Abstract
The objective of this work is to elaborate good practice guidance, aimed at preparing and administering drugs through feeding tube. This study was performed at a secondary level hospital in the interior of Sao Paulo state, Southeast Region of Brazil. For the first phase, a literature review was carried out in the following databases: LILACS, MEDLINE, Web of Science, and MICROMEDEX® Solutions. A manual search was also carried on other sources. In a second phase, the guide was refined for the hospital through meetings. Out of 104 references found, seven were read in full. The most employed technique for drug preparation was a simultaneous crushing of solid formulations. Participants identified a need to standardize techniques for drug preparation and administration through feeding tube, and the importance of using best practice guidance for patient safety was acknowledged. Key words: Feeding tube, medication errors, hospital, good practice.
Highlights
Medication errors related to feeding tube route happen more often than reported or recognized
Errors occurring in oral medication preparation and administration can lead to an occluded feeding tube, reduce the effects of drugs, lead to unsuccessful treatment, and increase the risk of potential adverse drug reactions (Emami et al, 2012; Seyede et al, 2017)
They suggested that health services stimulate the joint work of multidisciplinary teams and the elaboration of protocols for good practices in the preparation and administration of drugs via feeding tube (Van Den et al, 2006; Mota et al, 2010)
Summary
Medication errors related to feeding tube route happen more often than reported or recognized. These errors are often the result of administering medications that are incompatible with administration via, preparing the medications improperly, and/or administering a drug using improper administration techniques (Seyede et al, 2017) (ISMP, 2010). Errors occurring in oral medication preparation and administration can lead to an occluded feeding tube, reduce the effects of drugs, lead to unsuccessful treatment, and increase the risk of potential adverse drug reactions (Emami et al, 2012; Seyede et al, 2017).
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