syrup or sugars. Will only continue to promote more clogging.
    Avoiding those would exclude many of the things that go down a g-tube: tube feeds, liquid meds, radiopaque contrast media, etc.
  14. Visit  MN-Nurse} profile page
    3
    Quote from nursynurseRN
    OMG! I just experienced something called CLOG ZAPPER! it de-clogs GT's!!!!!!!!!! I think this its great!! takes about an hour to work and then the GT flushes like new....
    Where is Billy Mays when you need him???

    <pssst>

    He is? Oh. Sorry. Miss ya Billy!
    KelRN215, KimberlyRN89, and Altra like this.


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