Stepbystep guide on how to do milk feed via Percutaneous Endoscopic Gastrostomy (PEG) tube by NUH nurse.

Steps to do milk feed via PEG tube:
1) Wash your hands with soap and dry them with a clean towel
2) Gather the items required for the feed or medication
3) Sit the patient at an angle of 30 – 45 degrees
4) Open the cap of the feeding port and insert the end of the syringe into it
5) Flush PEG tube by pouring 30 ml of water into the syringe
6) Pour the can of milk into the syringe
7) Flush the PEG tube with 30 ml of water

Tip:
Reduce introduction of air into stomach by pouring water into the syringe before milk empties completely

Note:
1) Do not use your own homemade formula or add in any of your own supplements, as it may increase the risk of bacterial infection or lead to blockage of the tube. The milk should be at room temperature during feeding.

2) Medication is the most common cause of tube blockage. Your pharmacist will go through all your prescribed medicine and advise if any of them needs to be changed to a more suitable form and less likely to cause blockage.

3) Medication should be given through the tube one at a time, and you should flush the tube with water before and after each medication.

4) Wash the feeding syringe with soap and water to keep it clean.

5) PEG tube should be changed every six months but your doctor or PEG nurse will decide on the specific interval.

6) If you find the length of the tube bothersome, you can consider a lowprofile tube which sits at skin level. It is easier to manage, and there is lesser chance of accidental tugging of the tube. Discuss with your healthcare professional to learn more about this option.

00:00 Introduction
00:14 What is a PEG tube?
01:49 Steps on how to do milk feed via PEG tube
03:30 Important notes
04:30 Frequently asked questions

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