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- Title
Drugs via enteral feeding tubes in inpatients: dispersion analysis and safe use of dispensers.
- Authors
Portela Beserra, Milena Pontes; Gonçalves de Oliveira, Cristiani Lopes Capistrano; Portela, Mileyde Ponte; de Oliveira Lopes, Marcos Venícios; de França Fonteles, Marta Maria; Beserra, Milena Pontes Portela; De Oliveira, Cristiani Lopes Capistrano Gonçalves; Lopes, Marcos Venícios de Oliveira; Fonteles, Marta Maria de França
- Abstract
<bold>Objective: </bold>This study aimed to improve knowledge about drug administration through enteral feeding tubes (EFTs) in order to minimize efficacy and safety problems.<bold>Material and Methods: </bold>The study was performed in a public secondary care hospital with level II accreditation by the National Accreditation Organization (Organização Nacional de Acreditação ONA), in Fortaleza, Ceará, north-eastern Brazil.<bold>Results: </bold>One hundred and eight oral solid medications that could be administered through EFTs and were not available in liquid forms were evaluated via transformation of their solid dosage forms into liquid forms. Dispersion times and conditions were assessed to determine which medications should be crushed. We compared the use of dispensers and syringes and their connections to enteral feeding tubes and intravenous devices. Medications whose dispersion occurred within 20 minutes and could be visually perceived and whose content could be expelled without occluding the oral syringe were considered "satisfactory".<bold>Conclusions: </bold>The dispersion was "satisfactory" in 82 (75.9%) of the medications; they were classified as capable of being dispersed in water in the oral syringe for further administration via EFTs without the need for crushing. Use the dispenser instead of the syringe for drug administration was safer because the dispenser apparatus did not fit into equipment for intravenous drug administration.
- Subjects
ENTERAL feeding; DRUG administration; DRUG delivery systems; PHARMACEUTICAL encapsulation; ORAL drug administration; DISPERSION (Chemistry); DRUGS; DOSAGE forms of drugs; GENETIC techniques; PATIENT safety; DRUG tablets; EQUIPMENT &; supplies
- Publication
Nutrición Hospitalaria, 2017, Vol 34, Issue 2, p257
- ISSN
0212-1611
- Publication type
journal article
- DOI
10.20960/nh.486