Feeding secara ringkasnya adalah cara kami memberi makanan kepada Muhammad Solehuddin..Muhammad Solehuddin tidak boleh makan atau minum seperti kanak-kanak normal yang lain..Muhammad Solehuddin hanya minum susu yang dicampur dengan bijirin melalui ‘feeding tube’..
Bagi pengendalian prosedur ‘feeding’..terdapat beberapa prosedur yang perlu dilaksanakan..artikel lanjut penerangan prosedur ini adalah seperti dibawah..
Your Child’s Nasogastric Tube: A Comprehensive Guide to Care–
Bagi pengendalian prosedur ‘feeding’..terdapat beberapa prosedur yang perlu dilaksanakan..artikel lanjut penerangan prosedur ini adalah seperti dibawah..
University of Minnesota Masonic Children's Hospital
http://www.uofmchildrenshospital.org
Home Care: Feeding Your Child
There are two types of feeding that can be done with an NG tube:
Bolus feeding. A meal-sized amount of liquid food is given through the tube several times a day. Bolus feeding is given using a syringe or a pump.
Continuous feeding. Liquid food is dripped slowly through the tube. Continuous feeding is given using a pump.
Your child may be prescribed one or both types of feeding. Detailed instructions for each type of feeding are given below.
Bolus Feeding Using a Syringe
Your child’s health care provider or home health nurse will tell you how much liquid food to use for each bolus feeding. You’ll also be told how often to feed your child every day. Write these numbers below:
How much to give at each feeding: _________________________
How often to feed: __________________________
Supplies
NG tube
Liquid food
Feeding syringe
5-to-10 cc/mL syringe (for flushing)
Water (for flushing)
Steps
Wash your hands with soap and water.
Check the placement of the tube to confirm that it’s in the stomach (as you were shown in the hospital). Always do this BEFORE starting a feeding.
Check the label and expiration date of the liquid food. Don’t use any can (or bag) if the expiration date has passed. Instead, get a new can (or bag).
Open the feeding port cap at the end of the tube.
Pull the plunger out of the feeding syringe.
Connect the feeding syringe to the feeding port of the tube.
Gently bend or pinch the tube with one hand. Keep bending or pinching the tube as you slowly pour the food into the feeding syringe with your other hand. This keeps the food from flowing through the tube until you have finished measuring it.
Fill the feeding syringe only to the amount that was prescribed by your child’s health care provider.
Release the hand that is bending or pinching the tube.
Hold the feeding syringe straight up. This allows the food to run through the tube by gravity. Adjust the angle of the feeding syringe to control the flow rate of the food.
If the food flows too slowly or doesn’t flow at all, place the plunger in the syringe. Gently, push the plunger a bit. This can help remove anything that is blocking or clogging the tube. Do not push the plunger all the way into the syringe or with force.
Refill the feeding syringe with food, if needed. Repeat steps until your child has received the prescribed amount of food.
After the feeding, flush the tube with water (as you were shown in the hospital).
Disconnect the feeding syringe.
Close the feeding port cap of the tube.
Wash your hands with soap and water when you are done.
Additional
instructions: _________________________
Bolus Feeding or Continuous Feeding Using a Pump
For bolus feeding, your child’s health care provider or home health nurse will tell you how much liquid food to use for each feeding. You’ll also be told how often to feed your child every day. Write these numbers below:
How much to give at each feeding: _____________
How often to feed: __________________________
For continuous feeding, the amount of food to be given and time frame are often set on the pump for you. Do not change pump settings unless you’re instructed to do so.
Supplies
NG tube
Liquid food
Clean feeding bag with tubing
Feeding pump
5-to-10 cc/mL syringe (for flushing)
Water (for flushing)
Steps
Wash your hands with soap and water.
Make sure the pump is in the STOP/OFF mode.
Check the placement of the tube to confirm that it’s in the stomach (as you were shown in the hospital). Always do this BEFORE starting a feeding.
Check the label and expiration date of the liquid food. Don’t use any can (or bag) if the expiration date has passed. Instead, get a new can (or bag).
Make sure the clamp on the feeding bag tubing is closed.
Pour a little more than the prescribed amount of liquid food into the feeding bag. Close the top of the bag.
Hang the feeding bag on the pole above the pump. Make sure the feeding bag tubing hangs straight.
Open the clamp on the feeding bag tubing slowly. Let a small amount of food run through the end of the feeding bag tubing. This clears air out of the feeding bag tubing. It also helps keep your child from having gas later.
Load the feeding bag tubing into the pump.
Close the clamp on the feeding bag tubing.
Open the feeding port cap at the end of the NG tube.
Connect the feeding bag tubing to the feeding port of the NG tube.
Open the clamp on the feeding bag tubing.
Check that the settings on the pump are correct.
