Is Dilantin compatible with enteral feedings?
feeding tube in proper position, no restriction as to type of feeding tube (nasogastric, nasoduodenal, gastrostomy, jejunostomy), but both Dilantin and enteral feeding must be given through the same tube.
What medications interact with tube feeds?
The American Society for Parenteral and Enteral Nutrition (ASPEN) recommends interruption of enteral nutrition 30 minutes before and 30 minutes after the administration of drugs which absorption properties are affected by enteral nutrition (such as ciprofloxacin, doxycycline, isoniazid, levofloxacin, ofloxacin.
What types of medications Cannot be given via an enteral tube?
Some liquid formulations are not appropriate for administration via the enteral tube. These include lansoprazole oral suspension granules and mineral oil, which are too viscous and may occlude the tube. Sucralfate suspension is also not suitable because it may cause an insoluble mass or bezoar formation.
Do enteral feeds reduce the level of absorption of phenytoin syrup?
Enteral feeds decrease the absorption of Phenytoin.
Can you take phenytoin with tube feeding?
Food and drug interactions If your child receives tube feedings with such a product, give the phenytoin at least 1 hour before or 2 hours after feeding. If your child receives continuous tube feedings, stop the tube feedings for 1 hour before giving the medicine.
Can phenytoin be given via NG tube?
Nonionized phenytoin is irreversibly bound to NG tubing from solution at the pH of enteral nutrient solutions while this is not the case for anionic phenytoin in unbuffered water or saline.
What medications can you not crush?
If chewed and swallowed, may result in a lower peak concentration and bioavailability. Irritant; Note: chewed, crushed, or sucked tablets may cause oropharyngeal ulceration. Slow-release; Note: crushing, chewing, or dissolving tablets can cause rapid release and absorption of a potentially fatal dose.
When giving medication via a tube what medications must never be crushed?
Medications such as enteric-coated tablets, capsules, and sustained-release or long-acting drugs should never be crushed because doing so will affect the intended action of the medication.
Can phenytoin be crushed?
Do not crush or chew. Take this medicine with food if it upsets your stomach. It may be best to take your medicine consistently with or without food. Take your doses at regular intervals.
When should you hold tube feedings?
If using a PEG tube, measure residual every 4 hours (if residual is more than 200 ml or other specifically ordered amount, hold for one hour and recheck; if it still remains high, notify doctor). If using a PEG tube, reinstall residual. Hang tube feeding (no more than 8 hours’ worth if in bag set up).
What drugs are not split list?
Examples of products flagged as not recommended for splitting include most extended-release tablets, delayed-release (enteric coated) tablets, capsules (powder, sprinkle, and liquid filled), suppositories, transdermal patches, finasteride, and ciprofloxacin.
Can Dilantin be given through a nasogastric feeding tube?
feeding tube in proper position, no restriction as to type of feeding tube (nasogastric, nasoduodenal, gastrostomy, jejunostomy), but both Dilantin and enteral feeding must be given through the same tube.
How should enteral nutrition be given when a patient is receiving Dilantin?
It is unclear how enteral nutrition via a feeding tube should be given when a patient is receiving enteral Dilantin. Some caregivers hold the feedings for one hour before and one hour after the Dilantin dose to insure adequate absorption of the medication and some caregivers think that the feedings do not need to be interrupted.
What is the rate of intravenous Dilantin administration?
INFUSION The rate of intravenous Dilantin administration should not exceed 50 mg per minute in adults and 1-3 mg/kg/min (or 50 mg per minute, whichever is slower) in pediatric patients because of the risk of severe hypotension and cardiac arrhythmias. Careful cardiac monitoring is needed during and after administering intravenous Dilantin.
How is Dilantin administered as a non-emergency therapy?
As non-emergency therapy, Dilantin should be administered more slowly as either a loading dose or by intermittent infusion. Because of the risks of cardiac and local toxicity associated with intravenous Dilantin, oral phenytoin should be used whenever possible.