Challenges in medication administration by gavage in the intensive care unit: A literature review

Abstract

Introduction: Enteral nutrition therapy and a key therapeutic option in the care for hospitalized patients. The route intended for enteral nutrition (NE) is also used for drug administration. It is suggested that the administration of drugs in this way needs to be monitored, aiming to improve the therapeutic results. Objective: To discuss the main challenges in medication administration by gavage in the Intensive Care Unit. Material and Methods: We performed a literature review searched the electronic databases Medline, Bireme, Lilacs, and Scielo, including national and international recent articles, the keywords used were: "enteral nutrition", "Intensive Care Units" and "Therapy Nutrition ". It was given preference for articles published between the years 2005 and 2014 looking always prioritize the most current jobs. Results: The results showed that errors in the administration of high surveillance medications are associated with the prescription, transcription, handling, route of administration, dosage form and the technique used. In case of errors can cause permanent damage leading to death. Adopt policies, guidelines, clinical protocols, training and training of the teams, are some alternatives that need to be used by healthcare organizations. Final thoughts: Therefore reduce and prevent mistakes and seek strategies to ensure quality and safety should be part of the daily work process responsible for health professionals, particularly pharmacists.