J tubes

Posted
by Up2nogood RN Up2nogood RN, RN Member

Specializes in pulm/cardiology pcu, surgical onc.

I'm a fairly new LPN and I do private duty nursing of an active 14 month old w/ trach and I'm wondering if changing a mic-key button placed in the jejunum is any different than changing a gastric feeding tube. She's pretty mobile and I'm worried I will do something incorrectly if I need to replace it. Is there any words of wisdom or special things to watch for when changing? It also has a fair amount of seepage around stoma and I think I recall that this is normal d/t where it's placed?

Pocahontas98_21

Pocahontas98_21

Has 2 years experience. 25 Posts

Youtube has a few videos on these. Check them out. And the one pt. I had with a mic-key button she had a manuel that told u just how to change it. hope this helps

DDRN4me

DDRN4me

Specializes in pedi, pedi psych,dd, school ,home health. 761 Posts

As far as i know; and have taken care of many Jtubes...ONLY Change a jtube under flouroscopy... Gtubes are much easier but the jtube is longer and there is more potential for injury and migration!!

HIPPIECHIKRN

HIPPIECHIKRN

Has 31 years experience. 47 Posts

No, the Mickey j-tube is a short cannula that is inserted just like a short GT. Check out YouTube for the videos. It is fairly easy. Good luck!!

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