Exam (elaborations)
Acetaminophen (Tylenol).
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- MedSurg Notes Nurse’s Clinical Pocket Guide
Acetaminophen (Tylenol).
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Acetaminophen (Tylenol)Action - ANS-Appears to inhibit prostaglandin synthesis in the CNS and, to a lesser
extent, block pain impulses through peripheral action. acts centrally on hypothalmic
heat-regulating center, producing peripheral vasodilation.
Contra indications: active alcoholism, hepatic disease, viral hepatitis, all of which
increase the risk of hepatoxicity.
Contraindication - ANS-active alcoholism, hepatic disease, viral hepatitis, all of which
increase the risk of hepatotoxicity.
Dose appropriateness - ANS-Dose is appropriate because patient is taking 650mg q4h:
650 x 6: which equals to 3900mg and the maximum dose per day is 4g.
Drug classification - ANS-Central analgesic, non-narcotic analgesic, antypyretic.
Medication - ANS-Acetaminophen (Tylenol)
Nursing consideration - ANS-If given for analgesia, assess onset, type, location,
duration of pain. Effect of medication is reduced if full pain response recurs prior to next
dose. assess for fever. alcohol usage. assess for clinical improvement and relief of pain,
fever. severe pain or fever may indicate serious illness. advise not to take more than 4
g/24h period.
Reason for taking - ANS-Patient is taking this medication because of mild pain that she
rated 4 on numeric pain scale.
Side effects - ANS-Hypersensitivity reaction
Use - ANS-Relief of mild to moderate pain, fever.
Written Dose - ANS-Tylenol 650mg q4h PO
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