Clogging is especially common when thick formulas and medications are delivered through feeding tubes with smaller French sizes.
If multiple medications must be delivered, it is recommended that each medication be delivered separately.
1. Blumenstein I, Shastri YM, Stein J. Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014. 20(26):8505-24.
2. Kenny, D., & Goodman, P. Care of the patient with enteral tube feeding: An evidence-based practice protocol. Nursing Research. January/February 2010. 59(1S), S22-S31.
Enteral nutrition (EN) has almost completely replaced parenteral nutrition (PN) in burn patients.*
EN is safe, cost effective, and has many clinical advantages over PN for delivering vital nutrition to severely burned patients.*
* Clark, A., Imran, J., Madni, T., Wolf, S. Nutrition and metabolism in burn patients. Burns & Trauma. 2017. 5:11
One community hospital replaced an average of 22 long-term feeding tubes per month.*
Most of the feeding tubes required replacement because they were clogged or dislodged.*
* Shipley, K., Gallo, A., Fields, W. Is Your Feeding Tube Clogged? Maintenance of Gastrostomy and Gastrojejunostomy Tubes. Medsurge Nursing. 2016; 25(4): 224-228.
Improper drug administration can lead to a feeding tube clog, increased toxicity, or reduced efficacy of the drug.*
Medications cause occlusion in approximately 15% of patients with enteral feeding tubes.*
* Beckwith, M. C., Feddema, S. S., Barton, R. G., & Graves, C. (2004). A Guide to Drug Therapy in Patients with Enteral Feeding Tubes: Dosage Form Selection and Administration Methods. Hospital Pharmacy, 39(3), 225–237. https://doi.org/10.1177/001857870403900308
Medication formulations, such as liquid or compressed tablets, are often not appropriate for administration via enteral tubes.*
Certain suspensions, syrups, and acidic elixirs may thicken or clump and clog the feeding tube.*
* Williams, N.T. Medication Administration Through Enteral Feeding Tubes. Am J Health-Syst Pharm, 2008; 65: 2347-2357.
Starting enteral nutrition more than 3 days after ICU admission was associated with increased length of stay.
Critically ill patients should be started on enteral tube feeds within 48 hours of intubation whenever possible.
| 1. Bourgault, A.M., Ipe, L., Weaver, J., Swartz, S., O’Dea, P.J. Development of Evidence-Based Guidelines and Critical Care Nurses ’ Knowledge of Enteral Feeding. Critical Care Nurse, 2007; 27(4):17-29. |
2. Fremont, R. D., Rice, T.W. How soon should we start interventional feeding in the ICU? Curr Opin Gastroenterol. 2014 March; 30(2): 178–181.