1. Preparation Before Feeding
·         Food and Supplies: Prepare food as prescribed (formula milk, pureed food, or nutritional solutions). Ensure the food is at a lukewarm temperature (approximately 37°C)—neither too hot nor too cold.

·         Clean Equipment: Prepare a clean feeding syringe, cooled boiled water, and clean towels.

·         Patient Positioning: The patient should be in a semi-upright position (head elevated 30-45 degrees). Maintain this position throughout the feeding process and for at least 30 minutes afterward.

2. Feeding Principles
·         Check the Tube: Ensure the tube is not kinked, displaced, or slipped out of position.

·         Flush the Tube: Flush the tube with 20–30ml of clean water before feeding.

·         Administer Food: Feed slowly and steadily; do not push the food in too quickly. Each feeding session should last approximately 15–30 minutes.

·         Post-Feeding Flush: Flush the tube again after feeding to prevent clogs.

·         Contraindications: Do not feed if the patient experiences abdominal pain, nausea, or bloating.

3. Frequency and Volume
·         Divide the daily intake into several small meals.

·         Gradually increase the food volume based on the patient’s tolerance.

·         Ensure adequate daily water intake.

4. Important Precautions
·         Consultation: Do not crush medications and mix them with food without professional medical advice.

·         Food Consistency: Avoid using food that is too thick or has not been thoroughly pureed.

·         Monitoring: Stop feeding immediately and consult a doctor if the patient has severe abdominal pain, persistent vomiting, or a distended abdomen.

5. Daily Care and Hygiene
·         Clean the skin around the PEG site daily with mild soap and water or sterile saline.

·         Gently remove any discharge or crusting.

·         Keep the area dry and change the dressing/gauze daily or whenever it becomes wet or soiled.

·         Avoid using ointments or powders around the tube site unless directed by your physician.