Halyard MIC J FEEDING TUBE WITH ENFit CONNECTOR, Patient Care Instructions

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5
Problem Solving
Problem Cause Remedy
1. Gastric leakage. The External Retention Ring
is not properly adjusted or
the balloon is not against the
stomach wall.
The balloon is under-inflated.
Adjust the External Retention Ring. It should be 1–2 mm (about the
thickness of a dime) from the skin. Once you have adjusted the ring,
check the water volume in the balloon. Do not add more water to
the balloon before you first withdraw all of the water originally used
to fill the balloon.
Note: The maximum balloon volume is 10 ml. Do not exceed that
amount.
Make sure that the skin around the tube (stoma) is clean and dry.
Wait 15 minutes and check to see if the problem has been corrected.
If the problem has not been corrected, notify your physician.
2. External
Retention Ring
slips.
Build-up of skin oils or other
lubricants on the tube.
Clean the tube and the External Retention Ring with warm,
soapy water. After cleaning, re-adjust the External Retention Ring,
1–2 mm (about the thickness of a dime) away from the skin, and
make sure the balloon is up against the stomach wall. DO NOT
APPLY EXCESSIVE TENSION. Check in one hour to be sure that the
External Retention Ring is still holding the tube properly in place. If
the problem has not been corrected, notify your physician.
3. Tube decreasing
in length.
Oily build-up on tube resulting
in slippage of the External
Retention Ring.
Clean the tube and the External Retention Ring following the
instructions in #2 above.
4. Tube increasing in
length.
Balloon under-inflated or
inoperative.
Withdraw water from the balloon and compare the volume against
the amount originally used to fill the balloon. If the balloon is
under-inflated, fill again to the original, prescribed volume. Recheck
the volume periodically. If size continues to change, notify your
physician.
5. Balloon leak or
rupture.
Variable. Notify your physician.
6. Patient vomits
and/or aspirates
stomach
contents.
Jejunal lumen in the stomach
instead of the jejunem.
Formula flow rate too high.
Notify your physician.
7. Formula will
not flow freely
through jejunal
tube.
Jejunal lumen kinked or
clogged.
Irrigate with 20–30 ml water (adults), or 10–15 ml (children). If
resistance is felt or water does not flow freely, notify your physician
immediately.