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Unclogging Jejunostomy Tubes

We all get called to the ER with this problem. A patient who has a jejunostomy tube presents with it clogged. First, I try irrigation with warm water. Then there is the Clog Zapper which is pancreatic enzymes. I find that using the thin blue tip attached to the syringe allows me to do multiple takes of pushing and pulling really fast to almost dissolve the clogged material.

My question is, what do you do to manage clogged jejunostomy tubes or clogged feeding tubes? What are steps 1, 2, 3, 4, etc for you?


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