What medicines should not be given via enteral feeding tubes?
To minimize drug–nutrient interactions, special considerations should be taken when administering phenytoin, carbamazepine, warfarin, fluoroquinolones, and proton pump inhibitors via feeding tubes. Precautions should be implemented to prevent tube occlusions, and immediate intervention is required when blockages occur.
What medications interact with tube feeding?
The American Society for Parenteral and Enteral Nutrition (ASPEN) recommends interruption of enteral nutrition 30 minutes before and 30 minutes after the administration of drugs which absorption properties are affected by enteral nutrition (such as ciprofloxacin, doxycycline, isoniazid, levofloxacin, ofloxacin.
What meds are contraindicated with NG tube?
Oily medications and enteric-coated or sustained-release tablets or capsules are contraindicated for instillation through an NG tube.
What type of medications Cannot be given via G tube?
Some liquid formulations are not appropriate for administration via the enteral tube. These include lansoprazole oral suspension granules and mineral oil, which are too viscous and may occlude the tube. Sucralfate suspension is also not suitable because it may cause an insoluble mass or bezoar formation.
How are medications given through an enteral feeding tube?
Each medication should be administered separately through the feeding tube using a clean 30 mL or larger oral (non-luer tip) syringe. Flush again. The tube should be flushed again with at least 15 mL of purified water to ensure drug delivery and clear the tube. Restart the feeding.
Can you put Zofran in a feeding tube?
Option 1 Use the oral liquid. Stop the feed and flush the tube with 30 mL of water. Draw the required dose into an enteral syringe and dilute with at least an equal volume of water. Mix well and give into the enteral feeding tube.
What can happen when medications are infused along with enteral feedings?
[Mixing of medications increases the risks of physical and chemical incompatibilities, tube obstruction and altered therapeutic drug responses.] If the patient requires a fluid restriction, notify pharmacy (to concentrate medications) if applicable.
Can carafate be given with tube feeding?
sucralfate food When sucralfate is given with enteral (tube) feedings, the feeding tube may become clogged and/or sucralfate may not work as well. You could interrupt the feeding for 1 hour before and after the sucralfate dose. However, this still may not entirely avoid the interaction and may not always be feasible.
Can Ativan be crushed?
Swallow the tablet whole. Do not crush, break, or chew it.
Can you put lansoprazole in a feeding tube?
It is important to note that the lansoprazole oral suspension, unlike the esomeprazole oral suspension, should not be administered through feeding tubes because of its increased viscosity and potential for tube occlusion. Pantoprazole is available as an enteric-coated tablet and a new delayed-release oral suspension.
What form of medication is used when administering through an enteral tube?
Liquid medications, particularly elixirs and suspensions, are preferred for enteral administration; however, these formulations may be hypertonic or contain large amounts of sorbitol, and these properties increase the potential for adverse effects.