Medication administration through feeding tube: practical profile in a tertiary teaching hospital
Keywords:Nutrição enteral, Medicamentos, Administração oral, Serviço de Farmácia Hospitalar
To know the weaknesses involved the prescribing, dispensing and administration of drugs through feeding tube and propose and develop strategies to minimize the risks related to this activity. The was an observational and descriptive study conducted in different stages: 1) analysis of oral solid drugs used within the hospital; 2) evaluation of the prescription of drugs via tube and 3) interviews with pharmacy professionals and nursing staff to identify the profile of the practice of dispensing and administration of drugs by tube feeding. Were identified 207 oral solid drugs, of which 71 cannot be by this route. Among 590 evaluated medical prescriptions, 117 containing at least one medicament to be administered in this way to 42 different patients. A total of 483 doses were required of 68 different drugs, and 78.16% were medicines in solid form. The interview with the pharmacy and nursing teams, demonstraded the lack of training, the constant doubts, and lack of reference materials for the safe and effective implementation of pharmacotherapy via tube. Based on this finding, strategies were developed and suggested to improve this practice. The study showed that there are many doubts and weaknesses in relation to the administration of drugs via catheter. Recognizing this, measures such as the inclusion of the analysis of prescriptions by pharmacists, the multidisciplinary interaction and the development of materials to standardize procedures are necessary to promote the rational use of drugs to that route, ensuring the safety and efficacy of pharmacotherapy of patients.
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