Meds you hate to give....

veegeern, BSN, RN · Jan 8, 2006

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!!!

I agree...a nightmare! Our internal medicine unit gets all of the outpatient

infusions (IVIg, prolastin, iron,...) and blood transfusions for the hospital. So we may have 6-8 patients with one of them getting blood, and another one getting IVIg. :eek: Ours is not mixed in a glass bottle, though. Thankfully, they opened a cath unit so that we usually aren't getting outpatient heart caths to recover, too.

mawabrown · Jan 9, 2006

The old fashioned black and white. :uhoh3:

MadisonsMomRN, BSN, RN · Jan 9, 2006

Prosource powder through a peg tube - (of course mixed) but it is so nasty.

You would figure they would get the liquid form.

Bipley · Jan 9, 2006

About Mucomyst-
I'm a student so maybe all of you already do this, but when I had to give it in my last rotation the RN got me to inject it into a juice (the kind with the aluminum foil top) and then stab through the aluminum foil with a straw for the pt to drink - no one has to really smell it that way.

Ohhhh, that's a great idea! Thanks for the tip!

kukukajoo, LPN · Jan 9, 2006

1. Adenosine, definitely. I don't really care for the flatline, thank you!
2. Demerol/phenergan combo. Wigs many old people right out.

OMG!! Phenergan is the worst thing for my grandmother and when she was on it with Dem, darn she was out of her mind!! One night she actually drove herself to the PD in middle of nite to turn herself in for (she thought he did this) beating and bloodying my young daughter who was sleeping soundly in my house! (Gram lives right behind me and is a big part of our lives). Thought I would hate her forever and convinced she killed her until I put my kid on the phone at 3am! Later mid morning, she called again to say my daugher (who was in school at time), was sleeping on her couch and would not wake up- was she dead? well I went over there and she thought the pillow was my daughter. It was pretty scary but she got off that stuff that day and was fine!! Now I can look back and laugh and for some reason that damned pillow is now over my house and sometimes I call it my daughter just being silly! And talk about sleep talking- she had full on conversations and even walked thru the house with a flashlite and it was nuts!

rgroyer1RNBSN, BSN, RN · Jan 9, 2006

I hate giving:

Dilaudid-For the same reason , my patients get to loopy:uhoh3: :rolleyes: :roll

Phenergan and Compazine- seems to make my patients to edgy and anxious:uhoh21: :roll

Charcoal-nassssssssssssssssstttttttttyyyyyyyyyyyy-uh and ive worked er before i went to ICU:barf01:

Go-Lytely there is nothing lyte about it:chuckle :barf01:

Cardizem

Propofol and any other dangerous drugs encoutered in ICU:banghead: :flamesonb :redbeathe

Rodney RN,BSN,CEN,CCRN,CFRN:nurse:

rgroyer1RNBSN, BSN, RN · Jan 9, 2006

Oh yeah I dont like Nubain or Buprenorphine(Buprenex) just like nubain

there horrible when we give them to an Icu patient for pain when theyve been getting MS and the doc decides to switch to one of those it never fails.

I also hate anything that has to do with tube feedings since I work in ICU it takes up the majority of my time, thats why my LPN's get to do part of it.:angryfire :chuckle

Rodney RN,BSN,CEN,CCRN,CFRN:nurse:

teeituptom, BSN, RN · Jan 9, 2006

1. Adenosine, definitely. I don't really care for the flatline, thank you!
2. Demerol/phenergan combo. Wigs many old people right out.

I think Adenosine is fun

Rudedog2308 · Jan 9, 2006

[Where in the world do you work that they came up with the brilliant idea of giving PEG meds one at a time??? Shoot, my peeps would not be getting theirs!! With that amount of meds the flush you would need would blow their stomach up!! LOL wquote=mjlrn97]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? :uhoh3: ).......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!!

Jamie1 · Jan 10, 2006

For heaven's sake, am I confused or what?? Somebody must have just given me Phenergan! :) Anyway I meant Kytril, not Tridil. What do you guys think about Kytril - this is what we use now for nausea.

rgroyer1RNBSN, BSN, RN · Jan 10, 2006

I dont know we just started giving Kytril to, I like it, but our docs have always been big on phenergan,compazine, and tigan. They mostly like phenergan and they like to give it iv, I think its becaause it sedates the pt. that way they wont bug the doc. I know one of our docs gives horribley large amounts of phenergan and benadryl for nausia.:angryfire

Rod RN:chuckle :nurse: :nurse:

Jen2 · Jan 10, 2006

In the ED where I work, we will not give Phenergan IV to anyone 50 years old or older.