Meds you hate to give....

Nurses General Nursing

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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?

Not really a med... but I hate giving blood. It requires alot of monitoring... basically one on one care.

I dont like GETTING blood (well when you are awake cuz when you are asleep like still under anesthesia you are unawere) cuz it burns, well atleast it did when i got it this summer though changing to my second iv (Switching the reg iv and blood since i had 2 ivs running) and putting a warm compress helped.

Specializes in MDS coordinator, hospice, ortho/ neuro.
Thanks for the link, Fluff. I was hoping, with eyes squeezed tight and fingers and toes crossed, that there was an alternative to forcing my 70 # LOLs to drink that whole gallon of stuff in 3 hours. :(

There used to be this stuff called x-prep...........I dont know if its still around, haven't seen it ordered in years. It was a small bottle, maybe 6 oz.

nitro paste...i try not to touch it ...it really gives me a pounding headache. it never fails that i have to put a patch on when i am really busy, skip the gloves...then grab the tube that the previous nurse gunked up without wiping it off:angryfire

chickey:)

ooo, ya that one is tricky....what is worse is habgel....oh man...i was warned about it and sure enough, 4am that morning i went to give it and the last nurse hadn't cleaned off the piston syringe very well and a small amount of it got on me....i immediatley went and washed my hands...i dno if i really had a side effect, or if it was all in my head...but, it felt like the right side of my face went numb and i had a presyncope feeling...

Specializes in Adult SICU; open heart recovery.

-Promod is definitely on my top ten (and I agree, giving two scoops in 25ml of liquid is never going to work!)

-Nimodipine capsules via any kind of feeding tube (especially when it's ordered q2hrs)

-Mag citrate

-I had to give some sort of lady partsl yeast infection cream once. That was kind of gross.

-PO contrast

-q1hr PRN pain meds when the pt. could have a PCA instead

I'm a cardiac nurses and so far the two meds I hate giving are:

1. DOPAMINE

especially if it's not through a PICC line because of the constant worry about infiltration which could cause tissue necrosis and sloughing off of the skin. And I have to give the patient multible injections of regitine to prevent complications.

2. Potassium

The oral pills, they are huge. Too many patients state they can take them ok, then choke on them. Tried splitting them in half, but that only leaves jagged edges to go down the throat. Tried crushing them and putting them in ice cream or another food, the task is still overwhelming.

Ohhhh, but aren't potassium 20mEq tabs cool? They look like they would do the same thing Alka Selzer does in water. They look like they would fizz.

And I can't recall... is it Tiazac that if you open up the capsule there are actually two tablets in them? Or is that Cardizem? I think it's Cardizem.

what? i've been a nurse 22 years and never heard of this one! haven't heard of the milk & molasses thing either.......but we used have have the 'black & white' mom+cascara ( or warm prune jc).

ohhhhh, a skippy enema is awful. it isn't the recipe that is awful, it is how it works. it's like stuffing a bomb up there and waiting for the explosion.

i can't remember the entire recipe (it's not peanutbutter! lol), it has saline, peroxide, maybe mineral oil (not sure) and i don't recall what else. when you go to give it (usually in er) you don't just put on gloves and a gown, you want every bloody piece of your body covered.

i haven't heard of milk & molasses either. gahhh

Specializes in Rodeo Nursing (Neuro).

Good question--I'll have to think about it. (Still pretty new, so I haven't given some of the bad ones. Not looking forward to giving epi, for example.)

Conversely, is there anyone on Earth who couldn't use a little Ativan? Thank you, oh Lord, for Ativan.

Specializes in LTC, assisted living, med-surg, psych.
Good question--I'll have to think about it. (Still pretty new, so I haven't given some of the bad ones. Not looking forward to giving epi, for example.)

Conversely, is there anyone on Earth who couldn't use a little Ativan? Thank you, oh Lord, for Ativan.

Yep......gotta love that Vitamin A!!!!!:chuckle

Oh, I forgot, I really hate having to Narcan somebody---they come out of their lethargy swiftly, to be sure, but they almost always come out of it in a huge amount of pain, and madder than a wet cat to boot.:stone Nope, I do not like Narcan.........

Specializes in Psych.
A Skippy enema. Gahhhhhhhh Maybe that's more of a procedure. LOL

Sorry if I missed the answer, haven't read entire post. What is that? Like skippy pesnut butter?

Specializes in Psych.
My most hated med is Lactulose via the enema route :crying2:

Lactulose enema. Never heard of that one. Is it given this way for those that can't tolerate oral intake?

Specializes in Psych.
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

Oh, yeah. Isn't that a nasty experience.

Specializes in Psych.
Atgam.

I have never seen a good outcome.

Same with Mylotarg.

What are these?

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