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Pictorial instructions on how to flush and feed a j-tube.

Pictorial instructions on how to flush and feed a j-tube.

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Transcript

  • 1. Tubey Tutorial
    Or, how to plug the kid in for the night
  • 2. 1. Gather 3 cans of formula and 1 pump bag.
  • 3. 2. Gently invert the cans to mix, but don’t shake (avoid bubbles.)
  • 4. 3. Measure 125 mLs (half a can) because the total volume required is 2.5 cans.
  • 5. 4. Open the bag and remove the pump bag. Remove the clear cap from the end of the tubing.
  • 6. 6. Open the lid of the bag.
  • 7. 6. Pour the formula in slowly to avoid bubbles. Close the lid firmly.
  • 8. 7. Use Press-And-Seal to close up the half-can remaining and stick it in the fridge. Tomorrow you can use this.
  • 9. 8. Hang the bag on the IV pole.
  • 10. 9. Find the teal tubing on the pump bag. Gently squeeze at the teardrop symbol.
  • 11. 10. Simultaneously squeeze the bag to prime the formula into the tubing.
  • 12. 11. Behold the pump.
  • 13. 12. Open the white door.
  • 14. 15. The teal tubing and plastic cartridge will go in the door.
  • 15. 14. Stretch the teal tubing over the black wheel on the left.
  • 16. 15. Snap the plastic cartridge into the compartment until it clicks in.
  • 17. 16. Close the door securely.
  • 18. 17. Press the On/Off button.
  • 19. 18. After it beeps and displays random numbers, it will show this (rate is 60.)
  • 20. 19. Press the Rate/Dose button.
  • 21. 20. You will see this screen (dose is 600.)
  • 22. 21. Press the Vol/Total button.
  • 23. 22. You will see this (Volume 600.) This tells you how much formula went in the previous night.
  • 24. 23. Press the Clear button.
  • 25. 24. Now the volume is 0 (e.g. she has received 0 of the 600 mLs she needs tonight.)
  • 26. 25. Press Pause to silence the alarm if it gets impatient during your next step.
  • 27. 26. Get a large syringe and some clean drinking water (tap is fine.)
  • 28. 27. Draw up about 15 mLs (1/2 oz.)
  • 29. 28. Insert the water-filled syringe into the extension set.
  • 30. 29. Push water into the extension set until it’s primed (drops come out.)
  • 31. 30. Close the clamp at the end of the extension.
  • 32. 31. Expose button.
  • 33. 32. Open the button (like a beach ball valve.)
  • 34. 33. Insert the extension so the black hash marks line up. Push in until it clicks.
  • 35. 42. Rotate extension clockwise.
  • 36. 35. Open the clamp.
  • 37. 36. Flush the water in.
  • 38. 37. Close the clamp again.
  • 39. 38. Remove the syringe from the extension.
  • 40. 39. Insert the red end of the pump bag into the extension. Not TOO tight or it will never come out! About this far in.
  • 41. 40. Get the “AMT Clamp” ready.
  • 42. 41. Wrap the smaller half around the extension and close the band.
  • 43. 42. Do the same with the larger side under the red part. This keeps the two pieces snugly together overnight.
  • 44. 43. Open the clamp back up!
  • 45. 44. Press and hold the Prime button.
  • 46. 45. Watch the formula flow through the extension.
  • 47. 46. When the white formula reaches the button, let go of the Prime button.
  • 48. 47. Press Run/Pause to start the feed.
  • 49. 48. If you press Vol/Total, it will show you how much formula has infused so far.
  • 50. 49. See? So far, 1 mL. (it should say “run” in the corner.)
  • 51. 50. Make sure she has an overnight diaper (sleeping Mickey.) Velcro the tube under the diaper tab like this.
  • 52. This way if she rolls over, it won’t yank her tummy.
  • 53. 52. Pull down her shirt, cover with blankie, and kiss good night!