Y-port

[Eustacio Gadit]

A10 ml syringe with a Winged Luer Adapter is include with each AMT G-JET Button and micro G-JET. The Winged Luer Adapter facilitates direct G & J port access for physicians to inject contrast dye during placement/replacement of the G-JET device.

NOTE: The AMT G-JET may be placed percutaneously under fluoroscopic or endoscopic guidance or as a replacement to an existing device using an established stoma tract. Placement/Removal is to be performed by a qualified clinician.

NOTE: When replacing any device from the MiniONE Family of Low-Profile G-tubes, it is extremely important to remeasure the stoma site. Stoma site measurements should be performed by a qualified clinician.

AMT has the only FDA cleared balloon button device for antegrade continence enema (ACE) procedures. The MiniACE Button is cleared for both appendicostomy and cecostomy. The MiniACE is a low-profile C-Tube and is designed to reduce leaks, improve comfort, and enhance patient outcomes.

AMT has three main Traditional Length G-Tubes: the Capsule Dome, the Capsule Monarch, and the Balloon G-Tube. These devices are placed through the abdominal wall and have an adjustable external bolster. The adjustable external bolster minimizes surface contact with skin, allowing the tissue around the stoma site to breathe. The adjustable bolster can accommodate stoma lengths up to 10cm. The Capsule Dome and the Capsule Monarch have replacement y-ports based on the French size of the device!

The AMT Button is at the forefront of enteral nutrition innovations. The original button (low-profile feeding device) was co-invented and patented by Dr. Michael Gauderer and Dr. George Picha, the founder of AMT. AMT manufactured the original low profile button for distribution by CR Bard. We offer two types of accessories for the AMT Button, Feed Sets, and Decompression sets!

In nursing school, our instructor never allowed us to hang piggybacks with anything but NS. If a patient had a different fluid infusing (like D5), we would have to grab a 250 ml bag of NS, attach the PB to that, and set the pump to flush approx 30 cc saline after the PB.

And if 2 drugs aren't compatable, is it ok to push or hang them immedietely after one another, as long as gthey don't mix? Again, my instructor said the rule of thumb is to wait 30 minutes.......but I never understood why. Omce it hits the circulatory system, the drug is being perfused and there aren't any risks, IMO. Here at work, they don't wait any given time...they just do it.

It's unrealistic to only have NS as the primary fluid. If you only had one line then you would have to stop the MIV, set up a NS driver and IVPB, run the PB, and then re-set up the MIV, (unless you absolutely have to like if they were on a bicarb gtt or something or you had limited access.)

Plus, if you had the IVPB set up, and forgot to check back on your pt, they could continue to get the NS, or not get their maintenance fluid. Sometimes, something as little as not having the D5 in the fluid can cause low blood sugar in some patients. When I was a tech on a MS floor, I could hear the IVPBs beeping for hours.

Also, we never wait 30 minutes if they're not compatible, just as long as we flush the tubing in between. It's only so the meds don't mix while in the tubing, but beyond that it doesn't matter, so I don't see why she says wait 30 minutes .... what's her rationale there?

A number of the meds we give in our NICU have "terminal site compatibility". What our pharmacy tells us is that the amount of space the drugs can mix in at the end of an IV (remember we're talking babies, so it's a 0.56 in, 24g catheter plus a very small amount of tubing) is not enough to cause a problem. We do have some that are totally incompatible, and we have to start another line. One of our NPs actually designed a tri-set that minimizes the amount of mixing space at the end, so we can run TPN, lipids, and a med together.

There is a period of time that if mixed they wont cause a problem. Usually it is because 2 mixed that are incompatable form a precipitate in the line. If you use the lowest Y port, it minimizes the time that the 2 are exposed and it infuses into the system before it reacts. I say again some instances it is ok, however others you can not mix at all like that.

I've used y-ports myself on my single lumen mediport. Unlike tunneled central lines or double lumen picc's where there actually are two exit spaces, in the y connector I'm talking about the meds/fluids meet at the long part of the "Y." However, you can clamp one side of the Y, then unclamp the other if needed. I mainly used these when I was on both TPN and normal saline, which were debated for a ridiculously long time as to if they were compatible, which they are. Same with fluids and antibiotics, except at home. I think they are used in home health a lot more than hospitals because patients have portable pumps and don't want to be piggybacking a lot since the pumps are programmed and generally not able to be changed by the patient. Does that make sense? I'm not a nurse yet, but I've dealt with a bunch of PICCs, mid-lines, and ports on myself over the past few years...

I think people are confusing "y ports" with splip PICC lines or multi lumen lines. A y connector is only seperate to the I.V. hub- after that- it goes through the same line. Many drugs list compatability as "mixed with" or "OK through Y port" "ok to run through" indicating momentary contact isnt a problem but prolonged contact effects the med.

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