Nutrition Administration
1. Open the cap to an access port of the MIC* PEG Tube and unclamp the tube.
2. Use an ENFit™ syringe to flush the tube with the prescribed amount of water as
described in the General Flushing Guidelines.
3. Remove the flushing syringe from the access port.
4. Securely connect an ENFit™ feed set or an ENFit™ syringe to the access port.
Caution:
Do not over-tighten the feed set connector or the syringe to the
access port.
5. Complete feeding per the clinician’s instructions.
6. Remove the feed set or syringe from the access port.
7. Use an ENFit™ syringe to flush the tube with the prescribed amount of water as
described in the General Flushing Guidelines.
8. Remove the flushing syringe from the access port.
9. Close the cap to the access port.
Medication Administration
Use liquid medication when possible and consult the pharmacist to determine if
it is safe to crush solid medication and mix with water. If safe, pulverize the solid
medication into a fine powder form and dissolve the powder in warm water before
administering through the feeding tube. Never crush enteric coated medication or
mix medication with formula.
1. Open the cap to an access port of the MIC* PEG Tube and unclamp the tube.
2. Use an ENFit™ syringe to flush the tube with the prescribed amount of water as
described in the General Flushing Guidelines.
3. Remove the flushing syringe from the access port.
4. Securely connect an ENFit™ syringe containing the medication to the access port.
Caution:
Do not over-tighten the syringe to the access port.
5. Deliver the medication by depressing the ENFit™ syringe plunger.
6. Remove the syringe from the access port.
7. Use an ENFit™ syringe to flush the tube with the prescribed amount of water as
described in the General Flushing Guidelines.
8. Remove the flushing syringe from the access port.
9. Close the cap to the access port.
Gastric Decompression
Gastric decompression may be performed via either gravity drainage or low
intermittent suction.
1. Open the cap to the access port of the MIC* PEG Tube and unclamp the tube.
2. For gravity drainage, place the opened access port of the MIC* PEG Tube directly
over the opening of an appropriate container.
Note:
Ensure the open access port is positioned below the stoma.
3. For low intermittent suction, connect an ENFit™ syringe to the access port.
4. Apply low intermittent suction by slowly retracting the plunger of the syringe in
short intervals.
Caution:
Do not use continuous or high pressure suction. High pressure
could collapse the tube or injure the stomach tissue and cause bleeding.
5. Disconnect the decompression syringe from the access port.
6. Use an ENFit™ syringe to flush the tube with the prescribed amount of water as
described In the General Flushing Guidelines.
7. Remove the flushing syringe from the access port.
8. Close the cap to the access port.
Daily Care & Maintenance Check List
Assess the patient
Assess the patient for any signs of pain, pressure or
discomfort.
Assess the stoma
site
Assess the patient for any signs of infection, such
as redness, irritation, edema, swelling, tenderness,
warmth, rashes, purulent, or gastrointestinal drainage.
Assess the patient for any signs of pressure necrosis,
skin breakdown, or hypergranulation tissue.
Clean the stoma
site
Use warm water and mild soap.
Use a circular motion moving from the tube outwards.
Clean sutures, external bolsters and any stabilizing
devices using a cotton-tipped applicator.
Rinse thoroughly and dry well.
Assess the tube
Assess the tube for any abnormalities such as damage,
clogging, or abnormal discoloration.
Clean the feeding
tube
Use warm water and mild soap being careful not to
pull or manipulate the tube excessively.
Rinse thoroughly and dry well.
Clean the gastric
ports
Use a cotton tip applicator or soft cloth to remove all
residual formula and medication.
Rotate the tube
Rotate the tube 360 degrees plus a quarter turn daily.
Verify placement of
the external bolster
Verify that the external bolster rests 1–2 mm above
the skin.
Flush the feeding
tube
Flush the feeding tube as described in the General
Flushing Guidelines section above.
Tube Occlusion
Tube occlusion is generally caused by:
• Poor flushing techniques
• Failure to flush after measurement of gastric residuals
• Inappropriate administration of medication
• Pill fragments
• Thick formulas, such as concentrated, blenderized, or enriched formulas that are
generally thicker and may contain particulates
• Formula contamination that leads to coagulation
• Reflux of gastric or intestinal contents up the tube
To Unclog a Tube
1. Make sure that the feeding tube is not kinked or clamped off.
2. If the clog is visible above the skin surface, gently massage or milk the tube
between fingers to break up the clog.
3. Connect an ENFit™ syringe filled with warm water into the appropriate access
port of the tube and gently pull back on then depress the plunger to dislodge the
clog.
4. If the clog remains, repeat step #3. Gentle suction alternating with syringe
pressure will relieve most obstructions.
5. If this fails, consult with the physician. Do not use cranberry juice, cola drinks,
meat tenderizer or chymotrypsin, as they can actually cause clogs or create
adverse reactions in some patients. If the clog is stubborn and cannot be
removed, the tube will have to be replaced.
Warning: For enteral nutrition and/or medication only.
For more information, please call 1-844-425-9273 in the United States, or visit our
website at halyardhealth.com.
Educational Booklets: “A Guide to Proper Care” and “A Stoma Site and Enteral Feeding
Tube Troubleshooting Guide” is available upon request. Please contact your local
representative or contact Customer Care.
MIC
*
PERCUTANEOUS ENDOSCOPIC
GASTROSTOMY (PEG) KIT
with ENFit™ Connectors
Instructions for Use
PULL
Technique
Distributed in the USA by Halyard Sales, LLC, Alpharetta, GA 30004 • In USA, please call 1-844-425-9273 • halyardhealth.com
Halyard Health, Inc., 5405 Windward Parkway, Alpharetta, GA 30004 USA; Halyard Belgium BVBA, Leonardo Da Vincilaan 1, 1930 Zaventem, Belgium
Sponsored in Australia by Halyard Australia Pty Limited; 52 Alfred Street, Milsons Point, NSW 2061
製造販売元 ハリヤード・ヘルスケア・インク 横浜市西区みなとみらい二丁目2番1号
*
Registered Trademark or Trademark of Halyard Health, Inc., or its affiliates. © 2015 HYH. All rights reserved. 2016-03-21
15-H1-650-0-00 / 70202877
™ ENFit is a registered trademark of GEDSA used with their permission.
Sterilized using
Ethylene oxide
Do not use
if package
is damaged
Rx Only
Consult
instructions
for use
Caution
Do not
resterilize
Single Use
Only
