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Acetaminophen (Tylenol) is a nonopioid analgesic that works by inhibiting prostaglandin synthesis in the central nervous system, reducing fever through inhibition of prostaglandins. It can cause gastrointestinal issues like nausea and vomiting, as well as hepatotoxicity with overdose. Nursing considerations include administering crushed or chewed as directed, giving with food to reduce gastric symptoms, and monitoring the patient for fever, pain, and signs of toxicity like dark urine.
Acetaminophen (Tylenol) is a nonopioid analgesic that works by inhibiting prostaglandin synthesis in the central nervous system, reducing fever through inhibition of prostaglandins. It can cause gastrointestinal issues like nausea and vomiting, as well as hepatotoxicity with overdose. Nursing considerations include administering crushed or chewed as directed, giving with food to reduce gastric symptoms, and monitoring the patient for fever, pain, and signs of toxicity like dark urine.
Acetaminophen (Tylenol) is a nonopioid analgesic that works by inhibiting prostaglandin synthesis in the central nervous system, reducing fever through inhibition of prostaglandins. It can cause gastrointestinal issues like nausea and vomiting, as well as hepatotoxicity with overdose. Nursing considerations include administering crushed or chewed as directed, giving with food to reduce gastric symptoms, and monitoring the patient for fever, pain, and signs of toxicity like dark urine.
Medication Worksheet Student Name: Millie Hearon Generic: acetaminophen Classification: Functional: Nonopioid analgesic Trade: Tylenol Chemical: Nonsalicylate, paraaminophenol derivative Mechanism of Adverse Side Effects: Nursing Considerations: Action: Administration: CNS: Stimulation, drowsiness Administer to patient crushed or whole, chewable tabs May block pain may be chewed; do not crush or chew ER product. impulses GI: NV, abdominal pain; Give with food or milk to decrease gastric symptoms; peripherally that hepatotoxicity, hepatic seizure give 30 min before or 2 hr after meals, absorption may occur in response (overdose) GI bleeding be slowed. to inhibition of prostaglandin GU: Renal failure (high, prolonged Assessment: synthesis; does not dose) Assess for fever and pain: type of pain, location, possess antiintensity, duration, temp, and diaphoresis. Assess for inflammatory HEMA: Thrombocytopenia, chronic poisoning: rapid, weak pulse; dyspnea; cold, properties; leucopenia, neutropenia, hemolytic clammy extremities; report immediately to prescriber. antipyretic action anemia, pancytopenia Assess for hepatotoxicity: dark urine, clay-colored results from stools, yellowing of skin and sclera; itching, abdominal inhibition of INTEG: Rash, urticaria pain, fever, and diarrhea if patient is on long-term prostaglandins in therapy. Assess for allergic reactions: if rash, urticaria the CNS SYST: Hypersensitivity occur, product may have to be discontinued Monitor: TOXICITY: Cyanosis, anemia, Monitor LFT: AST, ALT, bilirubin, creatinine before Black Box neutropenia, jaundice, therapy if long-term therapy in anticipated; may cause Warning: pancytopenia, CNS stimulation, hepatic toxicity at doses >4g/day with chronic use. delirium followed by vascular Monitor renal function studies: BUN, urine, creatinine, OB Warning: collapse, seizures, coma, death, occult blood; albumin indicates nephritis. Monitor Category B hepatic damage. blood studies: CBC, PT if patient is on long-term therapy. Check I&O ratio; decreasing output may indicate renal failure Pediatric Safe Dose: Education: (Nurs 245 Only) Teach patient not to exceed recommended dosage;
Clinical Date:
Name of Medication: Trade:
(Skidmore-Roth, 2014)
Dosage/Route and Time:
acute poisoning with liver damage may result; acute
toxicity includes symptoms of nausea, vomiting, and abdominal pain; prescriber should be notified immediately. Do not use with combination products. Do not use alcohol without prescriber approval. Recognize symptoms of chronic overdose: bleeding, bruising, malaise, fever, and sore throat. Urine may become dark brown as result of phenacetin. Tell patient to notify prescriber for pain or fever lasting more than 3 days. Reason YOUR patient is Adverse reactions receiving medication: specific to this med