Nexium Capsule!

Anyone have any tips on how not to clog a Mickey button when giving a client nexium? As much as I shake the syringe to separate the granules inside the capsule they always seem to clog.

Thanks

I hate that stuff! Surely they can prescribe something easier to give. I dissolved the granules in a small amount of warm water. It took a little while to dissolve but it when through a bit easier.

Nexium shouldn't be dissolved before giving. You could open it and give it immediately in a small amount of juice but it really should be changed to another med. Call the MD and explain it can't get down the tube without clogging. There are plenty if liquids, suspensions and mixes out there.

Anyone have any tips on how not to clog a Mickey button when giving a client nexium? As much as I shake the syringe to separate the granules inside the capsule they always seem to clog.

Thanks

When we had this problem we used to divide the doses. Meaning pour water in between administering the medication. Or try using warmer water. Hope this helps :)

Nexium shouldn't be dissolved before giving. You could open it and give it immediately in a small amount of juice but it really should be changed to another med. Call the MD and explain it can't get down the tube without clogging. There are plenty if liquids suspensions and mixes out there.[/quote']

I was told to do so by the MD after I called his office in hopes of getting a different med. I thought it was wrong too. My DON at the time told me to follow MD orders. I did. Right after I charted it all.

Nexium is available in liquid suspension, why not ask the pharmacy to supply that?

There are also instructions to give via g-tube at the bottom of the drug monograph - you add the granules directly to the syringe, add 50 mL water, replace the plunger and shake upside down for 15 seconds. You have to use gentle syringe pressure to administer the suspension (I usually administer meds/ feeding/ flushes with gravity only). After it is administered, flush with more water.

I had to get orders for additional water to administer this (50 mL for the mixing, extra to flush).

I ran into this with an adult with a small diameter tube. Insurance wouldn't cover the suspension... grrrrr.

When I first read the instructions, I thought that it wouldn't work. I was pleasantly surprised to find out I was wrong.

We only ever give nexium or prilosec by mouth. Zegerid is the powdered formulation specifically for people with NGTs/PEGs. Do you have this in your formulary?

I have a system which I call the snowglobe system which I used until we switched to liquid suspension. I would open the capsule, and carefully pour into syringe without any water with syringe , I used a separate syringe for auscultation and flush, grabbed my medication syringe, drew water up quickly and when all particles were floating around would administer them down the tube without clogging. Hope that makes sense

Can someone give good study tips Or a plan on how to tactic the saunders comprehensive book Thanks