Drug Study - Acetaminophen (Tylenol)

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Name of Student: Catherine B.

Jordan Section and Group Number: 3E - Group 2


Name of CI: Carlyle P. Vingson RN MAN EMT Area of Exposure: Female Medical Ward

DRUG STUDY
Dosage,
Mechanism of
Name of Drug Frequency, Indication Contraindication Adverse Effects Nursing Responsibilities
Action
Route
Generic Name: Dosage: Antipyretic: Acetaminophen  Contraindicated in patients CNS: anxiety, fatigue, headache, Nursing Considerations:
Acetaminophen 500mg Reduces fever by temporarily relieves hypersensitive to drug. insomnia, pyrexia  Assess the patient’s history for:
acting directly on minor aches and  Use cautiously in patients with CV: Chest pain, HTN, hypotension, Allergy to acetaminophen,
Brand Name: Frequency: the hypothalamic pains due to sore any type of liver disease, G6PD peripheral edema, periorbital edema, impaired hepatic function, and
Tylenol q4h heat-regulating throat and deficiency, chronic malnutrition , dyspnea chronic alcoholism.
PRN for fever center to cause temporarily reduces severe hypovolemia (dehydration, GI: nausea, vomiting, abdominal pain,  Use cautiously in patients with
Classification: and pain vasodilation and fever. blood loss), or severe renal diarrhea, hepatic toxicity and failure, impaired hepatic function and
Therapeutic class: sweating, which impairment. Hematologic: hemolytic anemia - chronic alcoholism.
Analgesics Route: helps dissipate  Use cautiously in patients with hematuria, leukopenia, neutropenia,  Give the medication with food if GI
PO heat. long-term alcohol use because pancytopenia, anemia, anuria, upset occurs.
Pharmacologic therapeutic doses cause hepatotoxicity thrombocytopenia  Discontinue drug if hypersensitivity
class: Para- Analgesic: in these patients. Hepatic: jaundice reactions occur.
aminophenol Site and Metabolic: hypoglycemia, hypokalemia,
derivatives mechanism of hypervolemia, hypomagnesemia. Patient Teaching:
action unclear. Musculoskeletal: muscle spasms  Warn patient that high doses or
Respiratory: abnormal breath sounds, unsupervised long-term use can
dyspnea, hypoxia, atelectasis, pleural cause liver damage. Excessive
effusion, pulmonary edema, stridor. alcohol use may increase the risk of
Skin: rash, urticaria, pruritis liver damage.
Hypersensitivity: fever  Caution patient to contact health
care provider is signs and
symptoms of liver damage

1
(illogical thinking, severe
dyspepsia, jaundice, inability to eat,
weakness) occur.
 Warn patient to stop drug and seek
medical attention immediately if
rash or other reactions occurs while
using acetaminophen.
 Inform the patient not to exceed the
recommended dosage and not to
take for longer than 10 days.
 Inform the patient to take the drug
only for complaints indicated; it is
not an anti-inflammatory agent.
 Inform the patient to avoid the use
of other over-the-counter
preparations as this may contain
acetaminophen, and serious
overdosage can occur. If the patient
needs an OTV preparation, he may
consult the health care provider.
 Tell the patient to report rash,
unusual bleeding or bruising,
yellowing of skin or eyes, and
changes in voiding patterns.
Source: Nursing Drug Source: Nursing Drug Source: Nursing Drug Source: Nursing Drug Handbook, 2020 Source: Nursing Drug Handbook, 2020 Source: Nursing Drug Handbook, 2020
Handbook, 2020 Handbook, 2020 Handbook, 2020 p.70 p.70 p.71
p.68 p.70 p.68

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