Enteral Nutrition Drug Nutrient Interactions

Many patients receiving enteral nutrition are also receiving a variety of medications, some of which are delivered through the feeding tube. Learn more about the drug nutrient interaction (DNI) concerns that arise for these patients and how you and the interdisciplinary care team can work together to combat them. This video includes a review of 5 common DNIs, including phenytoin, levodopa, warfarin, fluoroquinolones, and levothyroxine. Looking for some additional resources? Check out these great articles! Grissinger, Matthew. 2013. “Preventing Errors When Drugs Are given via Enteral Feeding Tubes.” P & T: A Peer-Reviewed Journal for Formulary Management 38 (10): 575–76. Roberts, Susan, and Jane Ziegler. 2018. “Enteral Nutrition and Medication Interactions.” Support Line 40 (4): 12–22. Timestamps: 0:00 Introduction 0:20 Drug Nutrient Interactions 1:11 Physical DNIs 3:36 Pharmaceutical DNIs 5:06 Medication Interactions 5:51 Pharmacokinetic Interactions 7:26 Phenytoin 8:44 Levodopa 10:45 Warfarin 12:33 Fluroquinolones 13:45 Levothyroxine 15:19 Enteral Nutrition Practice Recommendations Closed captions provided by Kaitlyn Batista MS, RDN, CDN, CNSC