The use of enteral feeding tubes has increased for both short and long. Mar 11, 2015 handbook of drug administration via enteral feeding tubes, 3rd edition rebecca white, vicky bradnam pharmaceutical press, mar 11, 2015 medical 752 pages. Suspension is too thick for administration via enteral feeding tubes. Back to handbook of drug administration via enteral feeding tubes 3rd edition this book covers the technical, practical and legal aspects that you should consider before prescribing or administering drugs via enteral feeding tubes. In these circumstances the prescriber and practitioner accept liability for any adverse effects resulting from this administration. The range of healthcare professionals involved in drug administration via enteral feeding tubes is increasing. The handbook of perioperative medicines has been developed in a format similar to that of other resources used for information on medicines management, such as the renal drug handbook and the handbook of drug administration via enteral feeding tubes. Jan 01, 2010 6 the latter reinforces the notion of the pharmacist as a nursing ally in navigating drug administration in patients with feeding tubes. Review need for medication administration via feeding tubes. Pdf medication administration via enteral feeding tube. A publication by the society of hospital pharmacists of australia, the australian dont rush to crush handbook, covers administration via enteral tubes in less detail, but includes information on swallowing difficulty and products available in australia. Handbook of drug administration via enteral feeding tubes third edition rebecca white bsc hons msc mrpharms i presc ffrps medical advisor, baxter healthcare ltd compton, uk vicky bradnam bpharm hons clindip mba open mrpharms pharmaceutical consultant, kent, uk on behalf of the british pharmaceutical nutrition group. The role of clinical pharmacist to improve medication.
Published in conjunction with the british pharmaceutical nutrition group, the handbook of drug administration via enteral feeding tubes furnishes you with the background knowledge to inform clinical decision making as well as providing over 400 drug monographs. Provides technical, practical and legal aspects that should be considered before prescribing. Medication errors involving tube feeding administration in 2017 included drug loss caused by use of inappropriate tools and incorrect operations 29. Drug administration via enteral feeding tubes is recognised and trusted worldwide as the only source of guidance on this highrisk area of practice. Pharmaceutical press paediatric specific advice in paediatrics, specific medications may be added to enteral feeds to optimise therapeutic benefits and tolerance.
Do not add medication directly to an enteral feeding formula. The authors of the handbook of drug administration via enteral feeding tubes achieve their aim of supporting healthcare professionals in the safe and effective prescribing of drugs via enteral feeding tubes. Flush enteral feeding tube well after administration for avoid. The handbook of drug administration via enteral feeding tubes furnishes you with the background knowledge to inform clinical decision making as well as providing over 400 drug monographs.
Nongranular suspensions can be administered via enteral feeding tubes but may require further dilution owing to the viscosity and osmolarity. Tube tip position check the drug is absorbed from the site of delivery. Drug administration by enteral feeding tubes eft is a common practice in hospitalized patients, increasing the risk of medication errors me. This handbook was developed on behalf of the british pharmaceutical nutrition group bpng.
This handbook provides guidelines on the administration of drugs via enteral feeding tubes, an area in which there is limited readily available information. Administering medication via an enteral feeding tube requires thought and exercise of clinical judgement. Medication administration through feeding tubes american. Incorrect administration methods may result in clogged feeding tubes, decreased drug efficacy, increased adverse effects, or drugformula incompatibilities. Sep 01, 2016 the handbook of perioperative medicines has been developed in a format similar to that of other resources used for information on medicines management, such as the renal drug handbook and the handbook of drug administration via enteral feeding tubes. A day in the life of a nutrition support pharmacist. Handbook of drug administration via enteral feeding tubes is a practical guide to the safe administration of medicines via enteral feeding tubes. Handbook of drug administration via enteral feeding tubes book. Medication and enteral feeding 2nd edition 62 evra 61 prednisolone 59 sucrose in neonates 55.
Handbook of drug administration via enteral feeding tubes second edition rebecca white bsc hons msc mrpharms i presc pharmacist team manager, nutrition and surgery, oxford radcliffe hospitals nhs trust, oxford, uk vicky bradnam bpharm hons clindip mbaopen mrpharms pharmaceutical consultant, kent, uk. Information in the book comes from pharmaceutical companies. Restoring and maintaining patency of enteral feeding tubes 15 5. Handbook of drug administration via enteral feeding tubes 3rd ed. Not all drugs are commercially available as liquids but pharmacy may be able to organise certain liquid preparations on request if feeding is likely to be long term. There is some overlap between the two books, but each contains unique content. If administration through an enteral feeding tube can not be avoided, the solid dosage form i. Successful drug delivery through enteral feeding tubes requires consideration of tube size and placement as well as careful selection.
This book covers the technical, practical and legal issues that should be considered before prescribing or administering drugs via enteral feeding tubes. Rinse tablet crushercontainers, andor draw up water into the. The full classification system, along with a list of drugs covered. Handbook of drug administration via enteral feeding tubes rebecca white and vicky bradnam an enteral feeding tube provides a means of maintaining nutritional intake when there is limited access to the gastrointestinal tract. Product classification food and drug administration. Mar 15, 2016 the handbook of drug administration via enteral feeding tubes furnishes you with the background knowledge to inform clinical decision making as well as providing over 400 drug monographs. Drugnutrient considerations in patients receiving parenteral and enteral nutrition. Guidance on the administration of medicines to patients. The administration of a drug via an enteral feeding tube is usually outside the marketing authorisation of that drug and prescribers need to be made aware and take full responsibility if drugs.
