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Pictorial instructions on how to flush and feed a j-tube.
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Tubey101
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!
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