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Routes of Drug Administration; Enteral, Parenteral, Topical

What are Drugs?

 

The drug is a substance used in diagnosing, preventing or treatment of disease. 

The drug is any substance or product that is used or intended (plan) to be used to modify or explore the physiological system and pathological status for the benefit of the recipient.

Example: To prevent any alteration of body system due to Allergy

 

To know what a Drug Does to the Body; pharmacodynamics of drugs.



Different Route of Drug Administration

 

A route of drug/ medication administration is the path by which a drug or a substance is brought into contact with the body.


To administer Drugs, Check out here what are the rights of the Drug Administration?



Route of drug administration is given to patients depending on the properties of the drug and requirements of patients.



Route of Drug Administration - Enteral, Parenteral, Topical






                                                                                                                                                                                            

1. Enteral Route


For enteral route method having the involvement of esophagus, stomach, and small intestine; gastrointestinal tract.

 


1. Oral route 


In this method, the drug is swallowed orally and absorbed by the stomach and small intestine.

Example: capsule, tablet, or chewable tablet

 

2. Sublingual route

 

Drug placed under the tongue.

Example: Nitroglycerine

 

3. Buccal route

 

Drug placed between gum and cheek.

Dissolved and directly absorbed into a small blood vessel.

 

4. Rectally or Vaginal route


Drug administered through the rectum-

For example, Acetaminophen: for fever

Laxatives: for constipation

Enema; Administers of drug liquid form into the rectum.


   

Advantages of Enteral Route


The advantages of the enteral route of drug administration are -


1. Safest route

2. Convenient route

3. Self administer

4. Painless and acceptable

5. Cost-effective

6. Non Invasive route

7. Most Economical

8. No strict sterilization


 

Disadvantages of Enteral Route 


The disadvantages of the enteral route of drug administration are -

 

1. Interaction of drug with food affects the absorption

2. Drug absorption may be slower, needs time to absorb

3. Make cause nausea and vomiting due to irritation in G.I Tract

4. Administration is difficult for an unconscious and un-cooperative patient

5. Some drugs are destroyed by the gastric mucosa

6. Some drugs undergo extensive first-pass metabolism in the liver

 


Contraindication of Enteral Route of Drug Administration

 

These are the contraindication of the enteral route of drug administration-


1. Continuous vomiting and nausea

2. Unconsciousness patient

3. Patients who are unable to swallow (dysphagia)

4. Patient in an NPO- Nil Per Oral

5. Gastric or intestinal suction

 

 

2. Parenteral Route  

 

Administered by Injection using needle and syringe.

Parts of needle and syringe; barrel and plunger, shaft.

 

Check out the angle of Intramuscular, Intradermal, Subcutaneous, Intravenous injection given by different angles of injection administration.

 

 

Parenteral route of administration methods -


 

1. Intradermal route

 

Injection administered into the dermis.

Example: BCG Vaccine

 

2. Subcutaneous route

 

Beneath the skin.

Example: insulin, heparin

 

3. Intramuscular route

 

Injection administered into a muscle, large skeletal muscle; deltoid, triceps, gluteus, Rectus femoris.

 

4. Intravenous/intravascular (I.V)

 

Administration of medication into a vein, given with the help of an infusion set.

 

5. Intrathecal route

 

Deliver drug around spinal the cord.

 

6. Intra-arterial route

 

Administration of a drug injected into an artery.

 

7. Intraosseous route

 

Injecting the drug into the bone marrow.

 

8. Intra-articular route

 

Administration of injection into the joint cavity.

 

9. Intracardiac route

 

The injection is given into the heart muscle or ventricle.

 

10. Intraperitoneal route

 

Injection of medication into the peritoneum (body cavity: an area that contains abdominal organ).

 

 

Advantages of Parenteral Route


 The advantages of the parenteral route are- 


1. Action is more rapid and quickly absorbed

2. Administer for Unconscious and uncooperative patient

3. Used inpatient with vomiting and nausea

4. Administration in a patent who is unable to swallow

5. Avoid first-pass metabolism

6. Useful in emergency

 

Disadvantages of Parenteral Route


 The disadvantages of the parenteral route are- 


1. Asepsis must be maintained

2. Maybe painful

3. More Expensive

4. Maybe Injury to nerve and tissue

 


3. Topical Route

 

Topical application is those apply to a particular place, skin surface, or apply body surface area and get absorbed, mainly for local action.

 

Check out here common drug prescription abbreviations.

 

1. Cream, Lotion

2. Ointment

4. Gel

5. Irrigation, inhalation, and nebulization; breathing into lungs

 



a. Nasal route

 

Budesonide nasal spray; spray into the nose and absorbed through the nasal membrane.

 

b. Ocular route

 

for example, Eye drop

 

c. Otic route

 

for example, Eardrop

 

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