Other indepth contributions to the topic are included in a widely used interdisciplinary. July 2011 digital edition of pharmacy practice news by. Other indepth contributions to the topic are included in a widely used interdisciplinary enteral nutrition reference. Handbook of drug administration via enteral feeding tubes authors. The correct drug delivery via enteral tubes requires special skills.
Section 9 advice given to consider smaller volumes in. Handbook of drug administration via enteral feeding tubes rebecca white. The only publication to bring together into one resource the legal, ethical, pharmaceutical and practical issues surrounding the administration of drugs using this method. Nov 24, 2006 handbook of drug administration via enteral feeding tubes book. This update to the 2011 edition includes over 400 updated drug monographs and 29 drug additions. The legal and professional consequences of administering drugs via enteral feeding tubes 38 8. Objective this study was designed to evaluate effectiveness of clinical pharmacistled educational program in progressing nurses knowledge and practice regarding medications delivery via enteral catheters. The monographs are intended to support healthcare practitioners in making decisions on the safe and effective. Published in conjunction with the british pharmaceutical nutrition group, the handbook of drug administration via enteral feeding tubes furnishes. This update to the 2011 edition includes over 400 updated drug monographs and 29 drug additi. This new edition covers over 400 drugs and includes 29 new monographs. Non mr tablets can be crushed or will dissolve slowly in water. Choice of medication formulation alimemazine trimeprazine tartrate25 7. Medication administration through enteral feeding tubes.
Drug administration via enteral feeding tube request pdf. Drug administration via enteral feeding tubes medicinescomplete. Handbook of drug administration via enteral feeding tubes, 3rd edition handbook of drug administration via enteral feeding tubes, rebecca white medical consultant authors. For granular suspensions, granule size and the viscosity of the formulation must be taken into account when assessing the suitability of the formulation for administration via an enteral feeding tube. Reduce medication errors in tube feeding administration by.
Learn how to administer drugs via enteral feeding tubes. This book covers the technical, practical and legal aspects that you should consider before prescribing or administering drugs via enteral feeding tubes. Mmc medication and enteral drug administration individual. Protocols should address using appropriate dosage forms. Formulations liquid formulations drugs for administration via enteral feeding tubes should ideally be liquids or disperiblesoluble formulations. Handbook of drug administration via enteral feeding tubes rebecca white, vicky bradnam. Handbook of drug administration via enteral feeding tubes pdf. Displaying handbook of drug administration via enteral feeding tubes 2015. Apr 01, 2016 a publication by the society of hospital pharmacists of australia, the australian dont rush to crush handbook, covers administration via enteral tubes in less detail, but includes information on swallowing difficulty and products available in australia.
Collation of all available information is necessary. Handbook of drug administration via enteral feeding tubes 3rd. Sample monograph from handbook of drug administration via enteral feeding tubes, 3rd edition when ciprofloxacin, levofloxacin and ofloxacin were added directly to enteral feeds, a loss of dose was observed for all antibiotics. This is on a named patient and named medication basis and only after. Preventing errors when drugs are given via enteral feeding. Handbook of drug administration via enteral feeding tubes is an essential guide on formulation for administration to a patient with limited gi access and will be essential reading for all pharmacists, doctors, nurses, dieticians in hospitals, community pharmacists and gps. Most medicines are not licensed for administration via enteral feeding tubes and professionals responsible for prescribing, supplying and administering them accept liability for their use. General guidelines for administration of medications through enteral feeding tubes standard tablets crushing should be avoided. Handbook of drug administration via enteral feeding tubes. Dec 09, 2015 choice of feeding tube for drug administration use of enteral feeding tubes for drug administration is increasing. The information on this site is intended as a guide to administration of medication to patients with swallowing problems.
Connectors for enteral applications including amendment 1 2019. Handbook of drug administration via enteral feeding tubes 2015. This resource is indispensable to the understanding of the administration of drugs via enteral routes. National nurses nutrition group nnng newsletter, issue 2, 2004. Successful drug delivery through enteral feeding tubes requires consideration of tube size and placement as well as careful selection and appropriate administration of drug dosage forms. Mar 17, 2017 this evidencebased text fills a gap in the market for detailed information on drungs administered via enternal feeding tubes. Avoid mixing together medications intended for administration through an enteral feeding tube given the risks for physical and chemical incompatibilities, tube obstruction, and altered therapeutic drug responses ie, do not. Provides technical, practical and legal aspects that should be.
If crushing is the only option then the tablets should be crushed well enough to prevent clogging of the tube. It provides an authoritative and practical guide to the safe administration of medicines via enteral feeding tubes. Ten chapters provide the background knowledge to inform clinical decisions, and the accompanying 344 monographs contain guidance on the safe administration of speci. Drug administration through an enteral feeding tube. The dosing of medications in patients receiving continuous.
A day in the life of a pharmacist advanced clinical practitioner. Not all drugs are commercially available as liquids but pharmacy may be able to organise certain liquid. Oct 15, 2007 the authors of the handbook of drug administration via enteral feeding tubes achieve their aim of supporting healthcare professionals in the safe and effective prescribing of drugs via enteral feeding tubes. Handbook of drug administration via enteral feeding tubes by.
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