Meds you hate to give....

grammyr · Dec 17, 2005

I hate Nubain, especially to all my regular patients who "forget" to tell me they have taken opiates or Daddy's Methadone.

Watching them wig out is kinda interesting, though (just kidding)

Mississippi_RN · Dec 17, 2005

I don't like the antibiotics without maintenance fluids, too. Too much hooking up and unhooking for me. Also, 200 mg Lasix IVP (that you have to push over 20 minutes) is excruciating unless you have a pump in there you can put it into piggyback style.

Any type of rectal medication and the PEG tubes meds and feeding are time consuming.

I suppose the most time consuming is giving blood. SO much paperwork...

TweetiePieRN · Dec 18, 2005

Thanks Oldiebutgoodie!!

mustanggirl · Dec 18, 2005

Amphotericin B, anything through a dobhoff feeding tube. Iron dextran

ShawnetteRN05 · Dec 18, 2005

K+ riders to little ladies with nonexistant veins...acually, K+ riders to anyone...

caroladybelle, BSN, RN · Dec 18, 2005

Atgam.

I have never seen a good outcome.

Same with Mylotarg.

bluesky, BSN, RN · Dec 18, 2005

1) Cyclosporin because of all the renal toxicity.

2) Regular Insulin I just hate the smell when drawing it up.

3) IL-2 Lots and lots of side-effects that send patients to our ICU.

unknown99, BSN, RN · Dec 18, 2005

Not really a med... but I hate giving blood. It requires alot of monitoring... basically one on one care.

Jen2 · Dec 18, 2005

I hate giving Adenosine. I am too afraid the heart won't start again.

I hate Dilantin just because I had a patient have anaphylaxis (SP?) from it before.

I hate Nipride. It's just something about a med that may turn to cyanide and kill a patient if it's not covered that i don't like.

I also had a COPD'er need intubated after giving Solu-medrol before. I always thought this was a safe drug until that happened now I always get jittery when I have to give it just because of the 1 bad experience out of about 500.

I guess just about any ICU drip such as Levophed and Dopamine especially when there are no ICU beds just becasue in the ED it's so hard to monitor someone as close as they should be on those types of drips and I think it's unsafe when you have to take a trauma to CT scan for an hour and you have two other patients that you just started ICU drips on and you hope someone is monitoring them while you are gone. Scary stuff.

oldiebutgoodie, RN · Dec 18, 2005

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!

Thanks for the great tip on giving GT meds!

Also, there is a replacement for Mucomyst? What is it?

Thanks,

Oldiebutgoodie

angelbsn · Dec 18, 2005

Leave-em-dead (Levophed).

I love giving Adenosine!!! Nothing like asystole for about 15 to 20 seconds!!

ctunurse · Dec 18, 2005

I'm a cardiac nurses and so far the two meds I hate giving are:

1. DOPAMINE

especially if it's not through a PICC line because of the constant worry about infiltration which could cause tissue necrosis and sloughing off of the skin. And I have to give the patient multible injections of regitine to prevent complications.

2. Potassium

The oral pills, they are huge. Too many patients state they can take them ok, then choke on them. Tried splitting them in half, but that only leaves jagged edges to go down the throat. Tried crushing them and putting them in ice cream or another food, the task is still overwhelming.