Dangerous medications

  1. 0
    This is my first year in nursing and I would like to get some information on medications. Can you name some dangerous medications?
    Example:
    Potassium - can not be given by IV push.
    Dilantin - can not be mix with other medications.

    Thank you!
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  3. 17 Comments so far...

  4. 2
    Any medication could be construed as dangerous. Some medications you want to be particularly careful with are insulin, heparin, TPA, fentanyl, versed, any vasopressor, any vasodilator, any type of medication that causes CNS depression. These are all meds you should already know about.
    Last edit by RN1982 on Oct 22, '08
    Jessy_RN and aknottedyarn like this.
  5. 13
    GoLytely. That is the most seriously dangerous drug to give someone with poor mobility.
    Hygiene Queen, SunnyAndrsn, Jessy_RN, and 10 others like this.
  6. 0
    Quote from Dolce
    GoLytely. That is the most seriously dangerous drug to give someone with poor mobility.
    that's for sure!!!
  7. 2
    Quote from Dolce
    GoLytely. That is the most seriously dangerous drug to give someone with poor mobility.
    have had worse experiences with lactulose
    Jessy_RN and Dolce like this.
  8. 0
    One of our nurses gave a patient a medication ordered by the GI doc to get the patient to go to the bathroom. The IV drug book stated " have atropine at the bedside along with a MD when giving this medication." I told the nurse I would not have given that medication. The nurse did, then I heard a code blue in that room number the patient ended up dying. Needless to say pharmacy does not release that medication anymore! Very scarey
  9. 4
    Quote from pageygirl
    One of our nurses gave a patient a medication ordered by the GI doc to get the patient to go to the bathroom. The IV drug book stated " have atropine at the bedside along with a MD when giving this medication." I told the nurse I would not have given that medication. The nurse did, then I heard a code blue in that room number the patient ended up dying. Needless to say pharmacy does not release that medication anymore! Very scarey
    I'm curious, what med was it?
    Jessy_RN, Dolce, aknottedyarn, and 1 other like this.
  10. 3
    I'd like to know that too.
    Dolce, aknottedyarn, and pagandeva2000 like this.
  11. 3
    I am curious about this drug also.

    I think the seriousness of the drug is related to the patient. I hate to see elders given Benedryl for sleep as it has so many terrible long acting effects. The anticholenargic effects are incredible. Anything that causes ataxia is horrible. Narcotics can do weird things to elders. Get the point?

    In each specialty you might get a different list. The K+ and Dilantin are basic. The Benedryl seems to be less known. Anyone with renal disease will be challenging from a med point of view.

    My conclusion, I don't think there is a short list, every drug has the potential for extreme danger. That is why so much time is spent reviewing drugs prior to giving them.
    grace90, Jolie, and pagandeva2000 like this.
  12. 4
    I don't think anyone mentioned Coumadin yet...not quite so dangerous in an acute care setting, but it can be a nightmare when a patient goes home on it and is non-compliant with follow-up or is sensitive to the drug. I have seen patients re-admitted with INRs >11. Scary.
    grace90, Jessy_RN, aknottedyarn, and 1 other like this.


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