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Name of Drug Classification and Indication and Side Effects or Adverse Reactions Nursing Responsibilities

(Dosage, Route, Mechanism of Action Contraindication


Frequency, Timing)

Generic Name: Classification: Indication:  General disorders and administration 14 rights of medication
Acetaminophen Central Nervous System  the management of mild site conditions: fatigue, infusion site
1. Right Drug/Medication
2. Right Client/Patient
injection Agent; Nonnarcotic to moderate pain pain, edema peripheral 3. Right Route
Analgesic, Antipyretic  the management of 4. Right Dose
moderate to severe pain  Investigations: aspartate 5. Right Frequency/Time
Brand Name: Mechanism of Action: with adjunctive opioid aminotransferase increased, breath 6. Right Assessment
OFIRMEV The precise mechanism of 7. Right Approach
analgesics sounds abnormal 8. Right Education
the analgesic and  the reduction of fever. 9. Right Evaluation
antipyretic properties of  Metabolism and nutrition disorders: 10. Right Documentation
Dosage:
300mg IV acetaminophen is not hypokalemia 11. Right to Refuse
established but is thought Contraindication: 12. Right Principle of Care
to primarily involve Acetaminophen is 13. Right Prescription
 Musculoskeletal and connective tissue 14. Right Nurse Clinician
central actions. contraindicated:
disorders: muscle spasms, trismus
Acetaminophen is thought • in patients with known Assessment & Drug Effects
Route: to produce analgesia by hypersensitivity to
 Psychiatric disorders: anxiety  Monitor for S&S of: hepatotoxicity, even
IV elevation of the pain acetaminophen or to any of with moderate acetaminophen doses,
threshold and antipyresis the excipients in the especially in individuals with poor
intravenous formulation.  Respiratory, thoracic and mediastinal nutrition or who have ingested alcohol
Frequency: through action on the
disorders: dyspnea over prolonged periods; poisoning, usually
Q4H for T 37.8-38.90c hypothalamic heat- from accidental ingestion or suicide
regulating center. attempts; potential abuse from
Acetaminophen is equal to  Vascular disorders: hypertension, psychological dependence (withdrawal has
aspirin in analgesic and hypotension been associated with restless and excited
Timing: antipyretic effectiveness responses).
8, 12, 4, 8, 12
and it is unlikely to Patient & Family Education
produce many of the side  Do not take other medications (e.g., cold
effects associated with preparations) containing acetaminophen
aspirin and aspirin- without medical advice; overdosing and
containing products. chronic use can cause liver damage and
other toxic effects.
 Do not self-medicate adults for pain more
than 10 d (5 d in children) without
consulting a physician.
 Do not use this medication without
medical direction for: fever persisting
longer than 3 d, fever over 39.5° C (103°
F), or recurrent fever.
 Do not give children more than 5 doses in
24 h unless prescribed by physician.
.

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