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Phenytoin and enteral feedings: Miller D, Miller H. Omeprazole and lansoprazole suspensions for nasogastric administration. Minimising interactions between liquid phenytoin and enteral feeds 1. Stop enteral feed two hours before administration of phenytoin and recommence two hours after dosing or Suspend feed between 10pm and how does labetalol generic viagra 50mg reduce blood pressure 6am that is, during sleeping hours and give phenytoin as a single 2008-12-15To minimize the amount of time that the feedings are held, phenytoin suspension should be given twice daily rather than more often if possible. 28 Alternatively, if the enteral feedings cannot be held, then the dose of the phenytoin suspension should be increased to account for the interaction. Larger doses are usually needed to reach therapeutic levels with this strategy, and closely Giving liquid Phenytoin by enteral feeding tube Adults 1. Give phenytoin as a single daily dose. 2. Stop enteral feed 2 hours before administration of phenytoin and recommence 2 hours after dose. OR Suspend feed between 10pm and 6am (that is, during sleeping hours) and give phenytoin as a single dose at midnight (this allows 6 hours for medicine absorption). 3. Dilute phenytoin suspension with Enteral nutrition infusion can affect the absorption of Dilantin. If your patient is taking Dilantin… Tube feeding infusion must be held for 1-2 hours before and after administration of Dilantin. This is required for PO (or GI access tube) administration only. Tube feeding infusion does not need to be held for administration of IV Dilantin.Medicines Enteral Feeding Tubes. Introduction Types of Tubes Choosing a formulation Crushing tablets/opening capsules Administration of medication Drug Interactions. Types of tubes Gastric tubes – end of the tube is in the stomach Nasogastric (NG) tubes – pass through the nose Percutaneous endoscopic gastrostomy (PEG) –passed through the abdominal wall Jejunal tubes - end of the tube Am J Health Syst Pharm. 2008;65(24):2347-2357. Consideration should be given to the type of EN formulation administered concurrently with phenytoin. Hennessy [33] confirmed that higher protein Compatibility of medications with enteral feedings. Holtz L, Milton J, Sturek JK. Administration of medications to patients with nasogastric tubes has traditionally been done in does tylenol help acne a bolus fashion. An alternative to this would be to mix the medications in the continuous drip enteral feeding with subsequent continuous administration. The purpose of this study was to determine the compatibility of Switching from a G-tube to a GJ-tube is a relatively simple procedure. If there is already a G-tube in place, the GJ-tube can be placed into the same stoma, so no additional surgery is required. The switch is done in the Interventional Radiology department. A special kind of continuous X-ray called fluoroscopy is used to correctly place the GJ. Some hospitals allow parents to be in the room GUIDELINES FOR THE ADMINISTRATION OF DRUGS THROUGH ENTERAL FEEDING TUBES 2nd Edition October 2003 . 2 Disclaimer Representations in this guide are believed to be true and accurate. The Primary Care Trusts, NHS Trusts, and their employees, or agents accept no liability for loss of any nature to persons, organisations, or institutions which may arise as a result of errors. Users of this guide

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