ACTIVE LEARNING TEMPLATE: Medication Kayleigh H STUDENT NAME______________________________________ Acetaminophen Tylenol MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________ nonopioid analgesic CATEGORY CLASS__Antipyretics _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Inhibits synthesis of prostaglandins that may perform as mediators of pain and fever, predominently in CNS. Has significant inflammatory effects or GI toxicity Therapeutic Use Mild pain to moderate pain Moderate to severe pain with opiod analgesics Fever Complications CNS: drowsiness, confusion, delirium, excitation, headache (with chronic use), nervousness, numbness EENT: nasal congestion, tinnitus Resp: respiratory depression CV: tachycardia GI: constipation, dry mouth, dysphagia Derm: dermatitis, pruritis MS: leg pain, muscle weakness Misc: fever, physical dependence, tolerance Medication Administration Oral Tablet 325-650 mg daily ONSET PEAK 15-30min 1-2 hrs Rectal IV Contraindications/Precautions If there is alcoholic consumption of 3 or more drinkd daily Products containing alcohol, aspartame, saccharin, sugar History of Liver/Hepatic disease Interactions Additive CNS depression with other CNS depressants, including alcohol, antihistamines, antidepressants, and opioid analgesics. May increase the metabolism and decrease the effectiveness of other drugs including amiodarone, benzodiazepines, calcium channel blockers, citalopram MAO inhibitors, felbamate, primidone Evaluation of Medication Effectiveness Relief of mild to moderate pain w/o noticeable aleteration in LOC Reduction of fever ACTIVE LEARNING TEMPLATES Nursing Interventions Assess type, location and intensity prior to and 30-60 mins following adminstration Assess BP afterwards Assess for rash regularly during therapy Client Education Advice patient to take medication precisely as directed and not to take more than the approved amount Advice to avoid alcohol. advise patient to discontinue acetaminophen if rash occurs/ if pain persists after 7 days of use Therapeutic Procedure A7
