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Generic Name Codeine Trade Name Acetaminophen Tylenol 3 Peak A:1-3 hours C:60-120 minutes Classification Antipyretics / nonopiod analgesics / opioid analsgesics Route PO time / frequency Every 6 hrs. PRN for pain Onset 0.5-1 hour 30-45 minutes duration 3-8 hours 4 hours For IV meds, compatibility with IV drips and / or solutions N / A Nursing Implications (what to
Generic Name Codeine Trade Name Acetaminophen Tylenol 3 Peak A:1-3 hours C:60-120 minutes Classification Antipyretics / nonopiod analgesics / opioid analsgesics Route PO time / frequency Every 6 hrs. PRN for pain Onset 0.5-1 hour 30-45 minutes duration 3-8 hours 4 hours For IV meds, compatibility with IV drips and / or solutions N / A Nursing Implications (what to
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Generic Name Codeine Trade Name Acetaminophen Tylenol 3 Peak A:1-3 hours C:60-120 minutes Classification Antipyretics / nonopiod analgesics / opioid analsgesics Route PO time / frequency Every 6 hrs. PRN for pain Onset 0.5-1 hour 30-45 minutes duration 3-8 hours 4 hours For IV meds, compatibility with IV drips and / or solutions N / A Nursing Implications (what to
Copyright:
Attribution Non-Commercial (BY-NC)
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Scarica in formato DOC, PDF, TXT o leggi online su Scribd
Name Name Antipyretics/ 300 mg/ 30mg PO Every 6 hrs. PRN for pain Acetaminophen Tylenol 3 nonopiod analgesics Codeine /opioid analgesics Peak Onset Duration For IV meds, compatibility with IV drips and /or A:1-3 hours 0.5-1 hour 3-8 hours solutions C:60-120 minutes 30-45 minutes 4 hours N/A Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions A: Inhibits the synthesis of prostaglandins that may serve as A: Hypersensitivity. Use cautiously in pt’s w/ malnutrition. mediators of pain and fever, primarily in the CNS. Indicated for Interacts w/ hepatotoxic substances and NSAID’s. Do not give treatment of mild pain. more than 4 g of aceteminophin in 24 hours. C: Binds to opipate receptors in the CNS. Alters the perceprion C:Contraindicated in hypersensitivity. Use cautiously in head of and response to painful stimuli while producing generalized trauma, increased intracranial pressure, Severe renal, hepatic, or CNS depression. pulmonary disease, hypothyroidism, Adrenal insufficiency. Common side effects A: Hepatotoxicity, renal failure, neutropenia, pancytopenia, leucopenia, rash, and urticaria C:confusion, sedation, hypotension, constipation, nausea, vomiting Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine medicines (ask patient specifically) May alter results of blood glucose monitoring, Increased serum NSAIDS, increased sedative effect with other CNS depressants. bilirubin, LDH, AST, ALT, and prothrombin time may indicate hepatotoxicity. May cause and increase in serum amylase and lipase concentrations. Be sure to teach the patient the following about this medication Advise patient to consult health care professional if discomfort or fever is not relieved by routine doses of this drug or if fever is greater than 39.5°C (103°F) or lasts longer than 3 days. Oral doses may be administered with food or milk to prevent GI irritation. Nursing Process- Assessment Assessment Evaluation (Pre-administration assessment) Why would you hold or not give Check after giving Assess for Pain: intensity, location , duration etc. this med? Decrease in Level of pain Assess respirations , number, depth, quality, and if If the patient reports no pain or if reported by the patient with <10 assess for level of sedation. Assess bowel respirations are less than 12 minimal side effects. function regularly. Institute bowel protocol including increased intake of fluids and fiber to prevent constipation.