Gallery
Photos from events, contest for the best costume, videos from master classes.
 |  |
 |  |
 |  |
 |  |
 |  |
 |  |
In these instances, the use of alternative routes can be quite beneficial. Both nutrition and medication administration can be improved or maintained through the appropriate use of enteral alternatives such as gastrostomy tubes (GT), nasogastric tubes (NG), gastrostomy buttons (G-Buttons; GB), jejunostomy tubes (JT), and nasojejunal tubes (NJ). Gabapentin can be given with or without food. Note . If necessary, Gabapentin Colonis 50 mg/ml Oral Solution can be administered via intragastric feeding tubes (nasogastric (NG) or percutaneous endoscopic gastrostomy (PEG) tubes). Tubes should be rinsed twice with 10 ml of water immediately after administration. For further information see Some oral solutions are licensed for administration via NG/PEG feeding tubes, check product information for specific advice. Notes NICE guidelines advise that patients prescribed Gabapentin for epilepsy should receive the same formulation consistently. Some medications may be given via an EFT while others are unsuitable for this form of administration. Inappropriate drug selection for EFT administration can cause potential toxicity, reduced efficacy, and tube obstruction. Instructions for administration via nasogastric (NG) or percutaneous endoscopic gastrostomy (PEG) tubes. Ensure that the enteral feeding tube is free from obstruction before administration. Flush the enteral tube with water, using the minimum fl ush volume required. 2. Types of enteral feeding tube 4 3. Flushing enteral feeding tubes 9 4. Restoring and maintaining patency of enteral feeding tubes 15 5. Drug therapy review 23 6. Choice of medication formulation Alimemazine (Trimeprazine) tartrate25 7. The legal and professional consequences of administering drugs via enteral feeding tubes 38 8. Meds CAN be given through a J-tube, I've seen it many times with kids whose G-tubes are to drainage 24/7. Some have G/J tubes with G for meds and J for feeds while others have G/J tubes where the J is used for everything and the G is used for drainage only. That said, it sounds like in this patient, the meds are supposed to be given through the G. Some enteral tubes can be inserted through the nose and are 100 intended for short-term use, typically less than 4 weeks. Enteral tubes for chronic use (greater Only liquid medications can be given through the G-tube. If the medication comes in a capsule, open the capsule and mix the content in 5mL of warm water. If the medication comes as a pill, please ask your pharmacist if it can be crushed and mixed with water. medication administration can be improved or maintained through the appropriate use of enteral alternatives such as gastrostomy tubes (GT), nasogastric tubes (NG), gastrostomy buttons (G-Buttons; GB), jejunostomy tubes (JT), and nasojejunal tubes (NJ). 2. Types of enteral feeding tube 4 3. Flushing enteral feeding tubes 9 4. Restoring and maintaining patency of enteral feeding tubes 15 5. Drug therapy review 23 6. Choice of medication formulation Alimemazine (Trimeprazine) tartrate25 7. The legal and professional consequences of administering drugs via enteral feeding tubes 38 8. Crushing tablets, opening capsules and administration via feeding tubes usually falls outside a drug’s product license and presents an increased risk for patients compared to other routes of administration. Meds CAN be given through a J-tube, I've seen it many times with kids whose G-tubes are to drainage 24/7. Some have G/J tubes with G for meds and J for feeds while others have G/J tubes where the J is used for everything and the G is used for drainage only. Administering drugs via feeding tubes is generally an unlicensed activity. There is little published data and most recommendations are theoretical and/or based on local policy. An alternative licensed option may therefore be preferable, e.g. rectal or parenteral formulations. How to Crush Medications: Hand-held pill crushers are available. These can be purchased online or at your local pharmacy. A variety of types and prices can be found by searching online for: The following liquid medicines manufactured by Rosemont Pharmaceuticals have recently received UK licenses for administration via nasogastric (NG) or percutaneous endoscopic gastronomy (PEG) tube: Furosemide Oral Solution 20mg/5mL, 40mg/5mL and 50mg/5mL Ramipril Oral Solution 2.5mg/5mL Metoclopramide Hydrochloride Oral Solution 5mg/5mL Clonazepam Oral Solution 0.5mg/mL, 2mg/mL Gabapentin Oral Even when a medicine is available as a liquid formulation several other factors may need to be considered. E.g. lansoprazole suspension is too viscous for administration via fine bore tube. Some manufacturers advise dilution of suspension prior to administration through tubes. These inaccuracies can result in an occluded feeding tube, a reduced drug effect, or drug toxicity. These potential adverse outcomes can lead to patient harm or even death. INCOMPATIBLE ROUTE. Health care practitioners should not assume that a medication intended to be taken by mouth can be safely administered through a feeding tube. When the oral route is not available, patients may need to be fed and administered medicines through an enteral tube. Tubes may terminate in the stomach or the jejunum, and they may enter via the nose or through the abdominal wall.
Articles and news, personal stories, interviews with experts.
Photos from events, contest for the best costume, videos from master classes.
| |
| |
| |
| |
| |
| |