Parents are being taught how to feed their infant using a newly placed gastrostomy tube (G-tube). What is essential information for the parents to receive?
a. Verify placement before each feeding.
b. Use a syringe with a plunger to give the infant bolus feedings.
c. Position the infant on the right side during and after the feeding.
d. Beefy red tissue around the G-tube site must be reported to the practitioner.
ANS: C
Positioning on the right side during and after feedings helps minimize the risk of aspiration. It is not necessary to verify placement before each feeing. G-tubes are inserted into the stomach and sutured in place. If the tube is through the skin, it is in the stomach. Feedings should be given by gravity flow. The plunger may be used to initiate the feeding, but then the formula should be allowed to flow. Beefy red tissue around the G-tube site is normal granulation tissue that is expected.
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