Jump to content

Cough Syrup via PEG Tube

Nurses   (53,015 Views | 23 Replies)

MisMatch has 14 years experience as a LPN and specializes in geriatrics.

2,791 Profile Views; 141 Posts

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 cough syrup given via PEG tube help control the cough? Also, when given PO, you don't want to give water after the cough syrup; does the water flush given after PEG tube administration impact its effectiveness?

I've asked my fellow nurses who work night shift with me and no one seems to know. I'm counting on the expertise here to help me understand. Thank you!

Share this post


Link to post
Share on other sites

roser13 has 17 years experience as a ASN, RN and specializes in Med/Surg, Ortho, ASC.

6,504 Posts; 51,439 Profile Views

The action of most cough syrups is systemic and it doesnt matter how it is administered. I'm not sure if that answers your question.....were you and your co-workers of the opinion that cough syrups are only topical?

Share this post


Link to post
Share on other sites

indynurse '87 specializes in Geriatrics/LTC.

21 Posts; 1,417 Profile Views

I had this very discussion with an MD when he came to make rounds a couple of years ago, his statement to me was that the main active ingredient in the cough syrup worked on the "cough center" in the brain, so therefore worked when given per tube.

Share this post


Link to post
Share on other sites

290 Posts; 2,878 Profile Views

If the cough syrup were an expectornat, it would matter. :confused:

Share this post


Link to post
Share on other sites

5 Followers; 37,455 Posts; 100,631 Profile Views

If you have any doubts look up the ingredients of the cough syrup and read up on their actions.

Share this post


Link to post
Share on other sites

964 Posts; 5,226 Profile Views

Good question. Have seen it ordered to give that way. I wondered myself, but feel it does probably work systemic, as coating the throat is only going to last so long anyways.

Share this post


Link to post
Share on other sites

nurse2033 is a MSN, RN and specializes in ER, ICU.

3 Articles; 2,124 Posts; 28,770 Profile Views

Cough syrup contains drugs. Those drugs are absorbed in the GI tract and distributed throughout the body in the blood, just like all medications.

Share this post


Link to post
Share on other sites

DizzyLizzyNurse has 12 years experience and specializes in Peds Medical Floor.

1,024 Posts; 19,683 Profile Views

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.

Share this post


Link to post
Share on other sites

Altra is a BSN, RN and specializes in Emergency & Trauma/Adult ICU.

6,255 Posts; 40,769 Profile Views

Some scary stuff being posted here ...

OP, get your drug guide and look up "guaifenisin", "dextromethorphan" or whatever the active ingredient is in the cough suppressant that you are administering. You'll have your answer.

Share this post


Link to post
Share on other sites

BabyLady is a BSN, RN and specializes in NICU, Post-partum.

2,300 Posts; 14,996 Profile Views

If it has codeine in it, which many of them do, you can give them water with it because it is a cough surpressant.

Share this post


Link to post
Share on other sites

rn438 specializes in Telemetry.

22 Posts; 1,281 Profile Views

cough syrup doesnt work by coating the throat. it works by absorbing it systemically, so NG or PEG or swallowing it doesnt make a difference. You should know the mechanism of action for every drug you are giving, look it up in a good drug book. You can still expectorate with an NG or peg in place also. Doesnt matter . Cough syrup is very thick and clogs up tubes! Definitely give water afterward.

Share this post


Link to post
Share on other sites

1 Follower; 6,986 Posts; 32,930 Profile Views

Altra said:
Some scary stuff being posted here ...

OP, get your drug guide and look up "guaifenisin", "dextromethorphan" or whatever the active ingredient is in the cough suppressant that you are administering. You'll have your answer.

That is what I was thinking.....I was taught in NS to give water with the cough syrup, r/t aiding in loosening secretions and that it acted centrally, no locally.....for that you want a lozenge..

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.