Drug Tylenol

Nurs 1566 Clinical Medication Worksheet Generic Name

Trade Name

Acetaminophen Tylenol

Peak PO- 1-3 hr

Classification Dose Antipyretic, nonopioid analgesic

Onset 0.5-1 hr

325 mg

Duration 3-8 hr

Why is your patient getting this medication: Ordered for Pain and/or fever.

Mechanism of action and indications: Inhibits 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

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

Route

Time/frequency

PO

Q 4-6 hr

Normal dosage range 325- 650 mg Q 4-6 hr

For IV meds, compatibility with IV drips and /or solutions N/A Nursing Implications (what to focus on): Contraindications/warnings/interactions Don’t exceed 4000 mg in 24 hours. Common side effects: GI- Hepatic Failure, Hepatotoxicity(overdose) GU- renal failure (high doses/chronic use). Hemat: neutropenia, pancytopenia, leucopenia. Derm- rash, urticaria.

Lab value alterations caused by medicine: May alter Blood glucose. Increased serum bilirubin, LDH, AST, ALT may indicate hepatotoxicity. May None noted. increase prothrombin time. Be sure to teach the patient the following about this medication: Do not exceed the maximum daily dose. Take with full glass of water. Avoid alcohol and NSAIDs Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving med? Overall health assessment and amount of Hold if the maximum daily dose has Assess pain or temperature Tylenol received that day. already been given, or if last dose < 30-60 min. after Pain: Assess type, location, and intensity prior four hrs ago. administration for signs of to administration. If Lab tests showed signs of relief of pain and/or Fever: Assess temperature, note presence of hepatotoxicity (elevated LFTs) reduction of fever. signs, (diaphoresis, tachycardia, and malaise).