Tell me more about g-tubes and J-tubes

[raindrop]

I know the difference as far as location, but does one look different than the other? Can placement be checked by air bolus for both of these?

Also, what is a peg tube? And what part og the GI tract is it inserted?

[ericagn]

Hello i am working in home care as an rn giving patient care, my patient has a tube with one side for g tube another for j tube and the other is the balloon. Past week his residuals were more than 12o ml not getting better so i hold feeding and notify doctor but weeks before he became dehydrated so the dr order to feed by j tube 150 by bolus. Then the case manager came and she told me that i was not supposed to fed him 150 and that she hoped that the feeding entered very slowly. I ask why. And she said it wasnt good. And also everybody saids please dont check residuals on j tube, cover it with tape to prevent errors. Is like they scare me about j tube. And i havent found any part that says why not feeding, why not cheking residuals.

Can somebody help me.

[AmericanChai]

J-tubes are a little different than G-tubes . . .

You are not supposed to pull out quickly because the sm. intestine is fragile and also there is not much room in the intestines like in the stomach. Pulling too hard will cause the tube to pull on the tissue itself and cause injury or irritation. Also, if you do feed through the J tube, I'm not sure what the recommended speed is but I know it's very slow. A boy I know on-line who has a J tube is fed continuously day and night. If they go too fast it's not a good thing. The intestines cannot hold a whole lot at a time, and of course they don't expand like the stomach. I know that the GI's I know would never ask that a pt. be fed by bolus through a J-tube! It would probably cause the pt to have diarrhea which would further dehydrate!

[ericagn]

Thank you.

You help me a lot. But about residual can you check residual on j tube?