Administration of Medication Via an Enteral Tube Essay

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mcch Operational Procedure: Guidelines for Administration of Medication via an Enteral Tube Policy Statement: These guidelines are adapted from the current guidelines produced by BAPEN (British Association for Parental and Enteral Nutrition) ‘Drug Administration via Enteral Feeding Tube’”. In this document the use of the word Plan refers to a Care Plan, Care Programme Approach Plan, Support Plan or this may also be a Person Centred Plan. 1 1.1 General Considerations Administering medication via an external route can only be undertaken by staff who have completed competency based assessments for external feeding. The service user’s medication should be reviewed regularly and unnecessary medicines discontinued. Administering drugs via an enteral tube should be considered as a last resort; and wherever possible and alternative route should be used. Changing drugs within the same therapeutic group may be necessary. Where possible a once daily preparation should be used to reduce the number of manipulations; but this must be by using long acting drugs not sustained release preparation. 1.2 1.3 2 Legal Implication Most drug administration via an enteral feeding tube falls outside the product licence for that drug as does crushing tablets and opening capsules not specifically designed for that purpose. In these circumstances the prescriber and practitioner accept liability for any adverse effects from this administration resulting from the method of administration of that drug. Therefore it is imperative that the prescribing GP is made aware that the route of administration is enteral. 3 Preferred Formulations Liquids or soluble tablets are the preferred formulation for administration via feeding tubes. Crushing tablets or opening capsules should be considered as a last resort. 4 Drug Interactions Interactions between feed and drugs can be

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