Quote from tiwi
as i understand it, the medication port should be used, but it should be flushed pre and post administration to avoid mixing with medications. of course there are some medications which require the feed to be stopped for a while pre and post. where i work we do this with dilantin for an hour each way.
just wanted to remind everyone -- the feeding and all meds will mix together in the stomach, even if you stop the feeding, give each crushed pill separately, and flush between meds.
[color=#483d8b]the reason you stop the feedings is so that the tf doesn't leak out of the med port when you uncap it.
[color=#483d8b]the reason textbooks tell you to crush each med/give each med separately is in case something happens to the meds -- say you spill some -- you will know what the patient did/didn't get. a huge waste of time in my opinion, though.
[color=#483d8b]as far a flushing between each med, some patients can't tolerate that much fluid. (think about the patients that tend to have fluid restrictions -- renal pts, chf pts -- they often have the most meds. they can't handle all that fluid)
[color=#483d8b]of course, as stated above, there are some meds (like dilantin) that can't mix with tf, other meds, and must be given on an empty stomach. then the tf need to be held before/after admin, and nothing is given with those meds.
[color=#483d8b]kashia, i really don't think there is anything horribly wrong with the way either one of you are giving the meds. there can be different ways to do things where neither is right or wrong, just different. while disconnecting the tf, as you do, may open the system up to outside germs, the gi tract isn't sterile, and you are already doing this when you introduce non-sterile meds through a non-sterile syringe. just make sure the end of the tf tubing doesn't hit the ground while disconnected :wink2: also, remember that the med port doesn't open into a smaller tube, but is just a smaller opening to the single, large tube.
[color=#483d8b]personally, on the occasions i now have to admin meds through a gtube, i put the tf on hold, crush/mix all of the meds together and admin through the side port of the gtube via gravity, then flush with aprox 60cc of water, assuming the pt can tolerate the fluid. then i restart the tf. unless, of course, i'm giving a med that has to be given on an empty stomach. (working in the er/outpatient infusion as i now do, i rarely admin meds through a gtube. however, i used to work in icu, and did it all the time there)