Cough Syrup via PEG Tube - page 2

I am a fairly new LPN working in LTC. Several residents who are NPO have orders for cough syrup to be given via PEG tube for coughs. The cause of the cough varies with each resident. How does... Read More

  1. by   kanzi monkey
    Quote from Altra
    ?????
    codeine, a morphine-derivative analgesic. It is not a cough suppressant.
    It is used as an anti-tussive. As was Morphine back in the day.
  2. by   JenniferSews
    Quote from Altra
    ?????

    And ... codeine, a morphine-derivative analgesic. It is not a cough suppressant.
    Actually it is. Robitussin AC is guafenesin and codeine. In pharm we were taught codeine suppresses the cough center in the brain.

    Route of administration of either guafenesin or guafenesin and codeine doesn't matter, nether does water administration. Maybe I could see not taking water with a cough drop, which sometimes contain a mild topical anesthetic (ie benzocaine) which can numb the throat a bit.

    ETA- Yes, for your own sake and your patients please flush with water after! Otherwise the sticky mess created will be a huge issue later.
  3. by   MisMatch
    Thank you all for the information. Most of the residents get either guaifenesin or guaifenesin with dextromethorphan. I understand how the dextromethorphan can work systemically when given via PEG tube. I am still not sure how the guaifenesin alone does anything; my drug book shows it being given PO only.
  4. by   BluegrassRN
    Po is the same as per PEG tube with such meds. You are not getting any absorption in the mouth...the absorption occurs lower in the GI tract. Mucinex po will have the same effects (and has the same route of absorption) as mucinex via a PEG tube.
  5. by   Altra
    Quote from MisMatch
    Thank you all for the information. Most of the residents get either guaifenesin or guaifenesin with dextromethorphan. I understand how the dextromethorphan can work systemically when given via PEG tube. I am still not sure how the guaifenesin alone does anything; my drug book shows it being given PO only.
    Guaifenisin is an expectorant, absorbed through the GI tract. P.O. administration is the same as via PEG tube, except in the case of something topical (like Nystatin) that needs to work in the oral cavity.

    Simply put: whether a patient swallows a med which then travels to the stomach & subsequent GI tract, or gets a med via PEG or other NG or enteral access which travels to the stomach & subsequent GI tract ... it is the same route of administration.
  6. by   CoffeeRTC
    Quote from DizzyLizzyNurse
    I never understood why you can't give someone water to drink with cough syrup. I couldn't take it without a drink of water. It's always worked for me and the residents I give it to.

    OMGee me too. It kills me when there are residents that look at me like I'm stoopid.

    Now...if you were taking honey or something to coat your throat and prevent coughing....thats another story.
  7. by   BabyLady
    Quote from Altra
    ?????

    3. And ... codeine, a morphine-derivative analgesic. It is not a cough suppressant.
    Actually, it is. Like the other member stated, it supresses the cough center in the brain.

    http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000565

    It is actually an opiate.
  8. by   Plagueis
    Quote from BluegrassRN
    Po is the same as per PEG tube with such meds. You are not getting any absorption in the mouth...the absorption occurs lower in the GI tract. Mucinex po will have the same effects (and has the same route of absorption) as mucinex via a PEG tube.
    Correct me if I'm wrong, but I'm assuming the Mucinex you're referring to are the granules, since the pills are extended-release. How well do the granules go through a peg tube?
  9. by   BluegrassRN
    Quote from Plagueis
    Correct me if I'm wrong, but I'm assuming the Mucinex you're referring to are the granules, since the pills are extended-release. How well do the granules go through a peg tube?
    I was using mucinex synonymously with guaifenesin. I just didn't want to type out (and probably misspell) guaifenesin. I've never personally had to crush guaifenesin, because I always request pharmacy switch to the liquid form, so that I can just pour it down the peg tube.
  10. by   roser13
    Quote from OldNurseEducator
    If the cough syrup were an expectornat, it would matter.
    Why would that matter?
  11. by   DizzyLizzyNurse
    Quote from michelle126
    OMGee me too. It kills me when there are residents that look at me like I'm stoopid.

    Now...if you were taking honey or something to coat your throat and prevent coughing....thats another story.
    Yeah or a cough drop.

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