Tylenol

NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name

Trade Name

Acetaminophen

Tylenol

Classification Antipyretics/ nonopiod analgesics

Peak

Onset

Duration

1-3 hours

0.5-1 hour

3-8 hours

Dose

Route

Time/frequency

650mg NOT TO EXCEED 4 g per day

PO

Every 4-6 hrs. PRN for pain

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

Mechanism of action and indications (Why med ordered)

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. Indicated for treatment of mild pain.

Hypersensitivity. Patients that experience mild hypersensitivities should avoid alcohol, aspartame, saccharin, sugar, or tartrazine. Use cautiously in pt’s w/ malnutrition. Interacts w/ hepatotoxic substances and NSAID’s

Common side effects Hepatotoxicity, renal failure, neutropenia, pancytopenia, leucopenia, rash, and urticaria

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

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 Advise patient to consult health care professional if discomfort or fever is not relieved by routine doses of this drug or if fever is greater than 39.5°C (103°F) or lasts longer than 3 days

Nursing Process- Assessment (Pre-administration assessment) Assess for Pain: intensity, location , duration etc.

Assessment Why would you hold or not give this med? If the patient reports no pain

Evaluation Check after giving Decrease in Level of pain reported by the patient