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.