Wow, this thread is an eye opener to me! I can't imagine flushing a GT or NG with 10cc of water after every single medication! That just sounds ridiculous to me. I work in NICU now, the land of fluid restrictions, but I was a CNA on adult floors and watched the nurses giving meds all the time. I remember that they just gave them all at once and flushed them in afterwards, not after every single med.
I do understand that some meds are not supposed to be given at the same time because of absorption issues, etc. So yeah, those should be scheduled and administered at the proper times. But other meds...they all mix in the stomach anyways, it really doesn't make a difference if you mix them a minute before they hit the stomach via an NG or GT, or if the person swallows the pills and they mix naturally. Plus you have the meds that should never be crushed, like extended-release things, but that's a whole other thread.
With our babies, we give NG meds all the time and sometimes GT as well. With kids on feedings, we just schedule the meds to coincide with the feedings. We have liquid meds or once in a while crushed meds, and we just add them to the entire feeding, shaking gently to distribute, and feed as normal. If the baby is NPO except for meds, we ive the meds (mixing crushed meds with 1-2cc of sterile water) and flush with 1-2cc of water. Our G-tubes have much larger tubing than our NGs, 14-french as opposed to our 5, 6.5, or 8-french NGs.
If I got floated to peds or adults (which of course never happens) and had to give G-tube meds...I'd just d them the same way I give our babies G-tube meds. Clamp off the tube, put a large syringe on it, pour in some water or liquid feeding into the syringe, and throw the meds in there. Place plunger on syringe, shake gently, remove, then open the clamp and let the meds go in by gravity. If a little remained in the tube, I'd either push a cc or two of air to clear the tube, or use a bit of water or feeding to clear the tubing.
Just saying what I'd do, and I give tube feedings and NG/GT meds almost every single day I work.