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Gastrointestinal Disorders Caused by Medication and Electrolyte Solution Osmolality during Enteral Nutrition
Author(s) -
Niemiec Paul W.,
Vanderveen Timothy W.,
Morrison John I.,
Hohenwarter Mark W.
Publication year - 1983
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607183007004387
Subject(s) - enteral administration , medicine , parenteral nutrition , bolus (digestion) , electrolyte , intensive care medicine , feeding tube , anesthesia , gastroenterology , surgery , chemistry , electrode
Enteral feeding tubes represent convenient avenues for medication administration and electrolyte replacement. The frequent association of medication therapy with gastrointestinal disorders during enteral nutrition prompted this evaluation of medication and electrolyte solution osmolality. It is concluded that the hypertonicity of electrolyte replacement solutions and various medications may cause gastrointestinal intolerance in patients. Electrolyte supplementation by parenteral means or by appropriate dilution and mixture with an enteral formula is preferable to bolus administration of undiluted solutions via the feeding tube. Routine admixture of medications such as antibiotic suspensions to enteral formulas cannot be recommended at this time pending specific study of drug compatibility and availability from enteral tube feeding systems. ( Journal of Parenteral and Enteral Nutrition 7: 387–389, 1983)