When administering medications to tube-fed patients, crushed ...

[DyllonKazuo]

When administering medications to tube-fed patients, crushed medications should be mixed with
 
  a. water.
  b. fruit juice.
  c. diluted enteral formula.
  d. full-strength enteral formula.

Question 2

Mrs. D tells the nurse that she has been having hot flashes and several of her friends recommended that she try Dong quai, an all-natural dietary supplement.
 
  She is concerned about using a dietary supplement without talking with her primary care provider (PCP) first because she has read several accounts of people having adverse reactions to supplements. The best response the nurse can make is: 1. Since the product is all natural it should be OK..
   2. Even all-natural products can produce adverse side effects or be toxic, so use should always be discussed with your PCP..
   3. Natural products are only a problem when they aren't used as directed..
   4. I wouldn't bother the PCP with this when you can ask your pharmacist..

[TheNamesImani]

Answer to Question 1

A
Crushed medications should be mixed with water when given to tube-fed patients. The feeding tube should also be flushed with water before and after administration of the drug to prevent any mixing with formula. Medications should not be mixed with fruit juice or with diluted or full-strength enteral formula because this may alter the bioavailability of the drug or nutrients in the formula or could clog the feeding tube.

Answer to Question 2

2
Rationale: Use of all dietary supplements should be discussed with a PCP to avoid possible drug interactions or toxicities. Products may be labeled as containing all natural ingredients, but these ingredients may still cause adverse side effects or toxicity. The label all natural does not imply that there are no pharmacodynamic effects since 25 of approved drugs were produced from plants and herbal remedies first used by traditional healers.

[DyllonKazuo]

Excellent

[chereeb]

Thanks for the timely response, appreciate it