UNIVERSITY OF CEBU BANILAD

COLLEGE OF NURSING
DRUG STUDY
Patient________________________________________________________________________________________________Age____ Hospital No._________ Room No.________
Impression/Diagnosis____________________________________________________________________________________Attending Physican(s) ______________________________________
Allergy to______________________________________________________________________________________________
Generic/Brand
Name &
Classification
(10%)

Dose, Strength, &

Formulation (10%)

Indication/Mechanism of Drug Action

(15%)

Generic:

Ordered:

acetaminophen

500mg/tab

Indications:
Antipyretic: Reduces fever by
acting directly on the hypothalamic
heat regulating center to cause
vasodilation and sweating, which
helps dissipate heat.
Analgesic: Site and mechanism of
action unclear

Timing:
Brand:
Biogesic

Every 4 hours

Duration:
Classification:
-analgesic (non
opioid)
-antipyretic
-pregnancy
category B

As needed
Other forms:
-suppositories
-capsules
-liquid

Mechanism of Action:
-Temporary reduction of fever,
temporary relief of minor aches
and pains caused by common cold
and influenza, headache, sore
throat, toothache, backache,
menstrual cramps, minor arthritis
pain, and muscle aches.
-Unlabeled use: Prophylaxis in
children and patients at risk of
seizures who are receiving DTP
vaccination to reduce incidence of
fever and pain
(karch, 2012)

Adverse/Side Effects
Drug Interaction
(15%)

Nursing Responsibilities
(20%)

Rationale
(10%)

Client Teaching
(20%)

-CNS:
Headache
-CV:
Chest pain,
dyspnea,
myocardial
damage
-GI:
hepatic toxicity
and failure,
jaundice
-GU:
acute renal
failure, renal
tubular necrosis
-Hematologic:
methemoglobinem
ia, cyanosis,
hemolytic anemia,
hematuria, anuria,
neutropenia,
leukopenia,
pancytopenia,
thrombocytopenia,
hypoglycemia

-Monitor for an allergic

reaction

-An allergic reaction may

possibly occur if patient
is allergic to the drug
(karch, 2012)
-Hepatotoxicity and
nephrotoxicity are
adverse effects of this
drug.
(karch, 2012)
-This will lead to an
overdose which may lead
to toxicity (karch, 2012)

-Do not exceed

recommended dose; do
not take longer than 10
days unless directed by
prescriber
-Chew the chewable
tablets before swallowing
dissolve dispersable
tablets in mouth before
swallowing; shake liquid
forms well before using;
do not cut, crush, chew
extended relief forms.
-Take the drug only for
complaints indicated; it is
not an anti-inflammatory
agent.
-Avoid the use of other
over the counter or
prescription preparations
containing
acetaminophen. Serious
overdose can occur. If
you need an over the
counter preparation,
consult your health care
provider.
-Report rash, unusual

-Assess for history of

hepatic and renal
impairment
-Do not exceed the
recommended dosage.
-If GI upset occurs
-Discontinue drug if
hypersensitivity
reactions occur.

-Take the drug with a

meal
(karch,2012)
-Sign of allergic reaction
to the drug.
(karch, 2012)

Hypersensitivity:
rash, fever
-Drug to Drug:
-Increased toxicity
with longer term,
excessive ethanol
ingestion.

___________________________________________________________
Printed Name & Signature
Clinical Instructor

bleeding, or bruising,
yellowing of skin or
eyes, changes in voiding
pattern.

_____________________________________________________________________
Printed Name & Signature
Student