Can immediate release drugs be given through an enteral feeding tube?
Practitioners should ensure that the drug and the formulation are appropriate for enteral administration. Only immediate-release solid dosage forms or liquid dosage forms should be used.
Can you give any medication via enteral tube?
Seek guidance on each medicine from the prescriber and, also, a pharmacist. Some medicines are not suitable to be given via a feeding tube as they may block or bind to the tube. Staff must be appropriately trained to prepare and administer medicines via enteral feeding tubes before they undertake this task.
What special considerations should be taken when administering medications through an enteral feeding tube?
Safe administration of medicines via enteral feeding tubes
- never mix drugs. use disposable tablet crushers (not pestle and mortar) to crush one medicine at a time and wash between crushes.
- flush with an appropriate volume of water before administering another drug.
- repeat until all drugs have been administered.
What medicines should not be given via enteral feeding tubes?
To minimize drug-nutrient interactions, special considerations should be taken when administering phenytoin, carbamazepine, warfarin, fluoroquinolones, and proton pump inhibitors via feeding tubes.
When giving medication via a tube what medications must never be crushed?
Medications such as enteric-coated tablets, capsules, and sustained-release or long-acting drugs should never be crushed because doing so will affect the intended action of the medication.
What medication should not be crushed?
Drugs that should not be crushed are those that are: Designed to be controlled release. Coated for protection or taste. Dissolvable….They usually have special letters in their name, such as:
- CC.
- CD.
- ER.
- XR.
- LA.
- XL.
- EC.
- ODT.
How do you administer a G tube medication?
Release the tubing, let the water flow by gravity to flush it, and pinch it again before the syringe empties. Figure: Pour the diluted medication into the syringe and release the tubing to administer it. If you’re giving more than one drug, flush between each dose with 15 to 30 ml of water.
What types of medications Cannot be given via an enteral tube?
Some liquid formulations are not appropriate for administration via the enteral tube. These include lansoprazole oral suspension granules and mineral oil, which are too viscous and may occlude the tube. Sucralfate suspension is also not suitable because it may cause an insoluble mass or bezoar formation.
How do you crush pills in a feeding tube?
Tube Feeding: Mix the finely crushed powder of the pill in 20 cc of room temperature water (works best in you mix in a medication cup). Use a 60 cc enteral syringe to draw up the medication. Follow your hospital’s protocol for flushing before, during, and after administration of the medication.
What medications interact with tube feeds?
The American Society for Parenteral and Enteral Nutrition (ASPEN) recommends interruption of enteral nutrition 30 minutes before and 30 minutes after the administration of drugs which absorption properties are affected by enteral nutrition (such as ciprofloxacin, doxycycline, isoniazid, levofloxacin, ofloxacin.
Can you push meds through a PEG tube?
Do not mix medication with formula or other medications unless instructed to do so by your doctor. Liquids: Most liquid medicine may be given through a PEG tube. Draw up the exact amount of medicine into a syringe.