Drug Co-administration with enteral feeds
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Drug Co-administration with enteral feeds

Don’t rush to crush When patients have enteral feeding tubes in place it is often considered convenient to use the tube to give medications. However, co-administration of drugs in this way to patients receiving enteral nutrition can be problematic for several reasons. Manipulating the physical structure of medications (crushing, dissolving, diluting etc) to pass them…

Prescribing Rights for Dietitians
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Prescribing Rights for Dietitians

Plans are underway to introduce prescribing rights for dietitians in South Africa – something eagerly awaited by clinical dietitians, especially those in hospital-based practice. Currently, dietitians are at liberty to prescribe products which are unscheduled (schedule 0), which includes macronutrient modules, oral nutrition supplements, enteral feeds and most vitamin preparations. In fact, all medicines scheduled…

Calculating lipids from propofol
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Calculating lipids from propofol

Calculating the Medical Nutrition Therapy prescription in the ICU should incorporate consideration of all contributors to macronutrients and calories. This includes the IV propofol used for sedation. Understanding propofol formulation Propofol may be delivered as a 1% (10mg/ml) or 2% (20mg/ml) formulation, both of which deliver 0.1g/ml of lipid in the form of 100% soy…