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Gastrostomy Care

Gastrostomy Care. Done by : Salwa Maghrabi. Outlines. Gastrostomy tube definition . Indications of gastrostomy tube . Advantages of gastrostomy tube. Disadvantages of gastrostomy tube. Gastrostomy care : Purposes . Equipment . Procedure. Objectives. Identify gastrostomy tube (GT) .

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Gastrostomy Care

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  1. Gastrostomy Care Done by : Salwa Maghrabi

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

  3. 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.

  4. Definition of GT Placement of feeding tube through the skin and stomach wall directly into the stomach.

  5. Indications • Prematurity . • Sever cerebral pulse. • Burns. • Head trauma . • Gastrointestinal disorder. • Sever refusal to eat food. • Sever food allergy . • Sever cleft lip / cleft palate. • Cancer .

  6. 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.

  7. Disadvantages of GT • Infected . • Lack. • Irritated. • Malfunctioning.

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

  9. Equipments

  10. 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.

  11. Procedure of GT Care Cont’ • Remove old dressing and discard in appropriate waste container. • Pour normal saline for newly placed tube into a medicine cup , wash around stoma; use betadine for healed site. • If the skin become red, irritated, clean site with hydrogen peroxide.

  12. Procedure of GT Care Cont’ • Rinse insertion site with sterile solution (saline) and gauze. • Dry insertion site with gauze. • Apply skin barrier or antibiotic ointment around site. • Apply dressing around and secure loosely with tape.

  13. Procedure of GT Care Cont’ • Secure tube to skin on abdomen at another site with tape. • Discard used supplies. • Keep child in comfortable position. • Wash hand . • Document the procedures.

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