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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?
IV Digoxin, Metoprolol = I hate the fuss off putting up to the bedside monitor.IV Adenosine = it always scares me when the flat line for those few seconds
Narcan = I hate watch the shake; it looks like they are convulsing sometimes.
Kayexolate, enemas = obvious reasons.
Adenosine just isnt as much fun as electrically cardioverting them used to be. That was so much more exciting.Or maybe I was so much younger.
I love giving narcan, I dearly love it.
Charcoal! Especially if they vomit! The drama with the OG/NG is quite unpleasant as well![/size][/size]
...and I always tried to get them to the floor (sorry floor nurses!) before the mag citrate had time to kick in.
I was also not fond of giving paralytics, any type of laxative, potassium IV, Dilantin IV, and Phenergan IV. Ouch!
D50: We have this protocol in our hospital where you have to fill out a tedious form and call a number everytime you give it, because we had a pt died after nurse kept on giving the pt D50 everytime blood sugar dropped:(
Go_Lytely: Specially for the pt wih GI bleed for colonoscopy...ufff the smell of it......
Any narcotis: because you have to keep on counting, lock the narc cabinet, sign a sheet...(we dont have a pyxis:()
Regular old sliding scale reg insulin. Where I work you have to walk up the hall to get the stuff to test the blood sugar, get the blood, test the blood, :angryfireget the syringe, go to the pyxis, get it out of the refrig, get someone to check it with you, finally give the med. Then chart it all over the place. Takes about 15 minutes for one dose. And everything is in a different place.PIA
Regular old sliding scale reg insulin. Where I work you have to walk up the hall to get the stuff to test the blood sugar, get the blood, test the blood, :angryfireget the syringe, go to the pyxis, get it out of the refrig, get someone to check it with you, finally give the med. Then chart it all over the place. Takes about 15 minutes for one dose. And everything is in a different place.PIA
I concur! We have the same process and it's such a pain, especially if you only have to give 1 unit of SSI!!!
teeituptom, BSN, RN
4,283 Posts
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