NAME OF DRUG INDICATIONS CONTRAINDICATIO MECHANISM OF ADVERSE EFFECTS NURSING

NS ACTION RESPONSIBILITIES
Generic Name:  Analgesic-  Renal  The analgesic CNS: Before administration:
Paracetamol antipyretic in Insufficiency and antipyretic  Headache  Assess History:
(Acetaminophen) patients with  Anemia effects of Allergy to
aspirin allergy, paracetamol are CV: acetaminophen &
Brand Name: hemostatic believed to be  Chest pain, dyspnea, impaired hepatic
 Suppositories: disturbances, related to the myocardial damage function.
Abenol (CAN), bleeding inhibition of when doses of 5–8  Assess Physical:
Acephen diatheses, upper prostaglandin g/day are ingested Skin color,
 Oral: Biogesic, GI disease, gouty synthetase ( a daily for several weeks lesions; T; liver
Tempra arthritis mechanism or when doses of 4 evaluation; CBC,
 Arthritis and shared by ASA g/day are ingested for LFTs, renal
Classification: rheumatic and related 1 yr function tests.
Non-narcotic analgesic, disorders drugs). It is  Avoid using
Antipyretic. involving postulated that GI: multiple
musculoskeletal the analgesic  Hepatic toxicity and preparations
Dosage: pain (but lacks effect is failure, jaundice containing
For fever and for pain clinically produced by acetaminophen.
Oral or suppository significant elevation of the GU: Carefully check all
 500mg/tablet antirheumatic pain threshold  Acute kidney failure, OTC products.
and anti- and the renal tubular necrosis
•Children and inflammatory antipyretic effect During administration:
adolescents (<60kg): effects) is produced Hematologic:  Do not exceed
 Every 4-6 hrs  Common cold, through action  Methemoglobinemia the
do not exceed flu, other viral on the —cyanosis; hemolytic recommended
to and bacterial hypothalamic anemia—hematuria, dosage.
75mg/kg/day. infections with heat-regulating anuria; neutropenia,  Give drug with
 For 12 years and pain and fever centre. leukopenia, food if GI upset
older:  Unlabeled use: pancytopenia, occurs.
 325 to 650 mg Prophylactic for thrombocytopenia,
every 4 to 6 children receiving hypoglycemia After administration:
hours or 1000 DPT vaccination  Discontinue drug
mg every 6 to 8 to reduce Hypersensitivity: if hypersensitivity
hours. incidence of fever  Rash, fever reactions occur.
and pain  Do not exceed
Frequency: recommended
Q4 PRN dose; do not take
for longer than 10
Route: days.
Oral or rectal  Report rash,
unusual bleeding
or bruising,
yellowing of skin
or eyes, changes
in voiding
patterns.
 Instruct parent to
avoid the use of
other over-the-
counter
preparations.
They may contain
acetaminophen,
and serious
overdosage can
occur. If they
need an over-the-
counter
preparation,
consult their
health care
provider.