Acetaminophen overdoses, peak plasma concentrations are usually achieved within 4
hours. The half-life of acetaminophen is approximately 2 to 3 hours after
Paracetamol, Redutemp, Ridenol, Silapap, Tapanol, Tempra, Tylenol, Uni- therapeutic doses, yet can be increased to more than 4 hours in patients with Ace hepatic injury. Classification Adverse Reactions/Side Effects Therapeutic: antipyretics, nonopioid analgesics GI: HEPATIC FAILURE, HEPATOTOXICITY(OVERDOSE). GU: renal failure Indications (high doses/chronic use). Hemat: neutropenia, pancytopenia, leukopenia. Derm: rash, urticaria. Mild pain. Fever. Nursing Responsibilities Contraindications Assess pain and other variables (range of motion, muscle strength) to caloric undernutrition document whether this drug is successful in helping manage the acute liver failure patient's pain and decreasing impairments. liver problems severe renal impairment Monitor signs of leukopenia and neutropenia (fever, sore throat, signs a condition where the body is unable to maintain adequate blood flow called shock of infection) or unusual weakness, fatigue, and excessive bleeding that acetaminophen overdose might be due to anemia or other blood dyscrasias. Report these signs acute inflammation of the liver due to hepatitis C virus to the physician. Action Inhibits the synthesis of prostaglandins that may serve as mediators of pain Implement appropriate manual therapy techniques, physical agents, and fever, primarily in the CNS. Has no significant anti-inflammatory and therapeutic exercises to reduce pain and decrease the need for properties or GI toxicity. Therapeutic Effects: Analgesia. Antipyresis. acetaminophen and other analgesics. Pharmacokinetics Help patient explore other nonpharmacologic methods to reduce Upon ingestion, acetaminophen is rapidly absorbed from the gastrointestinal chronic pain, such as relaxation techniques, exercise, counseling, and (GI) tract and quickly distributed throughout the body. Peak plasma concentrations are achieved within 30 to 60 minutes; food may delay time to so forth. peak concentration, but the extent of absorption is not affected. With Advise patient to reduce alcohol intake because alcohol increases the risk of liver toxicity.