Medicamentos e sondas de nutrição

Abstract

Objective. To define the prevalence of use of drugs incompatible with the enteral route in patients living in long stay institutions for the elderly LTCFs and using feeding tubes. MethOds. Analysis of prescriptions for LTCF inpatients who are using feeding tubes for longer than 48 hours. Active ingredients, forms of presentation, and possibility of pulverizing the drugs prescribed were compared with data in the literature regarding the feasibility of the enteral administration of drugs. Results. We found that 57 patients were using feeding tubes (11.2% of the total number of beds). Their mean age was 65.6 ± 16.0 years old, and 32 of them were women and 25 were men. Mean of drugs administered through enteral route: 5.6 ± 2.2. Items included in the prescriptions: 316 divided into 64 drugs, with 129 items (40.8% of the total) and 23 drugs (35.4%) inadequate for this route. The most often prescribed inappropriate drugs: captopril, phenytoin, ranitidine, omeprazole, and B complex. Alternative presentations were found for 15 (65.2%) of the 23 drugs that were not appropriate for enteral administration. cOnclusiOn. Feeding tubes used as a method to administer drugs in LTCF have a significant risk for incompatible prescriptions.

Pharmaceutical interventions in medications prescribed for administration via enteral tubes in a teaching hospital

“…As health establishments have the duty to promote safe practices in the use of medications, in compliance with the Protocol for Safety in Prescription, Use and Administration of Medications, an integral part of the National Patient Safety Program * , ** , it is the responsibility of the health team to appropriately prescribe, handle and administer medications through enteral tubes, avoiding complications and failures in the nutritional and drug therapies 2 - 3 .…”

Cuidados Na Administração De Medicamentos Por Sonda Enteral

“…É importante observar o modo de apresentação dos medicamentos para administrá-los de maneira adequada, pois quando um comprimido é triturado, seu revestimento pode ser capaz de obstruir a sonda levando a uma necessidade de troca da mesma, o que acarreta em aumento nos custos e desconforto ao paciente 7,43 , além de ocasionar uma interrupção do fornecimento da dieta, causando déficit nutricional ao paciente 7,44 .…”

Case study: using participatory photographic methods for the prevention of medication errors

“…The occurrence of this condition in elderly residents in NHEs is relevant due to its negative clinical consequences. Conversely, low incidences of aspiration pneumonia is related to adequate nursing care provided to patients using long-term feeding tubes (9) .…”