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Caylor School of Nursing

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:
CNS: Stimulation, drowsiness
Administer to patient crushed or whole, chewable tabs
May block pain
may be chewed; do not crush or chew ER product.
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
GU: Renal failure (high, prolonged
synthesis; does not dose)
Assess for fever and pain: type of pain, location,
possess antiintensity, duration, temp, and diaphoresis. Assess for
HEMA: Thrombocytopenia,
chronic poisoning: rapid, weak pulse; dyspnea; cold,
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
TOXICITY: Cyanosis, anemia,
Monitor LFT: AST, ALT, bilirubin, creatinine before
Black Box
neutropenia, jaundice,
therapy if long-term therapy in anticipated; may cause
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
(Nurs 245 Only)
Teach patient not to exceed recommended dosage;


Name of

(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