gastrostomy tube

[sweetieann]

I always thought that with a g-tube/PEG tube, you still had to check placement and measures residuals before administering feedings and/or meds. A nurse I asked says no. Who's right? I know you wouldn't check these things on a j-tube or dobhoff, but ithought you did with NGs and Pegs

Thanks!

[jjjoy, LPN]

Ah the frustrations of conflicting info! Some say Yes! always check placement and residuals. Others say No! no need. I can use my own understanding of it to determine how to proceed but my own understanding could be incomplete or out-dated. Well, then do some research to find out what's the latest and greatest, right? But I don't have time for that when the feeding is going now. And it's not that easy to find a definitive answer anyway. Different sources may give different answers.

Shouldn't someone higher up be checking on these things and writing protocol so that the nursing practice is consistent among the staff versus the original conflicting practice and reasoning?

[jazz8f]

is it normal to see some leakage around the g-tube? it looks like the formula , iits not foul odor.

[Music in My Heart]

From what I've read, the *only* meaningful way to check placement is by x-ray. Both auscultation and pH are unreliable means of determining location.

EBP...