University:
Villanova University
Course:
306 | Medsurge
Academic year:

2023
Views:

303

Pages:

1
Author:

esfredint7qo

ACTIVE LEARNING TEMPLATE: Medication acetominophen MEDICATION __________________________________________________________________________ antipyretic, nonopioid analgesic CATEGORY CLASS ______________________________________________________________________ p. 8 REVIEW MODULE CHAPTER ___________ PURPOSE OF MEDICATION Expected Pharmacological Action inhibits the enzyme cyclooxygenase, blocking prostaglandin production and interfering with pain impulse generation in the peripheral nervous system. Acts directly on temperature-regulating center in the hypothalamus by inhibiting synthesis of prostaglandin E2. Therapeutic Use to relieve mild to moderate pain, to manage moderate to severe pain without adjuvant opioid analgesics, to reduce fever Complications hypotension, stridor (Parenteral form), hypoglycemic coma, heptatoxicity, hemolytic anemia (long-term use), leukopenia, neutropenia, pancytopenia, thrombocytopenia, atelectasis, pulmonary edema, acute generalized exanthematous pustulosis, Stevens-Johnson syndorme, toxic epidermal necrolysis, anaphylaxis, angioedema, hypokalemia, hypomagenesemia Contraindications/Precautions to relieve mild to moderate pain, to manage moderate to severe pain without adjuvant opioid analgesics, to reduce fever Interactions anticholinergics, barbituates, carbamazepine, hydantoins, isoniazid, rifampin, sulfinpyrazone, dasatinib, imatinib, lamotrigine, oral contracetpives, probenecid, propranolol, warfarin, zidovudine, alcohol Medication Administration oral; caplets, capsules, chewable tablets, elixir, gelcaps, liquid solution, sprinkles, suspension Rectal Parenteral -I.V. infusion Nursing Interventions use cautiously with hepatic issues, alcoholism, chronic malnutrition, severe hypovolemia, severe renal impairment, obtain LFTs, BUN/Cr, do not exceed maximium dose of 3g at home or 4g at hospital, do not confuse mg and mL, be aware of the dosing of Pediaphen Client Education Evaluation of Medication Effectiveness relief of pain, reduction in fever/temperature may crush or swallow whole, follow instructions, infant/children acetominophen liquid are not interchangable, do not exceed recommended dose, teach s/s of hepatoxicity such as bleeding, easy bruising, malaise, skin reaction possible, may cause infertility in both males and females