Drug Card Acetaminophen Child

NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Trade Name acetaminophen Acephen, Aceta

Classification Nonopioid analgesic,

Dose 240 mg

Route PO, supp.

Time/frequency Q 4-6 hr. PRN

antipyretics

Peak PO: 0.5-1 hr

Onset PO: 1-3 hr

Duration 3-8 hr

Mechanism of action and indications (Why med ordered) Fever >101.5

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

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

Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS

Common side effects GI: HEPATIC FAILURE, HEPATOTOXICITY(OVERDOSE), GU: renal failure (high doses/chronic use), Hemat: neutropenia, pancytopenia, leukopenia, Derm: rash, urticaria,

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically)

Lab value alterations caused by medicine May alter results of blood glucose monitoring. Increased serum bilirubin, LDH, AST, ALT, and prothrombin time may indicate hepatotoxicity

Be sure to teach the patient the following about this medication PO (Children 1-12 yr): 10-15 mg/kg/dose q 4-6 hr as needed (not to exceed 5 doses/24 hr) Rect (Children 1-12 yr): 10-20 mg/kg/dose q 4-6 hr as needed

Nursing Process- Assessment (Pre-administration assessment) Fever: Assess fever; note presence of associated signs (diaphoresis, tachycardia, and malaise)

PO give with full galss of water. May be taken with food or on an empty stomach. Assessment Evaluation Why would you hold or not give this Check after giving med? Reduction of fever

PO: Administer with a full glass of water ○ May be taken with food or on an empty stomach