When a patient cannot swallow safely, the correct approach to administering medications is

• A. Administer medications via sublingual route only
• B. Use alternative routes (e.g., enteral via feeding tube) as ordered
• C. Delay medications until the patient can swallow
• D. Crush all meds and mix with food

Answer: (B)

When swallowing safety is compromised, medications should be given by an alternative route as ordered, to protect the airway and ensure the drug is delivered effectively. Using an enteral route via a feeding tube is a common and appropriate option because it bypasses the mouth and throat while delivering the medication into the gastrointestinal tract. Before proceeding, verify that the drug is suitable for enteral administration (not all meds can be crushed or used with feeding tubes, and some forms are not appropriate for tube delivery). Prepare meds as instructed, and flush the tube with water before and after each dose to prevent occlusion and ensure absorption. If feeds are ongoing, coordinate timing to minimize interactions and absorption issues, and consult pharmacy or the prescriber if there’s any doubt about compatibility or dosing. This approach emphasizes patient safety and effective treatment.