An essential resource for pharmacists, doctors, nurses. Medication administration through enteral feeding tubes. Principal lecturer in dietetics, university of hertfordshire, hatfield, uk. Use of enteral feeding tubes for drug administration is increasing but size of tubes are decreasing for patient comfort and acceptability. Enteral feeding tubes and hazardous drug administration. Learn how to administer drugs via enteral feeding tubes. Pdf handbook of drug administration via enteral feeding tubes. Free ebook handbook of drug administration via enteral.
Visit here download books, read ebook, pdf library. 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. Not all liquid preparations are suitable for undiluted administration via a feeding tube. The legal and professional consequences of administering drugs via enteral feed tubes 8.
This site is like a library, use search box in the widget to get ebook that you want. Request pdf on jan 1, 2015, rebecca white and others published handbook of. Handbook of drug administration via enteral feeding. Choice of medication formulation alimemazine trimeprazine tartrate25 7. Semantic scholar extracted view of handbook of drug administration via enteral feeding tubes by rebecca b. View the article pdf and any associated supplements and figures for a period of 48 hours.
This can be reduced by diluting the medicines further with water before administration. The 2016 sccmaspen guidelines for provision and assessment of nutrition support therapy in the adult critically ill patient are slightly outdated because the literature search supporting them ended in december 20. Administration via enteral feeding tubes monograph. This handbook was developed on behalf of the british pharmaceutical nutrition group bpng. Defining interactions x xi xi i xiv xvii xix 1 4 9 14 21 23 35 44 48 52 individual drug. Pdf medication administration via enteral feeding tube.
Handbook of drug administration via enteral feeding tubes authors. 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. Guidance on the administration of medicines to patients. A guide for general practitioners and community pharmacists. Compounded apixaban suspensions for enteral feeding tubes. Handbook of drug administration via enteral feeding tubes 3rd ed. New information resource on administration of drugs via enteral feeding tubes aims to reduce risk to patients. The only publication to bring together into one resource the legal, ethical, pharmaceutical and practical issues surrounding the administration of drugs using this method medical books handbook of drug administration via enteral feeding tubes. There is limited information on compounded apixaban formulations for administration via enteral feeding tubes.
Evaluation nurses practices for medication administration. Ten chapters provide the background knowledge to inform clinical decisions, and the accompanying 344 monographs contain guidance on the safe administration of specific drugs and formulations. Drug interactions with enteral nutrition general use. Restoring and maintaining patency of enteral feeding tubes 15 5. Administration of solid oral drugs via gastric tube. Guidance on the administration of medicines to patients who have. Rebecca white is lead pharmacist, nutrition and surgery, oxford radcliffe hospitals nhs trust, oxford, uk. J0046 medication administration via enteral feeding tubes. 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. Pdf handbook of drug administration via enteral feeding.
This ebook covers the technical, practical and legal aspects that you should consider before prescribing or administering drugs via enteral feeding tubes. The administration of drugs via enteral feeding tubes clinical. 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. Medical books handbook of drug administration via enteral feeding tubes.
Handbook of drug administration via enteral feeding tubes is a practical guide to the safe administration of medicines via enteral feeding tubes. 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. The ons safe handling recommendations include the use of a cstd for administration of hds via feeding tubes. This site uses cookies small files stored on your computer to simplify and improve your experience of this website.
Details displaying handbook of drug administration via enteral feeding tubes 2015. Nurses practices for medication administration via enteral feeding tube n184 methods n % verification of tube placement when the tube was first placed auscultation ph auscultation and xray 152 26 6 82. Cookies are small text files stored on the device you are using to access this website. It provides an authoritative and practical guide to the safe administration of medicines via enteral feeding tubes. Handbook of drug administration via enteral feeding tubes rebecca white, vicky bradnam. Medication administration via enteral feeding tube. It aims to support safe and effective prescribing by providing practical recommendations on the administration of drugs via enteral tubes. Guidelines for the administration of medicines to adults. Medication administration via enteral feeding tube ugent biblio. The feeding tube may stay in place as briefly as a few days or permanently, until the pa tients death. 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. There is some overlap between the two books, but each contains unique content. Administering medication via an enteral feeding tube requires thought and exercise of clinical judgement 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. Most medicines are not licensed for enteral administration and this route is complex from a medicolegal perspective.
