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Enteral tube feeding has taken a major part in home health care. Today, more and more patients are treated in this home health care method of enteral nutrition. This method, also called tube feeding allows patients receive the food they need. The enteral nutrition is a mixture of all the needed nutrients. It is thicker than par- enteral nutrition and is given through a feeding tube in the stomach or small intestine. On the other hand, Par- enteral nutrition is given into the blood with a needle through the patient's vein.





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Feeding tubes may be inserted through the nasal passageway for short-term use, but for those patients who require longer use of the feeding tube, it is customary to place a stomach feeding tube directly into the stomach through the abdominal wall. This second method is called a percutaneous endoscopic gastrostomy (PEG) tube. The stomach feeding tube may also be put in place in anticipation of other treatments such as radiation or chemotherapy, allowing the patient to adapt to its use prior to treatments. Feeding tubes or gastric tubes are not painful and are not easily visible when wearing normal clothes. When not in use, feeding tubes can simple be taped to the patients stomach to prevent them from moving around under clothing.

The gastric tubes are placed with the aid of an endoscope, the scope going down the throat to assist in guiding the placement of the feeding tube through the wall of the stomach. The surgery is simple and involves little risk or discomfort. The procedure takes about 20 minutes. The feeding tube extends from the interior of the stomach to outside the body through a small incision only slightly larger than the tube itself in the abdominal wall. The feeding tube is prevented from coming out of the stomach by one of several methods.




Removal of the stomach feeding tube simply involves cutting the wire which created the pigtail, or deflating the balloon section of the feeding tube allowing it to slip easily from the stomach. About three inches of tubing will protrude from the incision area. Initially, there may be some discomfort while getting used to using the enteral feeding system, from gas or air, or from adjusting to the liquid foods themselves.

An important care is required during the first week the stomach feeding tube is in place, as the surgery has just been performed. The area around the wound must be kept thoroughly clean and covered with clean, gauze. During this period of time the feeding tube may occasionally pull away from the abdominal wall, resulting in leakage around the insertion site. Leakage may also occur if the stoma site becomes enlarged. Excessive tension may cause the stomach feeding tube to be pulled out prematurely.




The Sentinel

The Sentinel feeding pump is both reliable and accurate, and includes advanced, efficient and user friendly features.


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$599.99


Features

  • Large LED monitor allows easy and clear digital display while a clover shaped rotor allows viewing the feeding procedure from a distance.
  • Smart system uses audible and visible alarms which signal the following conditions:
    Occlusion/empty formula container
    Dose complete
    Occluded tube
    Formula excess flow
    Low battery
  • A tubing hook and a drip chamber reduce the risk of pulling out the pump set by accident.
  • An advanced "odometer" saves and analyzes data of previous uses.
  • Polycarbonate housing provides a strong material to withstand hard impacts.
  • Built-in pole clamp allows attaching pump securely in place.
  • Memory is not erased in a power failure or when unit is turned off.
  • The Sentinel feeding pump comes with 1 year limited warranty and offers a range of feeding tubes to go with the pump.
  • Special cap holder for administration set on back of the feeding pump, keeps caps convenient and helps prevent contamination.


    Parts & Functions

  • Display - Clear, large digital display can be read from a distance. Displays are adjustable for brightness for day or night operation.
  • ON button - Operates the pump.
  • OFF button - Shuts the pump.
  • SET DOSE - Dose limit can be set in 1 ml increments up to 2000 ml and then 5 ml increments up to 9999 ml. programming directions are located directly on the pump.
  • Dose Check - keeps a record of the accumulated amount of formula delivered over several feedings.
  • UP button - Increases the feeding rate (max 295 ml/hr).
  • Down button - Decreases the feeding rate (min 5 ml/hr).
  • Clear button - clears all displays, except total accumulated dose, with one, 4-second touch.
  • RUN/STOP button - Starts/stops the feeding procedure.


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    Advantages

  • Easy operation
  • Easy access
  • Simple programming
  • Totally reliable
  • Extremely accurate
  • Extra secured feeding system prevents set removal
  • Alarm identification makes it easy to identify the different alerts
  • Compact and lightweight
  • The smooth, plastic case is easily cleaned with mild soap and water
  • Pump is easily loaded with one hand


    Specifications

    Rates: 5-295 ml/hr in 1 ml increments
    Dose Limit: 1-2000 ml(s) in 1 ml increments/2000-9999 mls in 5 ml increments
    Accuracy: +/- 10%
    Battery: 12 hours at 125 ml/hr
    Recharge: Continuous while unit is plugged into AC outlet
    Memory: Retained without power required
    Size: 7.5" x 9.1" x 5.2" (19 x 23 x 13cm)
    Weight: 5.2 lbs. (2.35kg)


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    Accessories

    Sentinel feeding pump uses a compatible enteral feeding Spike & Bag set for disposable use. The set includes Spikes and tubing (30 units) and Feeding Bags (30 units).
    The Spike & Bag set reduces nursing time and minimizes the risk of bacterial contamination.

    Spike - A patent pending feeding tube spike with integrated Y-port enter the feeding bag maintaining sterilization and minimizing risk for cantamination.
    Feeding Bag - 1000ml bag with a rigid neck for easy filling and handling. Strong, dependable hanging ring. Easy to read graduation marking and an "easy-view" translucent bag. The bag's bottom exit port allows complete drainage.


    Spike Set
    $74.99


    The Spike & Bag set includes 30 spikes, (with a drip chamber, a y-port fitting, a stepped connector, and tubing connecting these components to one another in series), and 30 feeding bags.
    The y-port fitting further includes a body, a plug assembly and an undulating retaining member connecting the plug assembly to the body. Interlocking tip design minimizes possibility of disconnection. The Sentinel spikes are non-IV compatible.