Dysphagia affects a large proportion of stroke patients. Swallowing difficulties can result in aspiration and reduced oral intake. This can lead to complications and also has knock on effects for the administration of medication. If in any doubt the Hospital or Community Pharmacist should be consulted by the professional managing the patient’s Dysphagia.
What are the options for Administering Aspirin to Patients who are Nil by Mouth?
Aspirin can be given rectally (supps. 150mg or 300mg available) or by Enteral Tube using Soluble Aspirin (see below) using the recommended doses as described in Secondary Prevention Protocol.
Is Aspirin available in Soluble Form?
Yes, and comes in doses of 75mg and 300mg. The standard direction is to take it with food or a little milk.
What if an individual can only take Thickened Fluids?
The Soluble Form can be thickened usually with Yoghurt.
All anti-platelet agents are contraindicated in patients with active peptic ulcers or risk of bleeding. Consider gastric protection if patient develops dyspepsia.
Who to contact?
If you require further advice about the Management of Dysphagia and are unable to get local support from a Speech & Language Therapist, please contact:
Sandra Hewitt – Clinical Specialist for SLT (Highland Stroke Services), Tel: (01463) 705424; Bleep 7117
For Further Information or Advice about Stroke Care Protocols:
Linda Campbell – Stroke Coordinator, Tel: (01463) 704086
Visit the NHS Highland website for up to date information on Strokes, TIAs and Stroke Services across Highland including a copy of this advice note: www.show.scot.nhs.uk/nhshighland/healthservices