NURS 2516 Clinical Medications Worksheets

Generic Name Trade Classification Dose Route Time/frequency

Acetaminophen Name
Tylenol Nonoppioid 650 mg PO Q 6 hr PRN
analgesics
Peak Onset Duration For IV meds, compatibility with IV drips and /or
solutions
1-3 hours 0.5-1 hr 3-8 hrs
N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Inhibits the synthesis of prostaglandins that may serve as Hypersensitivity, glucose deficiency
mediators of pain, primarily in the CNS.
Tx for patient is mild to moderate pain Common side effects
Increased temperature GI: Hepatic failure, hepatotoxicity. GU: Renal failure.
Hemat: neutropenia, pancytopenia, leukopenial Derm:
Rash urticaria
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Evaluate hepatic, hematologic, and renal function
Tylenol and lortab interact if patient is on both drugs periodically during prolonged, high dose therapy.
monitor closely. No more than 4000 mg combined per OTC blood glucose tests can produce false negative
day. results.
Be sure to teach the patient the following about this
medication
Notify physician if rash develops, avoid alcohol
consumption.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Assess for location and severity of pain, this med? Hepatic and renal status
assess for increased temperature. Assess Overdose or toxicity for long term use.
overall health status, alcohol usage, OTC Allergies, renal disease Assess 30-60 min after
drugs they are taking. administering for
effective pain relief.