Enteral access devices, including new connectors to make medication administration safer. Check if a break is needed before drug administration. This ebook covers the technical, practical and legal aspects that you should consider before prescribing or administering 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. 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. A total of 87 oral chemotherapy agents were evaluated. Drug administration drugs msd manual consumer version. Parent er al drug administration is carried out directly through the skin, in or towards systemic circulation.
This evidencebased text fills a gap in the market for. Pdf drug administration via enteral feeding tubes in. This type of presentation is the most common of the injectable drug products, and these types of products have the potential to be injected by any route of administration into the body. Choice of feeding tube for drug administration use of enteral feeding tubes for drug administration is increasing. Handbook of drug administration via enteral feeding tubes is a practical guide to the safe administration of medicines via enteral feeding tubes. Drugs applied to the skin are usually used for their local effects and thus are most commonly used to treat superficial skin disorders, such as psoriasis, eczema, skin infections viral, bacterial, and fungal, itching, and dry skin. This handbook provides guidelines on the administration of drugs via enteral feeding tubes, an area in which there is limited readily available information. Appendix a sum marizes medication administration procedures.
Welcome to the crushing tablets and drug administration via enteral feeding tubes section for pharmacists. This update to the 2011 edition includes over 400 updated drug monographs and 29 drug additions. Medicationtube feeding interactions physical and chemical effects of tube feeding on a drug that result in altered drug concentrations and response to the therapy may lead to treatment failure and adverse reactions adapt from. Ten chapters provide the background knowledge to inform clinical decisions, and the accompanying 344 monographs contain guidance on the safe administration of speci. 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 chapter will begin by considering various routes of administration.
Enteral feeding regimen should be taken into consideration when any new medications are prescribed. Common examples include oral and intravenous administration. Use of enteral feeding tubes for drug administration is increasing but size of tubes are decreasing for patient comfort and acceptability blockages. Request pdf on oct 25, 20, peggi guenter and others published nursing 20 survey results. There is some overlap between the two books, but each contains unique content. Aspen safe practices for enteral nutrition therapy. Handbook of drug administration via enteral feeding tubes pdf. Oral po administration is the most frequently used route of administration because of its simplicity and convenience, which improve patient compliance. The range of healthcare professionals involved in drug administration via enteral feeding tubes is increasing. Foundational principles of drug solubility and oral. Handbook of drug administration via enteral feeding tubes 3rd. Handbook of drug administration via enteral feeding tubes has all you need to know about prescribing or administering drugs via enteral feeding tubes.
It is the route of choice for drugs that cannot be absorbed orally and or that are. Handbook of drug administration via enteral feeding. Handbook of drug administration via enteral feeding tubes, 3rd. Guidelines for the administration of medicines to adults. Guide to drug therapy in patients with enteral feeding tubes for administration via intestinal feeding tubes. It aims to support safe and effective prescribing by providing practical recommendations on the administration of drugs via enteral tubes. A guide to drug therapy in patients with enteral feeding. Enteral administration an overview sciencedirect topics. Learn more about drug administration via enteral feeding tubes a key resource for the administration of drugs via enteral feeding tubes featuring 400 drugs. Provides technical, practical and legal aspects that should be. This section includes links to clinical practice resources on crushing tablets for patients with dysphagia swallowing difficulties, medication administration via enteral feeding tubes and drugenteral feeding interactions. Handbook of drug administration via enteral feeding tubes rebecca white bsc hons msc mrpharms lead pharmacist.
Medication administration via enteral feeding tubes alfred health. Indications in palliative care include patients with radical esophageal surgery, upper gastrointestinal tract obstruction, anorexia, and dysphagia. Click download or read online button to get handbook of drug administration via enteral feeding tubes 3rd edition book now. Drug administration by enteral feeding tube find, read and cite all the research you need on. Continuous en administration via enteral feeding pump with small. 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.
Drug administration via enteral feeding tubes is recognised and trusted worldwide as the only source of guidance on this highrisk area of practice. Injectable solutions are those products in which the drug, any added excipients, and any added cosolvents all truly dissolve in the vehicle usually water. As the oral route is the preferred method of palliative drug delivery, the enteral feeding. Drug manufacturers were contacted for additional information. Principal lecturer in dietetics, university of hertfordshire, hatfield, uk. This handbook is designed to provide all the necessary guidance on the safe administration of medicines via this route in one resource. Mar 16, 2007 handbook of drug administration via enteral feeding tubes.
Bioavailability of drugs administered orally varies greatly. Prospectively evaluates all drug therapy for appropriate indications, dosage, drug interactions and drug allergies monitors the patients pharmacotherapeutic regimen for effectiveness and adverse drug reactions adr and intervenes as needed evaluates all orders for parenteral nutrition and recommends modifications as. Handbook of drug administration via enteral feeding tubes ebook. Enteral drug administration an overview sciencedirect topics. 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. Parenteral preparations circumvent the intestinal tract and, therefore, are not subject to pharmacodynamic properties associated with oral or. Pdf handbook of drug administration via enteral feeding. 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. Nutrition and surgery, oxford radcliffe hospitals nhs trust, oxford, uk. This resource is indispensable to the understanding of the administration of drugs via enteral routes. Drug administration via enteral feeding tubes medicinescomplete. Handbook of drug administration via enteral feeding tubes book. It provides an authoritative and practical guide to the safe administration of medicines via enteral feeding tubes.
