Tylenol Acetaminophen)

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name acetaminophen

Trade Name Tylenol

Classification Dose Route Time/frequency nonopioid 650 mg PO Q 4 hrs PRN analgesics Peak Onset Duration Normal dosage range 1-3 hr 0.5-1 hr 3-8 hr 325-650 mg q 4-6 hr or 1 g 3-4 times daily or 1300 mg q 8 hr (not to exceed 4 g or 2.5 g/24 hr in patients with hepatic/renal impairment) Why is your patient getting this medication For IV meds, compatibility with IV drips and/or Fever solutions N/A

Mechanism of action and indications (Why med ordered) Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS.

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

P r o d u c t s c o n t a i n i n g a l c o h o l , a s p a r t a m e , s

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) Hepatotoxicity is additive with other hepatotoxic substances, including alcohol.

Lab value alterations caused by medicine May alter results of blood glucose monitoring. May cause falsely ↓ values when measured with glucose oxidase/peroxidase method, but probably not with hexokinase/G6PD method. May also cause falsely ↑ values with certain instruments; see manufacturer's instruction manual. Be sure to teach the patient the following about this medication Advise patient to take medication exactly as directed and not to take more than the recommended amount. Chronic excessive use of > 4 g/day (2 g in chronic alcoholics) may lead to hepatotoxicity, renal or cardiac damage. Adults should not take acetaminophen longer than 10 days. Inform patients with diabetes that acetaminophen may alter results of blood glucose monitoring. Advise patient to notify health care professional if changes are noted. Caution patient to check labels on all OTC products. Advise patients to avoid taking more than one product containing acetaminophen at a time to prevent toxicity. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give this Check after giving Assess overall health status and alcohol med? Reduction of fever. usage before administering When giving this medication would acetaminophen. Patients who are exceed the maximum recommended malnourished or chronically abuse alcohol daily dose of acetaminophen, no pain are at higher risk of developing reported. hepatotoxicity with chronic use of usual doses of this drug.