Drug Study - Acetaminophen (Tylenol)
Drug Study - Acetaminophen (Tylenol)
Drug Study - Acetaminophen (Tylenol)
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