Nhsgguidenteraltubesamgpg903 5 guidelines for the administration of medicines to adults via enteral tubes within nhs grampian version 1. The appropriate initiation and advancement of an en regimen depend on the patient condition as well as the administration method and ead type. Request pdf on jan 1, 2015, rebecca white and others published handbook of drug administration via enteral feeding tubes 3rd ed. Semantic scholar extracted view of handbook of drug administration via enteral feeding tubes by rebecca b. Chapter formulation development of parenteral products. Handbook of drug administration via enteral feeding tubes 3rd ed. Enteral tube administration of oral chemotherapy drugs. Drug delivery characteristics and pharmacodynamic properties vary depending on the route of administration chosen for the drug. A guide to enteral drug administration in palliative care.
This makes reliable information on the topic particularly valuable. The addition of drugs into enteral nutrition bags may result in occlusion of the tube, change in bioavailability of the nutrient or the drug, or alteration of gastrointestinal function by interactions of drugenteral product. Parenteral preparations circumvent the intestinal tract and, therefore, are not subject to pharmacodynamic properties associated with oral or other formulations. Aspen guidebook on enteral medication administration. Published in conjunction with the british pharmaceutical nutrition group, the handbook of drug administration via enteral feeding tubes furnishes. Mar 14, 2012 medical book handbook of drug administration via enteral feeding tubes the only publication to bring together into one resource the legal, ethical, pharmaceutical and practical issues surrounding the administration of drugs using this method. Routes can also be classified based on where the target of action is. Pdf handbook of drug administration via enteral feeding tubes. Provides technical, practical and legal aspects that should be considered before prescribing. The administration of drugs via enteral feeding tubes clinical.
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. 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. 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. However, their use for the administration of drugs may induce formula intolerance, or result in less than optimal drug absorption. Enteral feeding is indicated in patients unable to ingest sufficient nutrients but whose gastrointestinal function is adequate for digestion and absorption. Handbook of drug administration via enteral feeding tubes ncbi. Handbook of drug administration via enteral feeding tubes available for download an. Most of the handbook, however, comprises an a to z series of drug monographs providing detailed information to assist in choosing a. Handbook of drugnutrient interactions, second edition is a comprehensive uptodate text for the total management of patients on drug andor nutrition therapy but also an insight into the recent developments in drugnutrition interactions which will act as a reliable reference for. Depending on the consistency of the inactive substances, the. Drug interactions with nutrition, including tube feeding. The handbook of fooddrug interactions addresses the issue of medication administration through enteral feeding tubes as part of a 21page chapter on drug interactions and enteral support, and hospital pharmacy has a periodic feature and a wall chart on oral medications that should not be crushed, but the handbook of drug administration via.
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. No specific data on enteral tube administration are available for this preparation. Buccal and sublingual dosage forms may be ineffective when given. Enteral administration involves absorption of the drug via the gi tract and includes oral, gastric or duodenal e. Drug administration via enteral feeding tubes in intensive therapy terra incognita. Finally, it is critical to know how the body metabolizes and eliminates a drug so that you can be aware of problems that might arise if drug metabolism is altered by illness, disease, or other factors.
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. Formulations derived from the tacrolimus capsules have already demonstrated stability and viability for their administration through enteral feeding tubes in some studies. Use of enteral feeding tubes for drug administration is increasing but size of tubes are decreasing for patient comfort and acceptability blockages crushing medications for enteral administration is considered offlabel ie. Parenteral administration is preferred at times over other drugadministrations routes, such as in emergency situations of cardiac arrest and anaphylactic shock shi et al. Last spring, nursing20 conducted a survey in the journal and online in cooperation with the american society for parenteral and enteral nutrition a. Collation of all available information is necessary. The dosing of medications in patients receiving continuous. Download pdf handbook of drug administration via enteral feeding tubes book full free. A route of administration in pharmacology and toxicology is the path by which a drug, fluid, poison, or other substance is taken into the body routes of administration are generally classified by the location at which the substance is applied. Handbook of drug administration via enteral feeding tubes pdf for free, preface.
Capsules can be opened and contents dispersed in water. The guidebook on enteral medication administration is conveniently divided into two parts. Guidelines for the administration of enteral and parenteral. Medical book handbook of drug administration via enteral feeding tubes the only publication to bring together into one resource the legal, ethical, pharmaceutical and practical issues surrounding the administration of drugs using this method. Because such administration is generally offlabel outside the approved product information, those prescribing, dispensing or administering drugs via enteral tubes may be liable if the patient experiences adverse effects due to the route or alteration of the product. This type of administration route exhibits several advantages, such as firstpass metabolism avoidance, better bioavailability, and reliable dosage. Tablets can be crushed, capsules can be opened and dispersed in water.
297 1104 1012 1484 239 1246 401 1573 1015 1549 207 606 1268 1421 500 1504 1221 149 1006 1364 57 465 47 1378 81 665 357 886