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?

Specializes in NICU.
Amphoterrible is by far the worst IMO. I'm dealing with little babies with fragile little veins and basically wind up having to start a new PIV for every dose. I hate it.

I also hate indocin. Seen far to many intestines perf....

Agree with both of the above!!!

I also had giving sodium bicarb. It's almost always through a peripheral IV and I am so scared it will infiltrate and cause a bad burn. That's my least favorite, for sure.

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Specializes in Neuro/Med-Surg/Oncology.

PO/NG Dilantin on pt's with feeding tubes. Feedings need held for an hour before and an hour after and pt's can't have anything else in their stomachs. It's even more fun when the pt's a diabetic and need D50 b/c their feedings have been off for a total of 1/3 of the day because of the dilantin. :rolleyes:

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I work in rehab and the worst is VAG CREAM!!!

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Specializes in MICU, neuro, orthotrauma.

it is specific to a patient i had, but i dreaded applying acyclovir cream to him. he had darier's disease and contracted herpes by kissing a new girlfriend and because of his disease, the herpes spread all over his face, into his inner ear on his eye lids, on his neck and was creeping down his back. it was SO BAD that there were cilica like formations over most of his face and inside his ears. it was the worst experience ever applying a medication.

the dermatologist who was treating his told me that he would have to have extensive plastic surgery because of the massive amounts of scar formations after he healed. i truly felt bad for him, even though he was also very mean to me.

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Demerol, Mucomyst (yay for the replacement!), ribavirn (is it even still used?), racemic epi (yucky, try not inhaling it when the pt's in your lap) and anything IM.

For the GT crushing haters... I do a lot of GT meds and I'm lucky enough in peds not to have the same protocols for flushing but I'd like to pass on my tip that I think it's easiest to disolve the pill in the sryinge rather than crsh and mix in a cup. Many pills disolve easily in warm water (yes, with a little time, we don't have) but often I'll quick split the pill into quarters, drop the pieces in a syringe, and draw up some warm water. shake lighlty and in a few minutes good to go with no mess and more med getting into the pt, not left in the cup or crusher!

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Specializes in geriatric.

lactulose per gt.

promod per gt. we had a doc who would order promod 1 scoop in 25cc juice per gt. yeah, like that's gonna happen. i always wind up using about 240cc with it. nothing better than promod to stop up a gt.

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Specializes in Emergency.

Personally I kind of enjoy giving charcoal or mycomyst. I you are stupid enough to overdose then its the price you pay.

The drugs I dont like to give probably are Solumedrol for spinal injury and Crofab. Both take forever to get disolved in the vials they come in, typically multiple vials and then you have to put it in the bag of fluid.

RJ

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lactulose per gt.

promod per gt. we had a doc who would order promod 1 scoop in 25cc juice per gt. yeah, like that's gonna happen. i always wind up using about 240cc with it. nothing better than promod to stop up a gt.

thank you for saying that!!! i am always convinced that i am doing something wrong because i always need more than the "30ccs" scripted for "promud"!

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Specializes in Case Management, Home Health, UM.

I used to hate giving Geocillin (Penicillin G). Not only did it stink to high heaven when it was initially mixed, but the vial became red-hot, too. Ouch! :eek:

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I have never heard of Promod! What is this?

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Specializes in NICU.

Anything liquid PO to a screaming, fighting baby. I feel so bad having to hold them down, and I'm always afraid they didn't get it all.

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I have never heard of Promod! What is this?

Promod is a protein supplement, with the consistency of powdered coffee creamer, and it dissolves about that well, too. (not well, that is).

http://www.ross.com/productHandbook/adultNut.asp

Oldiebutgoodie

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