Gallery
Photos from events, contest for the best costume, videos from master classes.
 |  |
 |  |
 |  |
 |  |
 |  |
 |  |
Embeda morphine sulfate Capsule Extended‐release (a); do not give via N/G tube E‐Mycin erythromycin Tablet Enteric‐coated Enablex darifenacin Tablet Slow‐release Entocort EC budesonide Capsule Extended‐release; Enteric‐coated (a) Equetro carBAMazepine Capsule Extended‐release (a) FERROUS GLUCONATE B FINASTERIDE A FLAVOXATE E FLECAINIDE 1. A 2. D 3. E FLUCLOXACILLIN C Stop enteral feed 30min to 1h before and after administration. Flush tube. FLUCONAZOLE C FLUDROCORTISONE 1. A 2. E FLUOXETINE C Or capsules can be opened and dispersed in water. FLUPENTIXOL B FLUVASTATIN B Open capsule and disperse in water. FOLIC ACID 1. 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. Any adverse effects, including problems with feeding tubes, should be reported to the prescriber and pharmacist immediately. 4 GENERAL PRINCIPLES When administering medication via enteral tube consideration needs to be taken regarding drug formulation, interactions with feed, type of tube, site of placement, and site of drug absorption. Introduction: Drug therapy can be com-plicated in hospitalized patients requir-ing an enteral feeding tube (EFT). 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. research to produce this comprehensive guide to drugs and enteral feeding tubes. Vicky Bradnam Pharmaceutical Consultant Many medications may be put into your PEG. Here are some important things you need to know: If any medications cannot be put in your PEG, your pharmacist may help you by reaching out to the healthcare provider that prescribed a medication to suggest another option. To administer an oral medication through a feeding tube, the formulation must be in a liquid form. If a suitable liquid product is not available, a liquid can be extemporaneously compounded by opening the capsule or crushing the tablet before mixing in a suitable volume of water 1. 5. Attach the syringe to your feeding tube or button adapter, if you’re using one. 6. Unclamp the tube and gently push in the medication. Reclamp the tube. 7. Attach the syringe filled with 60 mL of water to your feeding tube. 8. Unclamp the tube and flush it thoroughly. Reclamp the tube. Repeat the flushing if the water moves too slowly 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. 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). However, these routes present This guidance provides recommendations regarding in vitro testing of oral drug products, other than solutions, administered via enteral feeding tube (hereinafter enteral tube). A number of specific drug interactions can occur when drugs are administered via feeding tubes (Box A10.D). The most important clinically are with drugs with a narrow therapeutic range, e.g. Gabapentin Rosemont Oral Solution 50mg/mL Instructions for administration via nasogastric (NG) or percutaneous endoscopic gastrostomy (PEG) tubes. Gabapentin Rosemont Oral Solution is suitable for use with the following type of NG and PEG tubes: Ensure that the enteral feeding tube is free from obstruction before administration. 1. To keep your feeding tube clean and prevent clogging, flush your tube with water several times a day or as directed by your healthcare professional. Flush your tube before and after giving medications and before and after giving formula. If a solid dosage form is used, make sure the tablets can be crushed or the capsules opened. Feeding tubes should be flushed with 15–30 mL of water before and after drug delivery. administered via a feeding tube, NOT orally (very irritant). Once-weekly formulation should be used. ALFACALCIDOL 1. C* 2. D * Oral drops available (1 drop=100 nanograms). One-Alpha injection can be administered orally or via a feeding tube. ALFUZOSIN A Beware of sudden hypotensive effect if giving crushed tablets. Monitor BP and Stop feed and/or flush enteral tube with 15-30mL of water prior to drug administration. Ensure the patient is sitting up at an angle of at least 30 degrees to avoid reflux of medication or water. Give medication via enteral tube as directed by the guidance within the table. Hard gelatin capsules - enteral tubes Prepare the capsule as follows: 1. Gently ease open the capsule to release the powder. 2. Tip the powder into a beaker - be sure to obtain all the powder. 3. Mix the powder with 15-30mL of water. 214,225 4. Draw up the solution in an enteral syringe. 5. Administer the solution through the enteral feeding
Articles and news, personal stories, interviews with experts.
Photos from events, contest for the best costume, videos from master classes.
| |
| |
| |
| |
| |
| |