How Do You Administer Medication Through A Feeding Tube?

How to Safely Administer Medication Through a Feeding Tube

  1. Administer each medication separately.
  2. Stop the feeding and flush the tube with water before and after medication administration.
  3. Crush only those medications which are immediate-release.
  4. Use liquid medications when available.

what are the four enteral routes of administration?

Enteral administration involves the esophagus, stomach, and small and large intestines (i.e., the gastrointestinal tract). Methods of administration include oral, sublingual (dissolving the drug under the tongue), and rectal. Parenteral administration is via a peripheral or central vein.

can you aspirate with a feeding tube?

Aspiration. Aspiration is one of the most important and controversial complications in patients receiving enteral nutrition, and is among the leading causes of death in tubefed patients due to aspiration pneumonia. However, differentiation of aspiration from oropharyngeal or gastric contents is difficult to assess.

what is the difference between a PEG tube and a gastrostomy tube?

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They are often used as the initial Gtube for the first 8-12 weeks post-surgery. PEG specifically describes a long Gtube placed by endoscopy, and stands for percutaneous endoscopic gastrostomy. Sometimes the term PEG is used to describe all Gtubes. Surgeons may place other styles of long tubes.

How often should a jejunostomy tube be changed?

Frequency of changing tubes Planned changes of Gastrojejunostomy tubes will be performed every 3-4 months in radiology. Consult manufacturer recommendations for PEG-J tubes. Low-profile roux-en-Y Jejunostomy tubes require to be changed 3 monthly.

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. Tablets should be crushed one at a time and not mixed, so that it is possible to tell drugs apart if there is a spill. You may also read, How do you administer medication through an enteral tube?

Which medication is not appropriate to administer through a GT?

Don’t use a GT to administer sublingual or buccal medicines, or sustained-release tablets or capsules. Never crush enteric-coated medications, which could result in improper drug absorption. Don’t reclamp the tube after administering a medication without flushing it. Check the answer of How do you administer nerve agent antidote?

How do you give omeprazole with a PEG tube?

Place tablet in syringe; draw up correct amount of water (15 mg = 4 mL; 30 mg = 10 mL) Gently shake. Administer via tube within 15 minutes. Refill syringe with 5 mL of water; flush tube.

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What food goes in a feeding tube?

Prepackaged Blenderized Formulas Commercially Available Blenderized Foods Formula Serving Size Calories Real Food Blends™ Orange Chicken, Carrots, and Brown Rice blend 8 oz. 340 Real Food Blends™ Salmon,Oats and Squash blend 8 oz. 330 Real Food Blends™ Quinoa,Kale, and Hemp blend 8 oz. 330 Read: How do you administer Vitamin K IV?

How do you know if a patient is tolerating a feeding tube?

Feed intolerance may present as vomiting, diarrhea, constipation, hives or rashes, retching, frequent burping, gas bloating, or abdominal pain. In very young children, prolonged crying and difficulty sleeping may be the only symptoms.

What is free water in tube feeding?

The term “free water” may also be seen as “feed water”, depending on the source. Free water is the amount of liquid an enteral formula (aka tube feeding formula) is actual water as an ingredient. Clear the feeding tube periodically throughout the day (may be 25 to 50 ml per flush)

Can you use tap water to flush a PEG tube?

Most tubes need to be flushed at least daily with some water to keep them from clogging — even tubes that are not used. You should be given a large syringe for this. Please flush with 30 – 60 mls (1 – 2 ounces) of tap water for this purpose.

How do you administer medication through a gastrostomy tube?

Flush. The feeding should be stopped and the tube flushed with at least 15 mL of purified water before and after administering each medication. Administer separately. Each medication should be administered separately through the feeding tube using a clean 30 mL or larger oral (non-luer tip) syringe.

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What are the side effects of a feeding tube?

Possible complications associated a feeding tube include: Constipation. Dehydration. Diarrhea. Skin Issues (around the site of your tube) Unintentional tears in your intestines (perforation) Infection in your abdomen (peritonitis)

What is the maximum hanging time for an open system tube feeding?

48 hours