Profile of medicines used via oral and gastrointestinal catheter in a Walk-in Service

Abstract

Objective: To identify the profile of drugs prescribed via oral and gastrointestinal catheter in a Walk-in Service of a University Hospital. Method: Quantitative cross-sectional study in which data were collected from the medical records of hospitalized patients using medication via oral or gastrointestinal catheter at least once a day between April and October 2015. The analysis was performed through descriptive statistics. Results: Out of 568 prescriptions (total), there were 143 different medications. The pharmaceutical form with the greatest number of prescriptions was solid (95.8%), of which 46.1% were simple tablets. The oral route had the highest number of administrations (97.3%). The most prescribed drug class was of anti-infectives (25.9%), but the Omeprazole drug was the most prescribed in the study (40%). Conclusion: There are indications that enable rethinking the care practice and establishing criteria and norms for contributing to the safety and efficacy of services provided in healthcare, especially regarding the preparation and administration of medications via gastrointestinal catheter.

Preparing and administering medications via enteral feeding tubes: a guideline for clinical pharmacists and multi-professional team

“…DOI 10.30968/rbfhss.2021.122.0600.Medication prescription and administration via enteral catheters is quite challenging for the entire team, since it involves the practice of many professionals who provide care to the patient. The study by Moreira et al11 (2018) corroborates with the results obtained, presenting most of the medications prescribed in the solid form (95.8%), and the liquid presentations had a lower frequency (4.2%). The paper by Rodrigues et al3 (2014) also presents similar results, obtaining the highest frequency of prescription of solid forms (85%) and the lowest of liquid forms.…”

Intervenção Educativa Sobre Interação Medicamento-Nutrição Enteral Na Unidade De Terapia Intensiva

“…A maioria dos medicamentos sólidos não são formulados para a administração por sonda, podendo afetar sua eficácia e causar toxicidade, acarretando em eventos adversos. A polifarmácia potencializa o risco de interações fármaco-nutrientes (4,5) . Ademais, alguns nutrientes presentes na dieta enteral modificam o efeito dos medicamentos e podem interferir em processos farmacocinéticos, trazendo prejuízos ao tratamento, como perdas na biodisponibilidade do fármaco, redução do nível sérico, entre outros (1) .…”