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Factors that contribute to tube clogging pt.1 – Tuesday Tube Facts

Did you know…?

Factors such as narrow tube internal diameter, longer feeding tubes, tube tip location, slow feeding infusion rates, and formation of EN formula precipitate from contact with acidic gastric secretions contribute to the risk of tube clogging.[1]

References:

  1. Escuro, A.A., Burns, B., McLaughlin, K., Lopez, R. and Cresci, G.A. (2020), Dietitians’ Evaluation of Clearing Luminal Occlusions of Gunk (DECLOG): A Pilot Feasibility Study. Nutrition in Clinical Practice, 35: 142-148. https://doi.org/10.1002/ncp.10318

Medication suitable for manipulation – Tuesday Tube Facts

Did you know…?

Before a medication in a solid dosage form is administered through a feeding tube, it should be determined if the medication is suitable for manipulation, such as crushing a tablet or opening a capsule.[1]

References:

  1. Williams NT. Medication administration through enteral feeding tubes. Am J Health Syst Pharm. 2008 Dec 15;65(24):2347-57. doi: 10.2146/ajhp080155. PMID: 19052281.

95% obstruction of feeding tubes – Tuesday Tube Facts

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Obstruction in feeding tubes was reported in 95% of the admixtures with incompatibility.[1]

Managing the schedule of administration of nutrition and medication, and giving enough interval time between medications will theoretically reduce the incidence of medication-nutrition interactions, and diminish incompatibilities that cause obstructions.[1]

References:

  1. Hosam Mohammed Alsamet, Considerations regarding oral medications delivery to patients on nasoenteral tubes, Nutrition Clinique et Métabolisme, Volume 36, Issue 1, 2022, Pages 21-27, https://doi.org/10.1016/j.nupar.2021.09.002.

EN-related readmissions – Tuesday Tube Facts

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Among EN-related readmissions, 44.6% (33/72) documented enteral access device-related issues, 40.5% (30/74) cited symptoms attributed to EN, and 14.9% (11/74) attributed sodium imbalance from dehydration.[1]

References:

  1. Palchaudhuri, S, Mehta, SJ, Snider, CK, et al. Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr. 2022; 1- 5. doi:10.1002/jpen.2331

FDA Feeding Tube Warning – Tuesday Tube Facts

Did you know…?

The FDA has put out a warning & recommendation for pediatric feeding tubes. If your child is injured by a feeding set tubing, please report the event to the FDA. Your report, along with information from other sources, can provide information that helps improve patient safety.[1]

References:

  1. Pedersen, Amanda. “FDA Warns of Pediatric Feeding Tube Strangulation.” Medical Device and Diagnostic Industry, 8 Feb. 2022, https://www.mddionline.com/regulatory-quality/fda-warns-pediatric-feeding-tube-strangulation?ADTRK=InformaMarkets&elq_mid=20876&elq_cid=8727