Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit

Objective: This study aims to evaluate medication prescriptions to be used by a feeding tube in an emergency unit, identify and classify the problems with the prescriptions and suggest interventions, done by a pharmacist, when necessary. Also aims to develop a guide with information about administe...

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Autores principales:	Inaê A. SPEZIA, Filipe C. MATHEUS
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/3c8cccf524774569b2980eed4a1074a9
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spelling	oai:doaj.org-article:3c8cccf524774569b2980eed4a1074a92021-11-28T02:44:14ZEvaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit10.30968/rbfhss.2020.114.04972179-59242316-7750https://doaj.org/article/3c8cccf524774569b2980eed4a1074a92020-12-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/497https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: This study aims to evaluate medication prescriptions to be used by a feeding tube in an emergency unit, identify and classify the problems with the prescriptions and suggest interventions, done by a pharmacist, when necessary. Also aims to develop a guide with information about administering medication through the feeding tube in order to help the health care team. Methods: the study is characterized as a quantitative cross-sectional study, with data collected during March to September of 2019 at an adult emergency unit, a total of 47 prescriptions were analyzed by a pharmacist and 138 drugs were prescripted to be administered through a feeding tube. Results: A total of 18.8% of those medications presented some restriction to be administered by the feeding tube. The most common problems observed were the loss or reduction of therapeutic effect present in 61,6% of the cases, followed by drug-food interactions with 30.8%. About the pharmaceutical intervention more performed was requesting to change the pharmaceutical form (36%), followed by orientation about stop the enteral feeding (30.2%). To the elaboration of the guide for the health care team, 181 medications standardized at the hospital were analyzed, of that 33.1% presented some restriction to administer by feeding tube and only 35% presented another pharmaceutical form for substitution. Conclusion: it was possible to note the importance of pharmaceutical evaluation of prescriptions to identify errors and prevent future problems assuring the patient’s safety. The guide elaboration sought to assist and optimize the process of medication administration by feeding tube guaranteeing the safety and effectiveness of pharmacotherapy. Inaê A. SPEZIAFilipe C. MATHEUSSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 11, Iss 4 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Inaê A. SPEZIA Filipe C. MATHEUS Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit
description	Objective: This study aims to evaluate medication prescriptions to be used by a feeding tube in an emergency unit, identify and classify the problems with the prescriptions and suggest interventions, done by a pharmacist, when necessary. Also aims to develop a guide with information about administering medication through the feeding tube in order to help the health care team. Methods: the study is characterized as a quantitative cross-sectional study, with data collected during March to September of 2019 at an adult emergency unit, a total of 47 prescriptions were analyzed by a pharmacist and 138 drugs were prescripted to be administered through a feeding tube. Results: A total of 18.8% of those medications presented some restriction to be administered by the feeding tube. The most common problems observed were the loss or reduction of therapeutic effect present in 61,6% of the cases, followed by drug-food interactions with 30.8%. About the pharmaceutical intervention more performed was requesting to change the pharmaceutical form (36%), followed by orientation about stop the enteral feeding (30.2%). To the elaboration of the guide for the health care team, 181 medications standardized at the hospital were analyzed, of that 33.1% presented some restriction to administer by feeding tube and only 35% presented another pharmaceutical form for substitution. Conclusion: it was possible to note the importance of pharmaceutical evaluation of prescriptions to identify errors and prevent future problems assuring the patient’s safety. The guide elaboration sought to assist and optimize the process of medication administration by feeding tube guaranteeing the safety and effectiveness of pharmacotherapy.
format	article
author	Inaê A. SPEZIA Filipe C. MATHEUS
author_facet	Inaê A. SPEZIA Filipe C. MATHEUS
author_sort	Inaê A. SPEZIA
title	Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit
title_short	Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit
title_full	Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit
title_fullStr	Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit
title_full_unstemmed	Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit
title_sort	evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/3c8cccf524774569b2980eed4a1074a9
work_keys_str_mv	AT inaeaspezia evaluationofprescriptioncontainingmedicationviaenteralfeedingtubesinanadultemergencyunit AT filipecmatheus evaluationofprescriptioncontainingmedicationviaenteralfeedingtubesinanadultemergencyunit
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Evaluation of prescription containing medication via enteral feeding tubes in an adult emergency unit

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