Acetaminophen

NURS 2516 Clinical Medications Worksheets Generic Name Trade Acetaminophen Name Tylenol

Classification

Dose

Route

Time/frequency

Nonoppioid 650 mg PO Q 6 hr PRN analgesics Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions 1-3 hours 0.5-1 hr 3-8 hrs N/A Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Inhibits the synthesis of prostaglandins that may serve as Hypersensitivity, glucose deficiency mediators of pain, primarily in the CNS. Common side effects Tx for patient is mild to moderate pain GI: Hepatic failure, hepatotoxicity. GU: Renal failure. Increased temperature Hemat: neutropenia, pancytopenia, leukopenial Derm: Rash urticaria Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) Evaluate hepatic, hematologic, and renal function Tylenol and lortab interact if patient is on both drugs periodically during prolonged, high dose therapy. monitor closely. No more than 4000 mg combined per OTC blood glucose tests can produce false negative day. results. Be sure to teach the patient the following about this medication Notify physician if rash develops, avoid alcohol consumption. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give Check after giving Assess for location and severity of pain, this med? Hepatic and renal status assess for increased temperature. Assess Overdose or toxicity for long term use. overall health status, alcohol usage, OTC Allergies, renal disease Assess 30-60 min after drugs they are taking. administering for effective pain relief.