Neemmc guidelines for tablet crushing and administration via enteral feeding tubes key to drug administration guidelines please follow the guidelines in order, as shown in the chart i. If crushing is the only option then the tablets should be crushed well enough to prevent clogging of the tube. International journey of clinical pharmacy, 38, 1015, 2016. Drug administration via enteral feeding tubes is recognised and trusted worldwide as the only source of guidance on this highrisk area of practice. Administration of direct oral anticoagulants through. View the article pdf and any associated supplements and. The legal and professional consequences of administering drugs via enteral feeding tubes 38 8. Handbook of drug administration via enteral feeding tubes is an essential guide for pharmacists, doctors, nurses, dieticians, and also for nursing homes and hospices. This handbook provides guidelines on the administration of drugs via enteral feeding tubes, an area in which there is limited readily available information.
A viscous solution or suspension may block the tube and drugs such as diazepam may be adsorbed onto the plastic tubing. In general, crushing dispersing tablets and administering them via enteral feeding tubes renders their use off label. Characteristics n1, v handbook of drug administration via enteral feeding tubes 2 n1, and. Handbook of drug administration via enteral feeding tubes, 3rd. Hoehns, pharmd, bcps, fccp journal of pharmacy technology 2016. Handbook of drug administration via enteral feeding tubes. This article discusses types of enteral feeding tubes, methods, and formulas. Medication administration via feeding tube may 2017. People with profound intellectual disabilities often receive medication through enteral feeding tube eft. Handbook of drug administration via enteral feeding tubes 2015. Displaying handbook of drug administration via enteral feeding tubes 2015. In a previous study, we found that current guidelines concerning medication preparation and administration through eft are often not followed in residential care facilities rcfs for individuals with intellectual disabilities. Crushing medications for enteral administration is considered offlabel ie.
Handbook of drug administration via enteral feeding tubes has all you need to know about prescribing or administering drugs via enteral feeding tubes. Vicky bradnam is chief pharmacist, bromley hospitals nhs trust, kent, uk. Click download or read online button to get handbook of drug administration via enteral feeding tubes 3rd edition book now. When considering a drug for administration via an enteral feeding tube it has. Nhsgguidenteraltubesamgpg903 5 guidelines for the administration of medicines to adults via enteral tubes within nhs grampian version 1. 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. Even if liquid available, it is not always the best option for administration via enteral tubes be careful with sodium content of effervescent dispersible preparations.
Administration of direct oral anticoagulants through enteral feeding tubes jacob j. Download handbook of drug administration via enteral feeding tubes 3rd edition or read online books in pdf, epub, tuebl, and mobi format. Medicines should only be administered via finebore enteral feeding tubes after other routes have been considered british association for parenteral and enteral nutrition, 2017. Joos e, verbeke s, mehuys e, van bocxlaer j, remon jp, van winckel m, et al. General guidelines for administration of medications through enteral feeding tubes standard tablets crushing should be avoided. This book covers the technical, practical and legal issues that should be considered before prescribing or administering drugs via enteral feeding tubes. 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. Crushing tablets, opening capsules and administration via feeding tubes usually falls outside a drugs product licence.
This study was designed to identify a suitable apixaban suspension formulation that is easy to prepare in a pharmacy setting, is compatible with commonly used feeding tubes, and has a beyonduse date of 7 days. This resource is indispensable to the understanding of the administration of drugs via enteral routes. Use of enteral feeding tubes for drug administration is increasing sizes of feeding tubes are decreasing the range of healthcare professionals involved in drug administration via enteral feeding. This update to the 2011 edition includes over 400 updated drug monographs and 29 drug additions. Handbook of drug administration via enteral feeding tubes, 3rd ed.