NURS 2516 Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name

Trade Name acetaminophen tylenol Peak PO: 0.5-1 hr Classification Dose Route Time/frequency Nonopioid 325 mg PO Q 4 hr. PRN analgesic 500 mg TID PRN Onset Duration For IV meds, compatibility with IV drips and /or solutions PO: 1-3 hr 3-8 hr Nursing Implications (what to focus on) Contraindications/warnings/interactions Common side effects
HEPATIC FAILURE, HEPATOTOXICITY

Mechanism of action and indications (Why med ordered) pain, increased temperature
Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) none

Lab value alterations caused by medicine
May alter results of blood glucose monitoring. Increased serum bilirubin, LDH, AST, ALT, and prothrombin time may indicate hepatotoxicity

Be sure to teach the patient the following about this medication
Advise patient to avoid alcohol

Nursing Process- Assessment (Pre-administration assessment)
Pain: Assess type, location, and intensity prior to and 30-60 min following administration Fever: Assess fever; note presence of associated signs (diaphoresis, tachycardia, and malaise)

Assessment Why would you hold or not give this med? If pain and/or fever has diminished, and pt no longer needs med

Evaluation Check after giving Relief of mild pain Reduction of fever

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