scholarly journals PHARMACIST INTERVENTION AND PREPARATION OF MANUAL IN THE ADMINISTRATION OF DRUGS THROUGH ENTERAL FEEDING TUBE

2018 ◽  
Vol 10 (12) ◽  
pp. 21
Author(s):  
L. Induja ◽  
Aslam T. A. ◽  
G. Andhuvan
Keyword(s):  
Drug Administration ◽  
Enteral Feeding ◽  
Feeding Tube ◽  
Pharmacist Intervention ◽  
Solid Dosage Forms ◽  
Solid Dosage ◽  
Enteral Feeding Tube ◽  
Incorrect Solution ◽  
Enteric Coated

Objective: To monitor errors in current practice and prepare a manual for proper drug administration through the enteral feeding tube.Methods: It is a prospective observational study conducted for a period of 6 mo in eight departments. The current drug administrations were monitored and checked for the errors which include crushed non crushable solid dosage forms, each drug is not prepared separately, incorrect solution used for dilution, drugs mixed with feeding formula, each drug is not administered separately, not flushed before administration of each drug, not flushed after administration of each drug and others (tablets are not crushed with proper device, motors and pestles are not cleaned frequently, spillage during crushing). Using the data, a manual was prepared and submitted to the physicians of each department.Results: The most prominent error was found to be that the drugs were not prepared and administered separately, tube not flushed before drug administration. Uses of noncrushable tablets were high in neurology. Pantoprazole (enteric coated) and prazosin (modified release) tablets were the most commonly used noncrushable drugs.Conclusion: The study observed the need for developing a standard protocol for drug administration through enteral feeding tube by the pharmacist along with the physician, nursing team to improve the quality of enteral therapy.

scholarly journals Drugs via enteral feeding tubes in inpatients: dispersion analysis and safe use of dispensers

2017 ◽  
Vol 34 (2) ◽  
pp. 257 ◽  
Author(s):  
Milena Pontes Portela Beserra ◽  
Cristiani Lopes Capistrano Gonçalves De Oliveira ◽  
Mileyde Ponte Portela ◽  
Marcos Venícios de Oliveira Lopes ◽  
Marta Maria de França Fonteles
Keyword(s):  
Drug Administration ◽  
Enteral Feeding ◽  
Dispersion Analysis ◽  
Care Hospital ◽  
Solid Dosage Forms ◽  
Feeding Tubes ◽  
Solid Dosage ◽  
Level Ii ◽  
Eastern Brazil ◽  
North Eastern

This study aimed to improve knowledge about drug administration through enteral feeding tubes (EFTs) in order to minimize efficacy and safety problems. The study was conducted in a public secondary care hospital accredited with level II accreditation by the National Accreditation Organization (Organização Nacional de Acreditação – ONA), in Fortaleza, Ceará, north-eastern Brazil. 108 oral solid medications that could be administered through EFTs and were not available in liquid forms were evaluated via transformation of their solid dosage forms into liquid forms. Dispersion times and conditions were assessed to determine which medications should be crushed. We compared the use of dispensers and syringes and their connections to enteral feeding tubes and intravenous devices. Medications whose dispersion occurred within 20 minutes and could be visually perceived and whose content could be expelled without occluding the oral syringe were considered “satisfactory”. The dispersion was “satisfactory” in 82 (75.9%) of the medications; they were classified as capable of being dispersed in water in the oral syringe for further administration via EFTs without the need for crushing. Use the dispenser instead of the syringe for drug administration was safer because the dispenser apparatus did not fit into equipment for intravenous drug administration. 

Group I: Choosing the Appropriate Method of Placement of an Enteral Feeding Tube in the High-Risk Population

1997 ◽  
Vol 12 (1) ◽  
pp. S54-S55 ◽  
Author(s):  
Timothy O. Lipman ◽  
Oliver W. Cass ◽  
Chia Sing Ho ◽  
Patrick J. Kearns ◽  
Scott A. Shikora
Keyword(s):  
High Risk ◽  
Enteral Feeding ◽  
Feeding Tube ◽  
High Risk Population ◽  
Risk Population ◽  
Enteral Feeding Tube ◽  
Group I ◽  
Method Of Placement

scholarly journals Evaluation of the profile of drug therapy administered through enteral feeding tube in a general hospital in Rio de Janeiro

2011 ◽  
Vol 47 (2) ◽  
pp. 331-337 ◽  
Author(s):  
Mario Jorge Sobreira da Silva ◽  
Carlos Eduardo Meireles Cava ◽  
Patrícia Kaiser Pedroso ◽  
Débora Omena Futuro
Keyword(s):  
Drug Therapy ◽  
Enteral Feeding ◽  
Rio De Janeiro ◽  
Clinical Status ◽  
Nutritional Therapy ◽  
Feeding Tube ◽  
Oral Feeding ◽  
Enteral Feeding Tube ◽  
Effective Use ◽  
Recommended Guidelines

Enteral nutrition (EN) is the method of choice for patients that cannot adequately receive oral feeding despite good gastrointestinal tract condition. Enteral diets may be administered through tube or ostomy placed in the stomach, duodenum or jejunum. The administration of drugs via enteral feeding tube (EFT) is a common practice in hospitals due to patient clinical status, and requires special attention from professionals involved in this process. This study entailed an analysis of the profile of drug therapy through EFT based on evaluation of medical prescriptions of the Medical Clinic of the Hospital dos Servidores do Estado (HSE) of Rio de Janeiro sent to the Pharmacy Service between January and June 2007, according to standard protocols in place. Prescription of drugs via EFT outside recommended guidelines was observed, besides potential drug-nutrient incompatibilities associated with this practice. These results point to the need for improvement of enteral route access and the adoption of measures to promote safe and effective use of drugs and nutritional therapy.

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