Meds you hate to give....

[UM Review RN]

What are the top medications that you hate to give and why?

Mine is Amphotericin B (called "Ampho-terrible" at my hospital).

Anything that can't mix with Normal Saline makes me nervous. It makes me wonder what's going to happen when it gets into the vein--isn't blood a fairly salty environment?

[ShayRN]

I was thinking the Go-Lytly too. We call it Go - Explosively.:chuckle

[VivaLasViejas, ASN, RN]

I hate giving IV Lasix to anyone who is incontinent/needs 2 people to get OOB and/or doesn't have a Foley.

I also have a deep and abiding dislike for Lactulose, GoLytely, and anything that produces explosive and repeated liquid emissions from the anal orifice.

But the absolute worst, IMHO, is giving meds through a PEG tube.......where I work you're supposed to give them one at a time, flushing with water in between each. Sometimes it can take almost 20 minutes for a single pass (does the feeding-tube patient exist who ISN'T on a bunch of meds? ).......then it seems you run up against something that's NEVER supposed to be crushed, and the pharmacy doesn't have it in liquid form, and you spend half an hour trying to hunt down a substitute and get the MD to order it. ARRRGH!!

[Hoozdo, ADN]

I also have a deep and abiding dislike for Lactulose,

My most hated med is Lactulose via the enema route

[SmilingBluEyes]

Phenergan in any form. It burns like hell and wigs people out. BAD drug. I like the alternatives like Anzemet and Reglan better.

[Burnt Out, ASN, RN]

I hate giving IV Lasix to anyone who is incontinent/needs 2 people to get OOB and/or doesn't have a Foley.

I second that!

I hate given any laxative (Mag Citrate, Go-Lytely, Fleets phospho-soda)to anyone who is incontinent or needs max assist (2+ people) getting OOB.

I don't like giving suppositories of any kind to anyone.

I hate giving Kaexylate enemas to anyone and SPS to patients that are incontinent.

I hate giving Dilantin and Phenergan IV unless they have a PICC, central line or port.

I hate giving any IVPB to a patient that doesn't have IVF running-I have had to change IV sites daily on patients getting IV antibiotics without any type of maintenance fluids infusing.

I hate Amphotericin B too-thankfully we haven't given that in awhile. I also hate Infed.

[ChevRN]

Sometimes giving multiple crushed meds per peg/pej can be unpleasant. I don't like the situation in which I am giving the meds through the thin pej tube with water, get some resistance, then splash!, I get hit in the face with water and bits of crushed pills and maybe a hint of gastric juice.

ChevRN

[txspadequeenRN, BSN, RN]

Rifampin, it is just nasty nasty nasty!!!!!!

[txspadequeenRN, BSN, RN]

One time I was giving a milk and molasses enema and the bucket that it was mixed in fell to the ground and all that junk got in my hair , face and clothes..... :eek:

1) Dilaudid, because I have had several pts who decide that is the time to get up and walk around naked

2) A milk and molasses enema

[LeahJet, ASN, RN]

I have to say Charcoal. I can never get it to mix well...end up having a watery gritty beginning and a thick gritty end. It takes for-ev-verrrr to go down an NG tube and the patients, as a general rule, aren't happy campers at this point. And I ALWAYS manage to get some on me. Never fails.

[NessaNurse]

PO meds to kids in the 1-5 age group. Usually just about impossible to get down em if they dont want it. Lots og begging, juice briberyu, stickers and parent involvemnt whew.

Eye drops on PEds, oh brother, same with unwanted pupil checks.

Ampho terrible just came to my floor for our new GI kids. Yippee skippy sounds like fun! (j/k).

High dose vanco, vanco in a PIV and AM nurses who insist that a PIV can take vanco ver 1 hr on a little kids, leaving me with the fun task of IV stick.

For religious reasons I don't like giving blood.

[jschut, BSN, RN]

Rifampin, it is just nasty nasty nasty!!!!!!

:yeahthat:

[Daytonite, BSN, RN]

1. Paraldehyde because as the patient metabolizes it, the room stinks to high heaven.

2. Mucomyst given orally for Tylenol overdose due to the puking involved with it. Plus, Mucomyst is a stinky medication as well.

3. Go Lytely, all over the walls of the bathroom (if the patient even makes it in there), not to mention the puking when the patient's system can't take anymore.