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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?
Anyone ever have to give IVIg? It is a blood product that comes in glass bottles, needs special tubing, premeds including lasix and requires q15 minute vitals for up to 4 hours. You also get to keep your other 4 patients as well. Thank Goodness for the foley!! You run this stuff at 15cc's an hour for 15 minutes, then up to 30cc/h, then 60. Once you finish that bottle, if the second bottle is from another batch, you have to start all over with the 15cc/hr. If any complications occur, you go right back down to 15cc/h!! Takes forever, and you get to look at your other patients and come right back. And I was working a 12 hour shift on my birthday.
What a nightmare!!!
Anyone ever have to give IVIg? It is a blood product that comes in glass bottles, needs special tubing, premeds including lasix and requires q15 minute vitals for up to 4 hours. You also get to keep your other 4 patients as well. Thank Goodness for the foley!! You run this stuff at 15cc's an hour for 15 minutes, then up to 30cc/h, then 60. Once you finish that bottle, if the second bottle is from another batch, you have to start all over with the 15cc/hr. If any complications occur, you go right back down to 15cc/h!! Takes forever, and you get to look at your other patients and come right back. And I was working a 12 hour shift on my birthday.What a nightmare!!!
Yep. Haven't had to administer IVIg where I currently work at....yet.
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.
Actually, if you can get them to eat a whole bag of SF candy, it will work just about as well.
(personal experience)
sheri
Not really a med, but so many G-tube formulas for kids stink like vomit to me (sorry...) and so do a lot of baby formulas! HOW do the kids drink that stuff?? I don't get it :)
Oh that reminds me, I cannot stand the smell of Ensure, especially vanilla flavored. Have you ever tried Pedialyte, Blech, very salty, I don't know how the kids drink this stuff either.
DusktilDawn
1,119 Posts
There is K-Lor, which comes in powder form that you can mix with water/juice. It dissolves well. I believe this is what MNlpn was referring to.