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NURSING CARE THE CLIENT WITH A GASTROSTOMY OR …

CHAPTER 21 / NURSING care of clients with Upper Gastrointestinal Disorders 569. NURSING care THE CLIENT with A GASTROSTOMY OR JEJUNOSTOMY TUBE. clients who have had extensive gastric surgery or who require tion. Once healing has occurred, clean technique is acceptable long-term enteral feedings to maintain nutrition may have a gas- because the gastrointestinal tract is not a sterile body cavity. trostomy or jejunostomy tube inserted. Wearing clean gloves, remove old dressing. Cleanse the site with saline or soap and water, and rinse as appropriate. A well- PROCEDURE healed stoma may be cleansed in the shower with the tube GASTROSTOMY tubes are surgically placed in the stomach, with the clamped or plugged.

CHAPTER 21 / Nursing Care of Clients with Upper Gastrointestinal Disorders 569 A Figure 21–15 Gastronomy.A, Gastronomy tu be placement. B, The tube is fixed against both the abdomen and stomach walls by cross bars.

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