Note

Take care to keep the tube from becoming a strangulation risk to your child. Follow your healthcare team's advice on how to secure the tube safely.

Contact information to keep handy

Ask your child's healthcare team for phone numbers to call if you need help. Also, make sure you have the phone number for your child’s medical supply company. You’ll need to order more supplies for your child in the future. Write down all of these phone numbers below:

Healthcare provider: _____________________________________

Home health nurse: ______________________________________

Medical supply company: __________________________________

Bolus feeding

A bolus feeding is a meal-sized amount of liquid food given through the tube several times a day. Bolus feeding is given through a syringe into the G-tube leading to the stomach. . Your child’s provider or home health nurse will tell you how much liquid food to use for each feeding. You’ll also be told how often to feed your child.

For bolus feeding, fill in the numbers below:

Feed your child on this schedule: _____________________________________________

Give this much at each feeding: ______________________________________________

Feeding your child by gravity

The supplies you’ll need are:

• Liquid food

• Feeding syringe

• Extension tubing

Follow these steps:

• Wash your hands with soap and clean, running water.

• Check the label and expiration date of the liquid food. Don’t use any can or bag of food if the expiration date has passed. Instead, get a new can or bag of food.

• Open the feeding port cap on the G or G-J tube.

• Connect the extension tubing to the feeding port of the G or G-J tube.

• Not all tubes have clamps. If the tube has a clamp, make sure it is closed.

• Pull the plunger out of the feeding syringe.

• Connect the feeding syringe to the other end of the extension tubing.

• Pour the liquid food into the feeding syringe. Fill only to the amount that was prescribed by your child’s provider. 

• Open the clamp on the extension tubing.

• Hold the feeding syringe straight up. This allows the food to run through the G or G-J tube by gravity. Adjust the angle of the feeding syringe to control the flow rate of the food.

• If the food flows too slowly or doesn’t flow at all, place the plunger in the syringe. Gently push the plunger a bit. This can help remove anything that is blocking or clogging the tube. Don't push the plunger all the way into the syringe or with force.

• Refill the feeding syringe with food, if needed. Repeat steps until your child has received the prescribed amount of food.

• After the feeding, flush the extension tubing with water as you were shown in the hospital.

• Disconnect the syringe from the extension tubing.

• Disconnect the extension tubing from the G or G-J tube.

• Close the feeding port cap on the G or G-J tube.

Additional instructions: ______________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

When to call the healthcare provider

Contact the provider right away if any of the following take place:

• You see blood around the tube, in your child’s stool, or in the contents of the stomach. Depending on the amount, you may be advised to call 911.

• The tube feels loose or comes out.

• The opening where the tube enters the skin becomes larger.

• Red, rough tissue forms around the tube site.

• The tube becomes clogged or blocked and you can’t clear it.

• The skin around the tube site has redness, swelling, leaking fluid, or sores.

• Your child coughs, chokes, or vomits while feeding.

• Your child’s belly looks bloated or feels hard when gently pressed.

• Your child has diarrhea or constipation.

• Your child has a fever 100.4°F (40°C) or higher in a child of any age or as directed by the provider.

Call 911

Call 911 if:

• Your child has trouble breathing