Turn the pump to START/ON.
After the feeding, flush the tube with water (as you were shown in the hospital).
Disconnect the syringe from the NG tube.
Close the feeding port cap of the NG tube.
Wash your hands with soap and water when you are done.
Additional
instructions: ____________________
Home Care: Flushing the Tube
One of the things you must do is flush your child’s tube regularly to keep it from getting clogged. Detailed instructions are given below.
Flushing the Tube for Bolus Feeding Using a Syringe
Flush your child’s NG tube after each feeding or as instructed by your child’s health care provider or home healthnurse.
Supplies
Feeding syringe
Water
Steps
Wash your hands with soap and water.
The feeding syringe should already be connected to the NG tube.
Pour water into the syringe. Let it run through the NG tube by gravity.
If the water flows too slowly or doesn’t flow at all, place the plunger in the syringe. Gently, push the plunger a bit. This can help remove anything that is blocking or clogging the NG tube. Do not push the plunger all the way into the syringe or with force. Changing the child’s position so that he or she is lying down or sitting upright may also improve the flow.
Disconnect the syringe from the NG tube when the flushing is complete.
Close the feeding port cap of the NG tube.
Wash your hands with soap and water when you are done.
Additional
instructions: _____________________
Flushing the Tube for Bolus Feeding or Continuous Feeding Using a Pump
Flush your child’s NG tube after each bolus feeding, or as instructed by your child’s health care provider or home health nurse. With continuous feeding, you may only need to flush the tube after the last daily feeding.
Supplies
5-to-10 cc/ml syringe
Water
Steps
Wash your hands with soap and water.
Make sure the pump is in the STOP/OFF mode.
Make sure the clamp on the feeding bag tubing is closed.
Disconnect the feeding bag tubing from the NG tube.
Put the tip of the empty syringe in water.
Draw up 5-to-10 cc/mL of water.
Connect the syringe to the feeding port of the NG tube.
Gently push the plunger all the way into the syringe.
Disconnect the syringe from the NG tube when the flushing is complete.
Close the feeding port cap of the NG tube.
Wash your hands with soap and water when you are done.
Additional
instructions: _________________
Call the doctor right away if any of the following occurs:
You’re unable to place the tube.
Your child has trouble breathing.
Redness, swelling, leakage, sores, or pus develops in the skin around the tube site.
You see blood around the tube, in child’s stool, or in contents of the stomach.
Your child coughs, chokes, or vomits while feeding.
Your child has a bloated or rigid abdomen (belly feels hard when gently pressed).
Your child has diarrhea or constipation.
Fever:
In an infant under 3 months old, a rectal temperature of 100.4°F (38.0°C) or higher
In a child 3 to 36 months, a rectal temperature of 102.0°F (39.0°C) or higher In a child of any age who repeatedly has a temperature of 104.0°F (40.0°C) or higher
A fever that lasts more than 24 hours in a c
Home Care: Feeding Your Child
There are two types of feeding that can be done with an NG tube:
Bolus feeding. A meal-sized amount of liquid food is given through the tube several times a day. Bolus feeding is given using a syringe or a pump.
Continuous feeding. Liquid food is dripped slowly through the tube. Continuous feeding is given using a pump.
Your child may be prescribed one or both types of feeding. Detailed instructions for each type of feeding are given below.
Bolus Feeding Using a Syringe
Your child’s health care provider or home health nurse will tell you how much liquid food to use for each bolus feeding. You’ll also be told how often to feed your child every day. Write these numbers below:
How much to give at each feeding: _________________________
How often to feed: __________________________
Supplies
NG tube
Liquid food
Feeding syringe
5-to-10 cc/mL syringe (for flushing)
Water (for flushing)
Steps
Wash your hands with soap and water.
Check the placement of the tube to confirm that it’s in the stomach (as you were shown in the hospital). Always do this BEFORE starting a feeding.
Check the label and expiration date of the liquid food. Don’t use any can (or bag) if the expiration date has passed. Instead, get a new can (or bag).
Open the feeding port cap at the end of the tube.
Pull the plunger out of the feeding syringe.
Connect the feeding syringe to the feeding port of the tube.
Gently bend or pinch the tube with one hand. Keep bending or pinching the tube as you slowly pour the food into the feeding syringe with your other hand. This keeps the food from flowing through the tube until you have finished measuring it.
Fill the feeding syringe only to the amount that was prescribed by your child’s health care provider.
Release the hand that is bending or pinching the tube.
Hold the feeding syringe straight up. This allows the food to run through the tube by gravity. Adjust the angle of the feeding syringe to control the flow rate of the food.
If the food flows too slowly or doesn’t flow at all, place the plunger in the syringe. Gently, push the plunger a bit. This can help remove anything that is blocking or clogging the tube. Do not push the plunger all the way into the syringe or with force.
