Also meant to add that you might pose your question also to your TB Center of Excellence consultation line as I’m sure they would have some specific suggestions
that would be helpful in this situation.
Ann
Ann Raftery, RN, PHN, MS
Curry International Tuberculosis Center
University of California, San Francisco
From: Raftery, Ann
Sent: Friday, February 16, 2018 5:35 PM
To: tbnurses@ntca.simplelists.com
Subject: RE: Daily digest for tbnurses@ntca.simplelists.com
Hello Nadya,
That’s a great question! I think if you are restricted to administering the meds via G tube, you may wish to discuss with the treating MD whether there is
an alternative to PAS as PASER granules shouldn’t be crushed and whole granules could clog the G tube. You can confirm this with your Pharmacist. There is a parenteral preparation I’ve seen used internationally but it is not available in the U.S. to my knowledge.
I would think your best bet would be to see if there is an alternative drug to replace the PAS if the patient is unable to swallow the granules.
Please share with us if you find a work around for your patient. These are situations I think we all can learn from!
Kind regards,
Ann
Ann Raftery, RN, PHN, MS
Curry International Tuberculosis Center
University of California, San Francisco
From: ntca.simplelists.com listserve [mailto:nobody@simplelists.com]
Sent: Friday, February 16, 2018 4:21 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
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(Previous discussion continued) |
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RE: Daily digest for tbnurses@ntca.simplelists.com - Teresa Nowland
(16 Feb 2018 10:11 EST) |
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RE: Daily digest for tbnurses@ntca.simplelists.com by
Teresa Nowland (16 Feb 2018 10:11 EST)
Reply to list
When I had this type of patient we gave the finely crushed medications through the tube with flushing before and after.
Being you are lucky enough that the patient is able to take the medication orally than yes keep the tube clamped.
Teresa
Nurse Case Manager
815 N. Broadway Ave. Suite 155
Tyler, TX 75702
Phone: 903-510-5608
Cell: 903-258-7502
Fax: 903-535-0759
From: ntca.simplelists.com listserve [mailto:nobody@simplelists.com]
Sent: Thursday, February 15, 2018 6:28 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
Administering PAS via G tube - Sabuwala, Nadya (MDH) (15 Feb 2018 18:13 EST)
Administering PAS via G tube by
Sabuwala, Nadya (MDH) (15 Feb 2018 18:13 EST)
Reply to list
Hello fellow nurse,
1. Are any of you familiar with or have any tips or resources regrading administering Pacer via a G tube?
2. Do you clamp the tube for a while after administering all TB medications through a G tube? If yes, for how long do you clamp the tube?
Thanks for your help,
Nadya
Nadya Sabuwala PHN, RN, MSN, MPH
Nurse Consultant
Minnesota Department of Health
Infectious Disease Epidemiology, Prevention and Control
625 Robert Street N| P.O. Box 64975
St. Paul, MN 55164-0975
p (651) 201-5548 | f (651) 201-5500
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To reply to a posting, simply reply. To start a new thread, address it to
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