Drug Name (Generic
name, Trade name)
Dosage, Route,
Frequency
Mechanism of
Actions
Generic name –
Paracetamol
Brand name –
Tylenol
Dosage – 300g
Route – IV
Frequency – q4hr
Acetaminophen is an
over-the-counter
pain reliever and
fever reducer. Its
mechanism of action
is not fully
understood, but it is
thought to work by
inhibiting the
production of
prostaglandins,
which are substances
in the body that
contribute to pain
and inflammation.
Indications

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




backache
headache
migraine
muscle
strains
period pain
toothache
aches and
pains due to
colds and flu
Contraindications
Contraindicated in
known
hypersensitivity to
paracetamol, in
hepatic and renal
failure.
Side Effects










Nausea and
Vomiting
Rashes or
swelling
Low blood
pressure
Tachycardia
Flushes
Itching
Weakness
Diarrhea
Headaches
Constipation
Adverse Effects







Anaphylaxis
Tarry stools
Cloudy urine
White spots
on the lips or
in the mouth
Unusual
bleeding
Yellow eyes
or skin
Sudden
decrease in
the amount
of urine
Nursing Implications
1. Assess the
patient’s pain
level before
administering
the medication.
2. Assess overall
health status
and alcohol
usage before
administering
acetaminophen.
3. Assess
the amount,
frequency, and
type of drugs
taken in
patients selfmedicating,
especially with
OTC drugs.
4. Monitor the
patient’s
response to the
medication.
5. Assess fever;
note the
presence of
associated signs
(diaphoresis,
tachycardia,
and malaise).