Important Drug Tips!! - page 2

I am a new nurse. I know I should of learned all of this in pharm... But seriously that was so long ago I can't remember... But can some experienced nurses jot down some important drug tips that... Read More

  1. by   clee1
    Toradol can only be mixed w/ NS.
  2. by   GooeyRN
    Quote from Tweety
    About Lantus. It is so slow acting, (70 minute onset and duration of 24 hours), it can be given before bedtime without regard to meals.
    We also give it before bedtime and not in regard to meals/snacks.
  3. by   AuntieRN
    potassium is never given iv push, do not crush potassium...although i have a question about that one...if you are not supposed to crush potassium, then why is it you can dissolve a particular one in h2o...what is the difference?
  4. by   Tweety
    Quote from AuntieRN
    potassium is never given iv push, do not crush potassium...although i have a question about that one...if you are not supposed to crush potassium, then why is it you can dissolve a particular one in h2o...what is the difference?
    Good question. I guess you can't crush it and give it with pudding, but dissolving it without crushing and giving it as a liquid to drink is o.k. but I'm not sure what the differece is.
  5. by   ritarunningfeet
    The reason you aren't supposed to crush po pills of potassium like K-dur, is because it has a micro coating on it so it breaks down differently in the stomach. The effervesant kind is called k-lyte and it is formulated differently (no micro coating)to be dissolved in 4 oz of water per 25meq. For those people who cannot swallow those huge 20meq tablets. I hope this makes sense.
  6. by   txspadequeenRN
    There is also sprinkles that are especially for mixing with a food substance or sprinkling on food.


    Quote from ritarunningfeet
    The reason you aren't supposed to crush po pills of potassium like K-dur, is because it has a micro coating on it so it breaks down differently in the stomach. The effervesant kind is called k-lyte and it is formulated differently (no micro coating)to be dissolved in 4 oz of water per 25meq. For those people who cannot swallow those huge 20meq tablets. I hope this makes sense.
  7. by   miko014
    Quote from jamonit
    NCLEXy things i learned:
    if you have a central line (single lumen) being used for TPN, don't run anything else through that lumen, if you need another line, poke a new one peripherally.
    We run lipids with our TPN.

    Also, make sure to check your IV compatibility before you mix anything!

    Some good tips here, but bottom line, LOOK IT UP. If you don't know what you're doing, ask for help, and KNOW YOUR FACILITY'S POLICIES! If your policy is to run K Riders at 10 mEq/hr, but you do 20 and get busted for it, you can't say "Well, on allnurses.com, they said I could do that!"
  8. by   spydercadet


    as far as potassium, the big pill that can't be crushed but can very easily dissolve, it has to do with the molecular chain. you can think of it as being similar to doing a belly flop in the pool vs. diving; both get you wet and it happens all at once, but one definitely hurts while the other is fun.

    but, a little fyi, which you won’t see much of anymore, but can be fatal, may interest you. i had a patient being treated with verapamil and digoxin concurrently, this was soon after verapamil had been approved but soon learned that this form of treatment can cause third degree heart block. also, watch for patient’s that may travel to the far east, and decide taking herbs would help; again making third degree block a possibility.

    p.s. i think this is a great idea for a thread. we all have such different experiences and work in different areas and settings; some big city settings; some community settings; some rural settings. just think of all the information we can share – and gain!!! good job coming up with this = )
  9. by   jamonit
    exactly, lipids can run with tpn per order. :spin:
  10. by   Myxel67
    Time release tablets (Slo-K, KlorCon, K-Dur) allow once a day dosing (or sometimes 2) whereas the immediate release products such as K-Lyte may require 2 to 4 doses daily.
    Last edit by Myxel67 on Feb 17, '07 : Reason: typo
  11. by   tiredfeetED
    One good tip is that anytime you have to use more than one vial for anything...double check your dosage again!
  12. by   Myxel67
    Correction: I went back & rechecked this--EVERYTHING I HAVE READ SAYS DON'T DILUTE AT ALL FOR IVP. NOT COMPATIBLE WITH AQUEOUS SOLUTIONS. DON'T KNOW WHERE I GOT THAT D5W IDEA
    Last edit by Myxel67 on Feb 13, '07 : Reason: Correction
  13. by   KellieNurse06
    I was taught that anything that says do not crush can be dissolved in water.
    I actually was doing Prilosec tablets in water for tube feedings. Becaue you aren't crushing it.....and basically if you think about it..most pills that are time released will say to drink with plenty of water....so pretty much you are doing the same thing just not doing it in the body...once it's dissolved it can be swalloed easily or given by g tube.......and a big thing I've found is the meds that can clog the gtube....like with prilosec...if you go fast pushing it rather than slow...it seems to go in easier & without a problem than it does going slow......don't know why but it just does.
    My instructor from school I had was an NP and taught me about that potassium pill...the huge one...and she told me you are changing the chemical composition of it by dissolving it in water......it took her like 5 times to get me to understand it ...because I too was one to ask whats the difference between crushing & dissolving......after she explained it to me I finally got it ..like a duh moment for me...lol

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