Meds you hate to give.... - page 7

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... Read More

  1. by   Bipley
    Quote from ctunurse
    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.
  2. by   Bipley
    Quote from fluffwad
    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
  3. by   nursemike
    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.
  4. by   VivaLasViejas
    Quote from nursemike
    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.........
  5. by   kadokin
    Quote from Bipley
    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?
  6. by   kadokin
    Quote from lu_ann
    My most hated med is Lactulose via the enema route
    Lactulose enema. Never heard of that one. Is it given this way for those that can't tolerate oral intake?
  7. by   kadokin
    Quote from 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
    Oh, yeah. Isn't that a nasty experience.
  8. by   kadokin
    Quote from caroladybelle
    Atgam.

    I have never seen a good outcome.

    Same with Mylotarg.
    What are these?
  9. by   Bipley
    Quote from kadokin
    Sorry if I missed the answer, haven't read entire post. What is that? Like skippy pesnut butter?
    I was told a long time ago the reason it is called a Skippy enema is because someone by the name of Dr. Skippy invented the recipe, not sure how accurate that is. To be honest, I was LOL so hard I was having a hard time hearing the history from the nurse that was making the enema. I walked in the med room and knew immediately what he was doing just by how he was dressed. When he had to give a Skippy he didn't just put on the booties, beanie, plastic back gown, mask w/eye protection, and gloves. He put plastic baggies over his shoes but under the booties, he wore those booties that are made to go over boots instead of shoes so they would cover the bottoms of his pant legs, wore two yellow gowns, one that opened in the front and one that opened in the back and then the rest of the protective coverings.

    He was sprayed ONE time. I guess he never forgot.
  10. by   caroladybelle
    Quote from kadokin
    What are these?
    Meds used in hematology.

    Mylotarg is used for older patients with recurrent leukemia that cannot handle standard treatments.

    Atgam is short for Equine antithymocyte globulin, used for treating transplant rejection, graft vs host disease and severe unresponsive aplastic anemia.

    Mylotarg almost always causes severe fevers even with premeds (103-105 degrees or more.)

    Atgam can have some wretched anaphylaxis in many patients.
  11. by   HappyNurse2005
    . 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.
    I'm also a cardiac nurse and they get potassium alot!
    Anyhoo, isn't potassium non-crushable? Always says on our MAR "don't crush, may dissolve in water"
    I've dissolved it in water and had them drink it or mix it in applesauce.
  12. by   Marie_LPN, RN
    Seems kinda strange that somethign can't be crushed, yet it can be dissolved in water.

    I need to find out more on this, because i have a family member who was prescribed K, and was given a huge supply of the white horse pills that are so hard for her to swallow. We're looking for more options of forms of K for her.
  13. by   Bipley
    Quote from Marie_LPN
    Seems kinda strange that somethign can't be crushed, yet it can be dissolved in water.

    I need to find out more on this, because i have a family member who was prescribed K, and was given a huge supply of the white horse pills that are so hard for her to swallow. We're looking for more options of forms of K for her.
    The 10mEq tabs are about the size of an extra strength Tylenol caplet. Maybe just a bit bigger. I assume you are referring to the 20mEq tablets, they are huge. What about 2-10mEq tabs?

    I would try to stick to the tabs if possible, perhaps the 2-10mEq as the liquid is pretty bad.

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