A.

POSTOPERATIVE MEDICATIONS
GENERIC NAME

PARACETAMOL

BRAND NAME
CLASSIFICATION
MODE OF ACTION

Alnacer-IV
Analgesic
Decreases fever by inhibiting the effects of pyrogens on
the hypothalamus heat regulating centers & by a
hypothalamic action leading to sweating &
vasodilatation.

DATE ORDERED
DOSAGE
INDICATION
CONTRAINDICATIONS

Relieves pain by inhibiting prostaglandin synthesis at

the CNS but does not have anti-inflammatory action
because of its minimal effect on peripheral
prostaglandin synthesis.
07/20/13 (Post-operative)
60mg slow IVTT q6h
Relief of mild-to-moderate pain; treatment of fever.
Contraindicated to patients with:
Hypersensitivity
Intolerance to tartrazine (yellow dye #5), alcohol, table
sugar, saccharin
Contraindicated with allergy to acetaminophen

ADVERSE EFFECTS
Stimulation, drowsiness, nausea, vomiting, abdominal
pain, hepatotoxicity, hepatic seizure(overdose, Renal
failure(high,
prolonged
doses),
leucopenia,
neutropenia, hemolytic anemia (long term use)
thrombocytopenia, pancytopenia, rash, urticaria,
hypersensitivity, cyanosis, anemia, jaundice, CNS,
stimulation, delirium followed by vascular collaps,
convulsions, coma, death.

NURSING
RESPONSIBILITIES

Assess patients fever or pain: type of pain, location,

intensity, duration, temperature, and diaphoresis.
Assess allergic reactions: rash, urticaria; if these occur,
drug may have to be discontinued.
Teach patient to recognize signs of chronic overdose:
bleeding, bruising, malaise, fever, sore throat.
Tell caregiver to notify prescriber for pain/ fever lasting
for more than 3 days.