Meds you hate to give....

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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?

At my facility, for residents having difficulty having a BM, we give a "cocktail" that we call the "BOMB" (Prune juice mixed with MOM)... Personally, I'd have to say 99% of the time... "What a mess?"

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The doctors on my unit are really into "healthy" bowel movements- so basically, if a pt. hasn't pooped about 3 pds/day for the last week or so, they order EVERYTHING humanly possible to make this poor person go- of course, since they're all intubated, it's up to us nurses to clean up the mess after multiple enemas, lactulose, neostigmin, panthenol, and others, we usually end up with two buckets on either side of the bed to catch what's running out. ewh!:chuckle

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I would have to say factor 7 because you know the **** is hitting the fan if you have to give it in the OR

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I would have to say factor 7 because you know the **** is hitting the fan if you have to give it in the OR

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Specializes in ER, ICU, L&D, OR.
Has anyone ever read the PDR for lactalose? I had a doc read it to me once......caution may cause the bowels(or intestines..I can't remember which) to explode. OMG the things we give our patients. After I found that out I refused to ever be given it. It is actually on my list of allergies. LOL

It states care should be used when used with cautery as that doesnt respond well to the increased build up of Methane and Hydrogen levels.

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Specializes in LTC, HH, Ped..

Oh I couldn't have said it better!!!!

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Specializes in Psych.
Good lord - I could have written this post myself! Only happened to me once and that was enough, now I too am nervous with a first-time dose of this. I take care of a cute little old lady, order for ambien 10 mg q hs. As I discovered later apparently she had taken it once and got "a little confused" so the genius nurses I work with just circled it on the MAR and held the med. I was off a few days when this happened, came back to work and saw this med was ordered but hadn't been given for a few days- no explanation why....of course, being an ordered med I gave it. After a horrible night with her including 2 falls [thankfully no broken bones] I called the doc, got the med d/c'd and passed along in report the reaction my normally sweet pt had to ambien. Imagine next me...going through the roof...as the oncoming nurse said "oh, I guess nobody told you she reacts poorly to that!" Why nobody bothered to get the med discontinued after the first reaction is beyond me.

Yup, idiosyncratic reactions to benzos are not uncommon in the elderly. Be careful:idea:

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Specializes in Psych.
I would have to say factor 7 because you know the **** is hitting the fan if you have to give it in the OR

Ignorant, here. What is factor 7?

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Warm water to dissolve those works best. Just a few drops even.

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Oh That is reprehensible! I can't believe that a NURSE would give Rochephin w/out Lido:madface: Shame!

I have never had to give Mag Sulfate, but had to receive it all during the last trimester of my pregnancy. It makes you puke and, because it is a smooth muscle relaxer, it makes you wet the bed when you puke. :imbar

Penicillin and all the derivatives make your pee smell.

I know nurses who don't use Lido when they give Rocephin IM to the patients who need it for STDs. This is mean and borders on abusive.

I hate giving Adenosine, too. Charcoal is nasty. I had it blow up on me and another nurse when we were putting it down an NG. I never laughed so hard. The other nurse was almost covered in Charcoal. ROFLMAO!

I like to wake up drunks with Ammonia. I also like the way Benzoin smells. Takes all kinds.:p

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Specializes in ortho/neuro/general surgery.

IM anything, IV Phenergan, anything rectal/po that causes a code brown, and I hate insulin drips

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the worst is VAG CREAM!!!

yeah ive got to second that. im also not a big fan of supps and as for iv/im ill never give iv buscopan and unlike some Dr's ive worked with i wont give iv amioderone

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