Nurs 1566 Clinical Medication Worksheet

Generic Name Trade Name Classification Dose Route Time/frequency

Acetaminophen Tylenol Antipyretic, 325 mg PO Q 4-6 hr

nonopioid
analgesic
Peak Onset Duration Normal dosage range
PO- 1-3 hr 0.5-1 hr 3-8 hr 325- 650 mg Q 4-6 hr

Why is your patient getting this medication:

Ordered for Pain and/or fever. For IV meds, compatibility with IV drips and /or
solutions
N/A

Mechanism of action and indications: Nursing Implications (what to focus on):

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
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.

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine:
medicines (ask patient specifically): 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).