Drug Acetaminophen

  • May 2020
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NURS 1556 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Acetaminophen

Trade Name Tylenol

Classification Antipyretic, nonopioid analgesics

Dose

Route

Time/frequency

650 mg

PO

PRN every 4 to 6 hours

Peak

Onset

Duration

For IV meds, compatibility with IV drips and /or solutions

1 to 3 hours

0.5 to 1 hour

3 to 8 hours

N/A

Mechanism of action and indications (Why med ordered)

Nursing Implications (what to focus on) Contraindications/warnings/interactions

Mild pain, fever. Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS. Has no significant anti-inflammatory properties or GI toxicity.

Previous hypersensitivity, products containing alcohol, aspartame, saccharin, sugar, or tartrazine, should be avoided.

Common side effects Hepatic failure, hepatotoxicity, renal failure, neutropenia, pancytopenia, leucopenia, rash, urticaria.

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Increase risk of bleeding with warfarin. Increase risk of NSAID adverse renal effects—aspirin and ibuprofen

Lab value alterations caused by medicine Evaluate hepatic, hematologic, and renal function periodically during prolonged high dose therapy. May alter results of glucose monitoring, falsely decrease values. Increased serum bilirubin, LDH, AST, ALT, and prothrombin time may indicate hepatotoxicity.

Be sure to teach the patient the following about this medication Take as directed, avoid alcohol, may alter blood glucose reading, check labels on all OTC medications, consult professional if fever and discomfort not relieved.

Nursing Process- Assessment (Pre-administration assessment) Overall health status and alcohol use. Assess other drugs being used by patient. Assess pain and location.

Assessment Why would you hold or not give this med? History of alcohol abuse, or malnurishment.

Evaluation Check after giving Assess pain and location. Assess relief of pain and fever.

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