The monographs are intended to support healthcare practitioners in making decisions on the safe and effective. Open capsule, crush microspheres remove coating, activate with na bicarb 8. Section 9 advice given to consider smaller volumes in. 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. Medical books handbook of drug administration via enteral feeding tubes. Medication administration through enteral feeding tubes. Choice of feeding tube for drug administration use of enteral feeding tubes for drug administration is increasing. View the article pdf and any associated supplements and.
All the knowledge that we have in our brain is a result of hard work coupled with life experiences. Handbook of drug administration via enteral feeding tubes rebecca white and vicky bradnam an enteral feeding tube provides a means of maintaining nutritional intake when there is limited access to the gastrointestinal tract. In these circumstances the prescriber and practitioner accept liability for any adverse effects resulting from this administration. The administration of oral medication to patients with an enteral feeding tube eft is challenging. Handbook of drug administration via enteral feeding tubes, 3rd edition. Handbook of drug administration via enteral feeding tubes. The information on this site is intended as a guide to administration of medication to patients with swallowing problems. The print is very small, and the book does not cover administration to patients with swallowing difficulties. Guidance on the administration of medicines to patients.
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. Flushing enteral feeding acitretin 70 tubes 9 alendronic acid 71 4. Handbook of drug administration via enteral feeding tubes 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 mbaopen mrpharms pharmaceutical consultant, kent, uk on behalf of the british pharmaceutical nutrition. A means of providing nutrition via a tube inserted into the stomach or small intestine. Community pharmacists may be ideally placed to provide training and advice on. Flush the enteral feeding tube with the recommended volume of water. The escop monographs are an invaluable resource for health professionals, regulators, manufacturers and many others.
Handbook of drug administration via enteral feeding tubes authors. There is some overlap between the two books, but each contains unique content. Feeding tubes and feedingmedication administration options. Principal lecturer in dietetics, university of hertfordshire, hatfield, uk. This update to the 2011 edition includes over 400 updated drug monographs and 29 drug additions. Guidelines for the administration of medicines to adults. Handbook of drug administration via enteral feeding tubes 3rd edition 2015 12. 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. Such administration is usually outside the product licence.
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 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 mbaopen mrpharms pharmaceutical consultant, kent, uk on behalf of the british pharmaceutical nutrition group published by. In addition, the long feeding tubes present significant surface area for potential drug sorption. Administration via enteral feeding tubes monograph. Learn how to administer drugs via enteral feeding tubes. The legal and professional consequences of administering drugs via enteral feeding tubes 38 8. This is on a named patient and named medication basis and only after. Crushing granules not advised in uk handbook of drug administration via enteral feeding tubes, 3rd ed. Collation of all available information is necessary. Place the tablet in the barrel of an appropriate size and type of syringe.
Request pdf on jan 1, 2015, rebecca white and others published handbook of drug administration via enteral feeding tubes 3rd ed. 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. Drug administration via enteral feeding tubes medicinescomplete. Pdf handbook of drug administration via enteral feeding tubes. Restoring and maintaining patency of enteral feeding tubes 5. Drug administration via enteral feeding tubes is recognised and trusted worldwide as the only source of guidance on this highrisk area of practice. Crushing tablets, opening capsules and administration via feeding tubes usually falls outside a drugs product licence. This handbook provides guidelines on the administration of drugs via enteral feeding tubes, an area in which there is limited readily available information. With over 400 drug monographs, this book 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 issues that should be considered before prescribing or administering drugs via enteral feeding tubes. Handbook of drug administration via enteral feeding tubes is an essential guide on formulation for administration to a patient with limited gi access and will be essential reading for all pharmacists, doctors, nurses, dieticians in hospitals, community pharmacists and gps. Enteral tube syringe design will be changing in 201516 in line with the global. Medication administration via feeding tube may 2017. Restoring and maintaining patency of enteral feeding tubes 15 5.
Handbook of drug administration via enteral feeding tubes 3rd ed. Vicky bradnam this book covers the technical, practical and legal aspects that you should consider before prescribing or administering drugs via enteral feeding tubes. This resource is indispensable to the understanding of the administration of drugs via enteral routes. This new edition covers over 400 drugs and includes 29 new monographs. The feeding tube should be flushed with 30 ml of water following administration to clear any residual medication. Bpng publications british pharmaceutical nutrition group. However, for administration via enteral feeding tube, the viscosity and the particle size of the suspension need to be carefully assessed to avoid potential tube blockage. Provides technical, practical and legal aspects that should be. The use of enteral feeding tubes has increased for both short and long. An essential resource for pharmacists, doctors, nurses.
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. Handbook of drug administration via enteral feeding tubes has all you need to. Compliance to guidelines concerning medication administration via eft has been investigated extensively in the hospital setting. Tube tip position check the drug is absorbed from the site of delivery. 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. However, studies in residential care facilities rcfs for individuals with intellectual disability id are very. 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. Pdf handbook of drug administration via enteral feeding. Handbook of drug administration via enteral feeding tubes 2015. Compounded apixaban suspensions for enteral feeding tubes. Drug administration via enteral feeding tubes is recognised and trusted world wide as the only source of guidance on this highrisk area of practice. Pharmaceutical press paediatric specific advice in paediatrics, specific medications may be added to enteral feeds to optimise therapeutic benefits and tolerance. If administration through an enteral feeding tube can not be avoided, the solid dosage form i.
Previously, to learn up the medicines, i have actually read through all the medicines listed in. Pdf medication administration via enteral feeding tube. Restoring and maintaining alfacalcidol 74 patency of enteral feeding alimemazine trimeprozine tartrate 75 tubes 14 allopurinol 76 5. Nhsgguidenteraltubesamgpg903 5 guidelines for the administration of medicines to adults via enteral tubes within nhs grampian version 1. Pharmacy, volume 72, issue 14, 15 july 2015, pages 12391240, published.
It is important to collect posttube samples and verify the drug concentration. 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. 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. Handbook of drug administration via enteral feeding tubes all you need to know about prescribing or administering drugs via enteral feeding tubes. The legal and professional consequences of administering drugs via enteral feed tubes 8. American journal of healthsystem pharmacy july 2015, 72 14 12391240 melissa ranieri. Handbook of drug administration via enteral feeding tubes rebecca white, vicky bradnam. Medication administration to patients with an enteral feeding tube eft is complex and prone to errors. 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. Handbook of drug administration via enteral feeding tubes, 3rd. The administration of drugs via enteral feeding tubes clinical. This is a practical book which contains more detail on drug administration via enteral tubes than is readily available elsewhere. Choice of medication formulation alimemazine trimeprazine tartrate25 7. Welcome to the online version of the newt guidelines book.