Refill the feeding syringe with food, if needed. Repeat steps until your child has received the prescribed amount of food.
After the feeding, flush the tube with water (as you were shown in the hospital).
Disconnect the feeding syringe.
Close the feeding port cap of the tube.
Wash your hands with soap and water when you are done.
Additional
instructions: _________________________
Bolus Feeding or Continuous Feeding Using a Pump
How much to give at each feeding: _____________
How often to feed: __________________________
For continuous feeding, the amount of food to be given and time frame are often set on the pump for you. Do not change pump settings unless you’re instructed to do so.
Supplies
NG tube
Liquid food
Clean feeding bag with tubing
Feeding pump
5-to-10 cc/mL syringe (for flushing)
Water (for flushing)
Wash your hands with soap and water.
Make sure the pump is in the STOP/OFF mode.
Check the placement of the tube to confirm that it’s in the stomach (as you were shown in the hospital). Always do this BEFORE starting a feeding.
Check the label and expiration date of the liquid food. Don’t use any can (or bag) if the expiration date has passed. Instead, get a new can (or bag).
Make sure the clamp on the feeding bag tubing is closed.
Pour a little more than the prescribed amount of liquid food into the feeding bag. Close the top of the bag.
Hang the feeding bag on the pole above the pump. Make sure the feeding bag tubing hangs straight.
Open the clamp on the feeding bag tubing slowly. Let a small amount of food run through the end of the feeding bag tubing. This clears air out of the feeding bag tubing. It also helps keep your child from having gas later.
Load the feeding bag tubing into the pump.
Close the clamp on the feeding bag tubing.
Open the feeding port cap at the end of the NG tube.
Connect the feeding bag tubing to the feeding port of the NG tube.
Open the clamp on the feeding bag tubing.
Check that the settings on the pump are correct.
Turn the pump to START/ON.
After the feeding, flush the tube with water (as you were shown in the hospital).
Disconnect the syringe from the NG tube.
Close the feeding port cap of the NG tube.
Wash your hands with soap and water when you are done.
Additional
instructions: ____________________
Home Care: Flushing the Tube
One of the things you must do is flush your child’s tube regularly to keep it from getting clogged. Detailed instructions are given below.
Flushing the Tube for Bolus Feeding Using a Syringe
Flush your child’s NG tube after each feeding or as instructed by your child’s health care provider or home healthnurse.
Supplies
Feeding syringe
Water
Steps
Wash your hands with soap and water.
The feeding syringe should already be connected to the NG tube.
Pour water into the syringe. Let it run through the NG tube by gravity.
If the water flows too slowly or doesn’t flow at all, place the plunger in the syringe. Gently, push the plunger a bit. This can help remove anything that is blocking or clogging the NG tube. Do not push the plunger all the way into the syringe or with force. Changing the child’s position so that he or she is lying down or sitting upright may also improve the flow.
Disconnect the syringe from the NG tube when the flushing is complete.
Close the feeding port cap of the NG tube.
Wash your hands with soap and water when you are done.
Additional
instructions: _____________________
Flushing the Tube for Bolus Feeding or Continuous Feeding Using a Pump
Flush your child’s NG tube after each bolus feeding, or as instructed by your child’s health care provider or home health nurse. With continuous feeding, you may only need to flush the tube after the last daily feeding.
Supplies
5-to-10 cc/ml syringe
Water
Steps
Wash your hands with soap and water.
Make sure the pump is in the STOP/OFF mode.
Make sure the clamp on the feeding bag tubing is closed.
Disconnect the feeding bag tubing from the NG tube.
Put the tip of the empty syringe in water.
Draw up 5-to-10 cc/mL of water.
Connect the syringe to the feeding port of the NG tube.
Gently push the plunger all the way into the syringe.
Disconnect the syringe from the NG tube when the flushing is complete.
Close the feeding port cap of the NG tube.
Wash your hands with soap and water when you are done.
Additional
instructions: _________________
Call the doctor right away if any of the following occurs:
You’re unable to place the tube.
Your child has trouble breathing.
Redness, swelling, leakage, sores, or pus develops in the skin around the tube site.
You see blood around the tube, in child’s stool, or in contents of the stomach.
Your child coughs, chokes, or vomits while feeding.
Your child has a bloated or rigid abdomen (belly feels hard when gently pressed).
Your child has diarrhea or constipation.
Fever:
In an infant under 3 months old, a rectal temperature of 100.4°F (38.0°C) or higher
In a child 3 to 36 months, a rectal temperature of 102.0°F (39.0°C) or higher In a child of any age who repeatedly has a temperature of 104.0°F (40.0°C) or higher
A fever that lasts more than 24 hours in a c
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