Medication administer through the colostomy?

  1. 0
    Can medication be administered via the colostomy? Pt had rectal Ca. & is not swallowing. Thanks for you information in advance.
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  4. 26 Comments so far...

  5. 0
    I personally have never heard of that, and I can't think of any benifits that would be gained from it. Are you talking about any medications that would be taken by mouth? If that is what you mean, that no. If they patient is not taking anything orally, they may be a canidate for a peg tube.
  6. 0
    I have heard of enemas through the colostomy. Otherwise no. What about placing a NGT?
    Last edit by nrsang97 on Mar 4, '08 : Reason: added
  7. 0
    Hi Hopice, welcome to the site.

    We do give some suppositories via the stoma.
  8. 1
    Quote from xb9s
    we do give some suppositories via the stoma.
    common enough in hospice, where things like peg tubes aren't appropriate. the absorption rate is about the same as rectal, unless its an ileostomy.
    XB9S likes this.
  9. 0
    I used to do this when I worked hospice, but had some trouble with some of the meds not wanting to disolve. The Medical Director for the hospice program obtained a bunch of empty gel caps. We crushed the meds and put them into the empty gel caps, then into the colostomy. No more troubles.
  10. 0
    In hospice we have pts that are unable to swallow & medication is administer into the rectum. Thanks for the information
  11. 0
    i have given meds through a colostomy...
    but would be concerned w/absorption, considering pt has rectal ca.

    leslie
  12. 0
    Quote from Valanda
    I used to do this when I worked hospice, but had some trouble with some of the meds not wanting to disolve. The Medical Director for the hospice program obtained a bunch of empty gel caps. We crushed the meds and put them into the empty gel caps, then into the colostomy. No more troubles.
    Umm that wouldn't work for most meds. There are quite a few meds that are absorbed rectally but not all. Most likely they would just pass through. To the OP I would ask your pharmacist about absorption.

    David Carpenter, PA-C
  13. 2
    Quote from core0
    Umm that wouldn't work for most meds. There are quite a few meds that are absorbed rectally but not all. Most likely they would just pass through.

    David Carpenter, PA-C
    i'm quite confident the hospice medical director is extremely qualified as to what meds could be absorbed through the intestinal mucosa.
    a rather audacious statment, don't you think mr. carpenter, pa-c???

    leslie
    BlueRidgeHomeRN and Valanda like this.


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