1 / 13

Gastrostomy

Gastrostomy . Medication Management By Clare Shalders 2007. Gastrostomy tube. Gastrostomy Tubes. Enteral feeding is a method of maintaining Hydration and nutrition for residents who suffer from an illness that affects the ability to take an adequate intake to maintain nutritional status

paniz
Télécharger la présentation

Gastrostomy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Gastrostomy Medication Management By Clare Shalders 2007 GOTAFE/CSHALDERS2009

  2. Gastrostomy tube GOTAFE/CSHALDERS2009

  3. Gastrostomy Tubes • Enteral feeding is a method of maintaining Hydration and nutrition for residents who suffer from an illness that affects the ability to take an adequate intake to maintain nutritional status • A feeding tube is passed directly into the stomach or small bowel and liquid nutrition is provided GOTAFE/CSHALDERS2009

  4. Administering medications • Goal • Maximise the therapeutic effect of a medication without adversely effecting the delivery of the enteral feed • Administration can be problematic GOTAFE/CSHALDERS2009

  5. Administering Medications • Altering the form of the medication can interfere with the drug’s efficiency i.e. crushing • Changes may occur in the absorption, distribution, metabolism or excretion of altered medications • Physical changes can occur and risk peg tube occlusion GOTAFE/CSHALDERS2009

  6. Medication Forms • Liquid medication is the best option as there is decreased risk of tube occlusion and increased absorption of the medication • Certain preparations may cause GI distress, especially those with high osmolarity • Complications can be minimised by diluting liquid medications in 30 ml of water GOTAFE/CSHALDERS2009

  7. Medication Forms • Immediate release oral tablets: tablets should be crushed finely and mixed with 10-30ml of water • Soft gelatine capsules: prick the capsule and squeeze out the contents GOTAFE/CSHALDERS2009

  8. Medications not for administration • Enteric coated administration; enteric coating protects the integrity of the medication from destruction by the stomach acid and therefore crushing the medication reduces it’s effectiveness GOTAFE/CSHALDERS2009

  9. Medications not for administration • Sustained release medications: altering the form of the sustained release medications changes the medication properties • Sublingual medications GOTAFE/CSHALDERS2009

  10. Medications not for administration • Acidic liquid medications: many syrup medications are too acidic for administration via the gastrostomy tube • Elixir and suspension liquids should be used rather than syrups GOTAFE/CSHALDERS2009

  11. Minimise complications • Use liquid medications first priority • Prepare medication forms as described • Consider the timing of the medication administration in relation to enteral feed • Verify the position of the gastrostomy tube before administering medication GOTAFE/CSHALDERS2009

  12. Minimise complications • Use the medication port on the gastrostomy tube to administer medications • Use a syringe size greater than 30 mls as smaller syringes create to much pressure • Do not mix medications with enteral feeds • Be careful of drug incompatibilities • Flush the gastrostomy tube with 30 mls of water before and after medication administration • Flush with 15mls of water in between different medication GOTAFE/CSHALDERS2009

  13. References • Ref. http://nwmdgp.org.au/pages/after-hours/GPRAC-CIS_07.html • Bullock, S. Manias,E. Galbraith, A. Fundamentals of Pharmocology. 5th Edition.Pearson Education Australia. 2007 GOTAFE/CSHALDERS2009

More Related