Journals / European Journal of Life Sciences / 2023 / Cilt: 2 Sayı: 2

Oral medicine administration errors in a patient with an enteral feeding tube

Pages
91–95
Publication Date
2023-08-28
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Following the clinical pharmacist’s training, it was observed that the nasogastric tube was correctly used to administer the drug and the patient being monitored had no tube obstruction in the later phases of the treatment.It may be beneficial for a pharmacist to review drug dosage forms and applications in patients with a feeding tube in order to ensure correct administration and avoid undesired drug interactions.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Proper nutrition is vital for all patients with an expected lifespan.
📊
Key Findings & Data:This study presents a case of a 94-year-old male patient with poor general health condition and being treated in a palliative care service.
💡
Conclusion & Impact:Following the clinical pharmacist’s training, it was observed that the nasogastric tube was correctly used to administer the drug and the patient being monitored had no tube obstruction in the later phases of the treatment.It may be beneficial for a pharmacist to review drug dosage forms and applications in patients with a feeding tube in order to ensure correct administration and avoid undesired drug interactions.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Clinical pharmacy · enteral feeding tube · nasogastric tube

Abstract

Proper nutrition is vital for all patients with an expected lifespan. It is strongly recommended that patients whose oral intake is impaired or suspected to be impaired should be provided nutritional support. Concurrent medication administration during enteral nutrition may result in complications unless necessary precautions are taken. This study presents a case of a 94-year-old male patient with poor general health condition and being treated in a palliative care service. The patient was fed with an enteral feeding tube for seven drugs. There have been two tube occlusions causing the replacement of the tube since the enteral feeding tube was placed.The clinical pharmacist checked how the patient’s drugs were given through a nasogastric tube and how the patient’s relatives administered the drugs. Inappropriate dosage form selections and errors in administration through the nasogastric tube were identified. The interaction and incompatibility of the patient’s medications with the nutritional formula were also investigated. The clinical pharmacist informed the person giving the medicine to the patient about the correct administration of the medicine from the tube. The proper method for administering medications from the tube was ensured accordingly. Following the clinical pharmacist’s training, it was observed that the nasogastric tube was correctly used to administer the drug and the patient being monitored had no tube obstruction in the later phases of the treatment.It may be beneficial for a pharmacist to review drug dosage forms and applications in patients with a feeding tube in order to ensure correct administration and avoid undesired drug interactions.

🔖

Cite This Article

GERİDÖNMEZ, Ö., YÜCEL, K. T., OLGEN, U. (2023). Oral medicine administration errors in a patient with an enteral feeding tube. European Journal of Life Sciences, Cilt: 2 Sayı: 2, 91–95. https://ajindex.com/articles/959965

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Druml C, Ballmer PE, Druml W, Oehmichen F, Shenkin A, Singer P, Weimann A, Bischoff SC. ESPEN guideline on ethical aspects of artificial nutrition and hydration. Clin Nutr. (2016); 35(3):545–556. https://doi.org/10.1016/j.clnu.2016.02.006 Henry B. Evolving ethical and legal implications for feeding at the end of life. Ann Palliat Med. (2017); 6(1):87–90. https://doi.org/10.21037/apm.2017.01.01
  2. Cotogni P, Stragliotto S, Ossola M, Collo A, Riso S, On Behalf Of The Intersociety Italian Working Group For Nutritional Support In Cancer. The Role of Nutritional Support for Cancer Patients in Palliative Care. Nutrients (2021); 13(2):306. https://doi.org/10.3390/nu13020306
  3. Beckwith MC, Feddema SS, Barton RG, Graves C. A Guide to Drug Therapy in Patients with Enteral Feeding Tubes: Dosage Form Selection and Administration Methods. Hosp Pharm. (2004);39(3):225–37. https://doi.org/10.1177/001857870403900308
  4. Seo KS, Bajracharya R, Lee SH, Han HK. Pharmaceutical Application of Tablet Film Coating. Pharmaceutics (2020); 12(9):853. https://doi.org/10.3390/pharmaceutics12090853 Türkiye İlaç ve Tıbbi Cihaz Kurumu. Brief Product Information and Operating Instructions. Retrieved May 14, 2023, from https://www.titck.gov.tr/kubkt IBM Micromedex with Watson. Database. Retrieved May 14, 2023, from https://www.ibm.com/products/micromedex-with-watson Wolters Kluwer. Lexicomp. Database. Retrieved May 14, 2023, from https://www.wolterskluwercdi.com/lexicomp-online/
  5. Phillips, M. S., White, R., Bradnam, V. (2007). Handbook of Drug Administration via Enteral Feeding Tubes. London, UK: Pharmaceutical Press. ISBN: 0-85369-648-9.
  6. Bendich, A. (Ed.). (n.d.). Handbook of Drug-Nutrient Interactions. Boullata, J. I., Armenti, V. T. (Eds.). Humana Press. Electronic ISSN: 2628-1961, Print ISSN: 2628-197X. Series Editor: Adrianne Bendich, Connie W. Bales. Retrieved from https://www.springer.com/series/7659
  7. Emami S, Hamishehkar H, Mahmoodpoor A, Mashayekhi S, Asgharian P. Errors of oral medication administration in a patient with enteral feeding tube. J Res Pharm Pract. (2012); 1(1), 37-40. https://doi.org/10.4103/2279-042X.99677
  8. Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. (2017); 41(1), 15-103. https://doi.org/10.1177/0148607116673053
  9. Cotogni P, Pedrazzoli P, De Waele E, Aprile G, Farina G, Stragliotto S, De Lorenzo F, Caccialanza R, for the AIOM-SINPE-FAVO-Fondazione AIOM Working Group. Nutritional Therapy in Cancer P