RNpedia.

com
“Nursing Notes and Community”
Drug Name Dosages Therapeutic Indications Adverse effects Contraindications Nursing considerations
Actions
acetaminophen ADULTS  Antipyretic:  Analgesic-  CNS: Headache  Contraindicated Assessment
(N-acetyl-p-  PO or PR Reduces fever by antipyretic in with allergy to  History: Allergy to
aminophenol)  By suppository, 325– acting directly on patients with aspirin  CV: Chest pain, acetaminophen. acetaminophen,
(a seet a min' a 650 mg q 4–6 hr or the hypothalamic allergy, hemostatic dyspnea, impaired hepatic
fen) PO, 1,000 mg tid to heat-regulating disturbances, myocardial  Use cautiously function, chronic
qid. Do not exceed 4 center to cause bleeding diatheses, damage when with impaired alcoholism, pregnancy,
Suppositories: g/day. vasodilation and upper GI disease, doses of 5–8 hepatic function, lactation
Abenol (CAN), sweating, which gouty arthritis g/day are chronic  Physical: Skin color,
Acephen PEDIATRIC PATIENTS helps dissipate ingested daily alcoholism, lesions; T; liver
 PO or PR heat.  Arthritis and for several pregnancy, evaluation; CBC, LFTs,
Oral: Aceta,  Doses may be rheumatic disorders weeks or when lactation. renal function tests
Apacet, Atasol  Analgesic: Site involving doses of 4 g/day
repeated 4–5
(CAN), and mechanism musculoskeletal are ingested for Interventions
times/day; do not of action unclear. pain (but lacks 1 yr
Genapap,  Do not exceed the
Genebs, exceed five doses in clinically significant recommended dosage.
Liquiprin, 24 hr; give PO or by antirheumatic and  GI: Hepatic  Consult physician if
Mapap, suppository. anti-inflammatory toxicity and needed for children < 3
Panadol, effects) failure, jaundice yr; if needed for longer
 Dosage
Tapanol,  Age than 10 days; if
(mg)  Common cold,  GU: Acute
Tempra,            continued fever, severe
Tylenol  0–3 mo  40 flu, other viral and kidney failure, or recurrent pain
bacterial infections renal tubular occurs (possible
 4–11 mo  80 with pain and fever necrosis
Pregnancy serious illness).
Category B  12–23  Avoid using multiple
 120  Unlabeled  Hematologic:
mo preparations containing
use: Prophylactic for Methemoglobine
Drug classes  2–3 yr  160 acetaminophen.
children receiving mia—cyanosis;
 Antipyretic hemolytic
Carefully check all OTC
 4–5 yr  240 DPT vaccination to
 Analgesic products.
reduce incidence of anemia—
(nonopioid)  6–8 yr  320 hematuria,  Give drug with food if
fever and pain
 9–10 yr  400 anuria; GI upset occurs.
neutropenia,  Discontinue drug if
 11 yr  480 hypersensitivity
leukopenia,
pancytopenia, reactions occur.
thrombocytopeni  Treatment of overdose:
a, hypoglycemia Monitor serum levels
regularly, N-
 Hypersen acetylcysteine should
sitivity: Rash, be available as a
fever specific antidote; basic
life support measures
may be necessary.
RNpedia.com
“Nursing Notes and Community”

Teaching points
 Do not exceed
recommended dose; do
not take for longer than
10 days.
 Take the drug only for
complaints indicated; it
is not an anti-
inflammatory agent.
 Avoid the use of other
over-the-counter
preparations. They may
contain
acetaminophen, and
serious overdosage
can occur. If you need
an over-the-counter
preparation, consult
your health care
provider.
 Report rash, unusual
bleeding or bruising,
yellowing of skin or
eyes, changes in
voiding patterns.

http://RNpedia.com- “Nursing Notes and Community”

DOWNLOAD THIS DOCS in this link : http://www.rnpedia.com/home/notes/pharmacology-drug-study-notes/acetaminophen-n-acetyl-p-aminophenol