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Case Report
Published: 02-14-2022

Adequação de medicamentos prescritos em pacientes em uso de sonda enteral em um hospital público no sul do Brasil

Nutróloga Coordenadora Clínica, EMTN Hospital Alvorada-RS, Brasil
Nutricionista Coordenador Técnico Administrativo, EMTN Hospital Alvorada-RS, Brasil
Enfermeira, EMTN Hospital Alvorada-RS, Brasil
Farmacêutica, EMTN Hospital Alvorada-RS, Brasil
Fonoaudióloga, EMTN Hospital Alvorada-RS, Brasil
Fisioterapeuta, EMTN Hospital Alvorada-RS, Brasil
Enteral feeding tube pharmaceutical form pharmaceutical care pharmaceutical preparations enteral nutritional therapy

Abstract

Patients receiving enteral nutritional therapy are fed via enteral feeding tubes, which are also routes of medical administration. Nutrients and drugs interact with each other and with the gastrointestinal tract; care is needed to ensure that this therapy is properly performed in order to avoid adverse effects related to enteral nutritional therapy. The professionals involved in prescribing, dispensing and administrating drugs by feeding tubes should have the technical ability and skills that ensure the adequacy of the drug treatment in patients who use this type of therapy. There are few clinical protocols that refer to drug use in solid pharmaceutical form via enteral catheter. This study aimed to verify the inadequacy of the prescription of the solid pharmaceutical form through enteral feeding tube in patients hospitalized in a clinical unit in a public hospital in the south of Brazil. This is an observational, cross-sectional study whose data were analyzed from medical prescriptions of patients using enteral tubes. Among the drugs with pharmaceutical form of oral use prescribed via enteral feeding tubes, 94% (604) were prescribed in a solid dosage form, of which 42% (253) were inadequately prescribed. The high prevalence of inadequately prescribed drugs for tube administration demonstrates the importance of the pharmaceutical activity among the multidisciplinary team who assists patients with enteral nutritional therapy.

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References

  1. Farias A, Didonet J, Predebon S, Vargas Schwarzbold C. Estruturação de orientação farmacêutica para com medicamentos por sonda nasoenteral: um estudo de caso. Rev Bras Farm. 2011;92(4):378–83.
  2. Dopico L, Lisboa CDD. Consequências Da Interação Entre Nutrição Enteral E Fármacos Administrados Por Sondas : Uma Revisão Integrativa *. Cogitare Enferm. 2011;16(1):134–40.
  3. Martins MR, Soares AQ, Modesto ACF, Carvalho RF, Melo VV DI, Farias A, Didonet J, Predebon S, Vargas Schwarzbold C. Análise de medicamentos administrados por sonda em unidades de terapia intensiva em hospital de ensino. Rev Bras Farm. 2011;92(4):378–83.
  4. Henrique E, Jamal Y. Padronização de medicamentos sólidos orais via sonda nasoenteral em um Hospital de Cascavel, Paraná. Rev Thêma Sci –. 2012;2(2).
  5. De Lima G, Maria N, Negrini M. Assistência farmacêutica na administração de medicamentos via sonda: escolha da forma farmacêutica adequada. 2009;7(1):9–17.
  6. Triki E, Fendri S, Dammak H, Bouaziz M, Sfar S. Administration des médicaments par sonde de nutrition entérale : évaluation des pratiques dans un service de réanimation médicale d’un hôpital tunisien. Ann Fr Anesth Reanim. 2012;31(7):596–9.
  7. Hoefler R VJ. Administração de medicamentos por cateteres. Bol Farm. 2009;14(3):1–4.
  8. Miranda L de S. Comparative study among the processes of obtention of pellets and their application in the pharmaceutical industry. 2014.
  9. Gorzoni ML, Torre D, Pires L. Drugs and feeding tubes. Rev Assoc Med Bras. 2010;56(1):17–21.
  10. Matos HL De. Implantação do setor de farmácia clínica de um hospital oncológico do estado da Paraíba : elaboração de um protocolo para administração de medicamentos por sondas de nutrição enteral. 2014.
  11. Williams NT. Medication administration through enteral feeding tubes. Am J Heal Pharm. 2008;65(24):2347–57.
  12. Lourenço R. Enteral feeding: drug/nutrient interaction. Clin Nutr [Internet]. 1 de abril de 2001 [citado 28 de fevereiro de 2017];20(2):187–93. Available at: http://www.clinicalnutritionjournal.com/article/S0261561400901559/fulltext
  13. Joos E, Verbeke S, Mehuys E, Van Bocxlaer J, Remon JP, Van Winckel M, et al. Medication administration via enteral feeding tube: a survey of pharmacists’ knowledge. Int J Clin Pharm. 2016.

How to Cite

Ramos, C. P., Kuhn, E. H. G., Girardi, A. L., Demartini, M., Deus, V. F. de, & Dias, M. F. (2022). Adequação de medicamentos prescritos em pacientes em uso de sonda enteral em um hospital público no sul do Brasil. International Journal of Nutrology, 10(3), 99–105. https://doi.org/10.1055/s-0040-1705296