Discharge Instructions: Caring for Your Jejunostomy Tube (J-Tube) - Fairview Health Services
 
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Discharge Instructions: Caring for Your Jejunostomy Tube (J-Tube)

You have been discharged with a feeding tube, called a jejunostomy tube, or J-tube. The J-tube was inserted through the skin and into the small bowel to allow for feeding directly into the small bowel. Your feeding tube was inserted because you are not able to take in enough food or drink through your mouth to maintain your normal body weight. You were shown how to care for your J-tube in the hospital. This sheet helps you remember the steps when you’re at home.

The name of my feeding supplement/formula is:

______________________________________

Amount per feeding:  _____________________

Times per day: __________________________

Amount of water used to flush tube:

______________________________________

Guidelines for Continuous Tube Feeding

  • Make arrangements for a special feeding pump to be delivered to your home.

  • Do not give medications through your J-tube.

  • Keep tension off the tubing by taping it up onto your abdomen

Clean Around the Tube

  • Wash your hands thoroughly with mild soap and water before starting your feeding.

  • Clean the area around the tube with mild soap and water.

  • Pat the area dry using a clean washcloth.

Get Ready

  • Assemble the supplies you will need, which include formula, water, feeding bag, pump, and a 30 to 60 ml syringe.

  • Close the clamp on the feeding bag tubing.

  • Slowly pour the formula into the feeding bag. Use the prescribed amount of feeding.

  • Hang the feeding bag on the pole about 1 to 2 feet above your head.

Begin Feeding

  • Open the clamp and allow the formula to fill the entire tubing, clearing any air.

  • Close the clamp.

  • Connect the feeding bag tubing to the pump; adjust the settings on the pump.

  • Using the syringe, flush the J-tube with the prescribed amount of water.

  • Connect the tubing of the feeding bag to the J-tube.

  • Open the clamp; start the pump.

After the Feeding

  • When the feeding is finished, stop the infusion and flush the J-tube with the prescribed amount of water.

  • Stop the feeding once each day to clean the bag. Wash the feeding bag with soapy water.

  • Rinse the bag thoroughly so that there is no soapy film in the bag. Hang the bag to dry.

  • Flush the J-tube with the prescribed amount of water every 4 to 6 hours through the flush port. If there is no flush port: Stop the pump, disconnect the feeding bag tubing, and flush the J-tube.

Follow-Up

Make a follow-up appointment as directed by our staff.

When to Call Your Doctor

Call your doctor right away if you have any of the following:

  • A tube that is clogged or dislodged

  • Vomiting

  • Fever of 100.4°F or higher, or chills

  • Diarrhea that lasts more than 2 days

  • Signs of infection (redness, swelling, or warmth at the tube site)

  • Drainage from the tube site

  • Weight loss of 2 or more pounds in 24 hours

  • Decreased urination

 

 
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