Student Name _____________________________________________ Dates ____________________________________________________ DRUG ORDERED MECHANISM OF ACTION SIGNIFICANT INTERACTIONS (Write in your own words-not copy out of resource) Drug classification: How does the drug work in the body? Nonopioid analgesic Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever primarily in the CNS Generic name: acetaminophen Does this drug interact with other drugs that the client is currently taking? Trade name: Tylenol All routes available: Dosage range: (Before administration) (After administration) Why is this client taking this drug? Most significant side/adverse effects: Fever greater than 100.5 What is the therapeutic effect? decrease severity of pain, decrease fever What is your assessment before administration? pain level scale vitals (temp) What are your ongoing assessments and interventions? PO Peak Duration <1hr 3060 min 4-6hr vitals (temp) renal function for long term use 5-30 min 15 min Order as written: 975 mg PO PRN stat x1 Drug “on hand” (ex: 250mg/5ml ) : 975 mg tablet Calculations for determining client’s safe dose (mg/kg/day): 975mg*1 = 975 mg/day is the client assessment?) reassess temperature to see if fever has decreased Calculations for determining client’s dosage: n/a Did you meet the goal for this client? Yes / No take as directed Avoid alcohol 4-6 hr MEDICATION CALCULATION: What is your evaluation of the effectiveness of this drug? (What What are you going to teach? discontinue if rash occurs IV / SQ reduced fever pain level scale no Onset Anxiety, headache, fatigue, Constipation, renal failure, hypoglycemia, neutropenia What is the goal for THIS client? no (If yes, which supplements and what needs to be done?) Up to 3000 mg/day UNIQUE NURSING CONSIDERATIONS allergies Could this drug interact with foods/herbal supplements that the client might eat/take? 1x PRN UNIQUE NURSING CONSIDERATIONS (If yes, which drugs and what needs to be done?) PO IV PR Frequency: Client Room # __________ Client Initials/Age _____________ Medical Diagnosis ________________________________________ may alter results of blood glucose monitoring If NO: (What will you do about it?) Is your client’s dose within safe and therapeutic range? (If not, please explain): yes