Rebecca white is lead pharmacist, nutrition and surgery, oxford radcliffe hospitals nhs trust, oxford, uk. Pdf medication administration via enteral feeding tube. Semantic scholar extracted view of handbook of drug administration via enteral feeding tubes by rebecca b. A viscous solution or suspension may block the tube and drugs such as diazepam may be adsorbed onto the plastic tubing. Handbook of drug administration via enteral feeding tubes 3rd ed. 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. This update to the 2011 edition includes over 400 updated drug monographs and 29 drug additions. It provides an authoritative and practical guide to the safe administration of medicines via enteral feeding tubes. 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. The legal and professional consequences of administering drugs via enteral feed tubes 8. 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.
Pdf handbook of drug administration via enteral feeding tubes. Learn how to administer drugs via enteral feeding tubes. Enteral feeding tubes and hazardous drug administration. Details displaying handbook of drug administration via enteral feeding tubes 2015. View the article pdf and any associated supplements and figures for a period of 48 hours. Medication administration via enteral feeding tube. Administration of direct oral anticoagulants through enteral feeding tubes jacob j. Medical books handbook of drug administration via enteral feeding tubes.
Medication administration via feeding tube may 2017. Handbook of drug administration via enteral feeding tubes, 3rd. The legal and professional consequences of administering drugs via enteral feeding tubes 38 8. Evaluation nurses practices for medication administration. Joos e, verbeke s, mehuys e, van bocxlaer j, remon jp, van winckel m, et al. Guidance on the administration of medicines to patients who have. 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. A guide for general practitioners and community pharmacists. If crushing is the only option then the tablets should be crushed well enough to prevent clogging of the tube.
Free ebook handbook of drug administration via enteral. Choice of medication formulation alimemazine trimeprazine tartrate25 7. 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. This site is like a library, use search box in the widget to get ebook that you want. The ons safe handling recommendations include the use of a cstd for administration of hds via feeding tubes. View the article pdf and any associated supplements and. This ebook covers the technical, practical and legal aspects that you should consider before prescribing or administering drugs via enteral feeding tubes. The feeding tube may stay in place as briefly as a few days or permanently, until the pa tients death.
Guidelines for the administration of medicines to adults. This handbook was developed on behalf of the british pharmaceutical nutrition group bpng. Drug interactions with enteral nutrition general use. Medicines should only be administered via finebore enteral feeding tubes after other routes have been considered british association for parenteral and enteral nutrition, 2017.
Crushing medications for enteral administration is considered offlabel ie. Restoring and maintaining patency of enteral feeding tubes 15 5. Handbook of drug administration via enteral feeding tubes is an essential guide for pharmacists, doctors, nurses, dieticians, and also for nursing homes and hospices. Hoehns, pharmd, bcps, fccp journal of pharmacy technology 2016.
Crushing tablets, opening capsules and administration via feeding tubes usually falls outside a drugs product licence. Pdf handbook of drug administration via enteral feeding. Handbook of drug administration via enteral feeding. Click download or read online button to get handbook of drug administration via enteral feeding tubes 3rd edition book now.
In general, crushing dispersing tablets and administering them via enteral feeding tubes renders their use off label. Use of enteral feeding tubes for drug administration is increasing but size of tubes are decreasing for patient comfort and acceptability. Cookies are small text files stored on the device you are using to access this website. Handbook of drug administration via enteral feeding tubes authors. Drug administration via enteral feeding tubes is recognised and trusted worldwide as the only source of guidance on this highrisk area of practice. 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. Visit here download books, read ebook, pdf library. Handbook of drug administration via enteral feeding tubes, 3rd ed. The administration of drugs via enteral feeding tubes clinical. 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. People with profound intellectual disabilities often receive medication through enteral feeding tube eft. 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. Handbook of drug administration via enteral feeding tubes has all you need to know about prescribing or administering drugs 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 specific drugs and formulations. Handbook of drug administration via enteral feeding tubes 2015. Principal lecturer in dietetics, university of hertfordshire, hatfield, uk. Characteristics n1, v handbook of drug administration via enteral feeding tubes 2 n1, and. When considering a drug for administration via an enteral feeding tube it has. Handbook of drug administration via enteral feeding tubes. 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. Handbook of drug administration via enteral feeding tubes is a practical guide to the safe administration of medicines via enteral feeding tubes. 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. This can be reduced by diluting the medicines further with water before administration. There is limited information on compounded apixaban formulations for administration via enteral feeding tubes. Compounded apixaban suspensions for enteral feeding tubes.
Request pdf on jan 1, 2015, rebecca white and others published handbook of. 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. It aims to support safe and effective prescribing by providing practical recommendations on the administration of drugs via enteral tubes. International journey of clinical pharmacy, 38, 1015, 2016. General guidelines for administration of medications through enteral feeding tubes standard tablets crushing should be avoided. Displaying handbook of drug administration via enteral feeding tubes 2015. Administration of solid oral drugs via gastric tube. 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.
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. An essential resource for pharmacists, doctors, nurses. 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 some overlap between the two books, but each contains unique content. Nhsgguidenteraltubesamgpg903 5 guidelines for the administration of medicines to adults via enteral tubes within nhs grampian version 1. Administration of direct oral anticoagulants through. The information on this site is intended as a guide to administration of medication to patients with swallowing problems. This site uses cookies small files stored on your computer to simplify and improve your experience of this website.
Download handbook of drug administration via enteral feeding tubes 3rd edition or read online books in pdf, epub, tuebl, and mobi format. Handbook of drug administration via enteral feeding tubes rebecca white, vicky bradnam. Medication administration through enteral feeding tubes. Guidance on the administration of medicines to patients.
Most medicines are not licensed for enteral administration and this route is complex from a medicolegal perspective. Defining interactions x xi xi i xiv xvii xix 1 4 9 14 21 23 35 44 48 52 individual drug. 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. Administration via enteral feeding tubes monograph.
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. This book covers the technical, practical and legal issues that should be considered before prescribing or administering drugs via enteral feeding tubes. Vicky bradnam is chief pharmacist, bromley hospitals nhs trust, kent, uk. New information resource on administration of drugs via enteral feeding tubes aims to reduce risk to patients. This article discusses types of enteral feeding tubes, methods, and formulas. Not all liquid preparations are suitable for undiluted administration via a feeding tube. Use of enteral feeding tubes for drug administration is increasing. J0046 medication administration via enteral feeding tubes. This resource is indispensable to the understanding of the administration of drugs via enteral routes.