Drug Study - Paracetamol
Drug Study - Paracetamol
Drug Study - Paracetamol
Name of Drug Dosage, Mechanism of Indication Contraindication Adverse Effect Nursing Responsibility
Route and Action
Frequency
Generic Name: Dosage: Inhibits the PO, Rect: Contraindicated in: CNS: agitation (in Interventions:
synthesis of Treatment of: Mild Previous children) (IV), anxiety ● Assess overall health status and alcohol usage before
Paracetamol / 300
prostaglandins pain, Fever. IV hypersensitivity; (IV), headache (IV), administering acetaminophen. Patients who are malnourished or
Acetaminophen mg/amp, 2
that may serve Treatment of: Mild Products containing fatigue (IV), insomnia chronically abuse alcohol are at higher risk of developing
ampules
Brand Name: as mediators of to moderate pain, alcohol, aspartame, (IV). hepatotoxicity with chronic use of usual doses of this drug.
pain and fever, Moderate to severe saccharin, sugar, or
Abenol, Acephen, Acet, primarily in the pain with opioid tartrazine (FDC
● Assess amount, frequency, and type of drugs taken in patients
APAP, Artritol, Aspirin Frequency CNS. Has no self-medicating, especially with OTC drugs. Prolonged use of
analgesics, Fever. yellow dye #5)
Free Anacin, Atasol, acetaminophen increases the risk of adverse renal effects. For short-
Q8hrs x 6 significant anti- should be avoided in term use, combined doses of acetaminophen and salicylates should
Cetafen, Feverall, inflammatory patients who have
doses not exceed the recommended dose of either drug given alone. Do
Fortolin, Infantaire, properties or GI hypersensitivity or not exceed maximum daily dose of acetaminophen when
Little Fevers, Mapap, toxicity. intolerance to these considering all routes of administration and all combination
Nortemp Children’s, compounds; Severe products containing acetaminophen.
Ofirmev, Pain-Eze, Route:
hepatic
Pediaphen, Pediatrix, IVTT ● Pain: Assess type, location, and intensity prior to and 30– 60 min
impairment/active following administration.
Silapap , Silapap liver disease.
Infant’s, Taminol, ● Fever: Assess fever; note presence of associated signs
Tempra, Tylenol, (diaphoresis, tachycardia, and malaise).
Valorin
● Lab Test Considerations: Evaluate hepatic, hematologic, and renal
Classification: function periodically during prolonged, high-dose therapy.
Antipyretics, Nonopioid ● May alter results of blood glucose monitoring. May cause
Analgesics falselypvalues when measured with glucose oxidase/peroxidase
method, but probably not with hexokinase/G6PD method. May also
cause falselyqvalues with certain instruments; see manufacturer’s
instruction manual.
● Increased serum bilirubin, LDH, AST, ALT, and prothrombin
time may indicate hepatotoxicity.
● Toxicity and Overdose: If overdose occurs, acetylcysteine
(Acetadote) is the antidote.