ACETAMINOPHEN, PARACETAMOL
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(a-seat-a-mee’noe-fen)
Abenol, A’Cenol, Acephen, Anacin-3, Anuphen, APAP, Atasol , Campain , Datril Extra Strength, Dolanex, Exdol , Halenol, Liquiprin, Panadol, Pedric, Robigesic , Rounox , Tapar, Tempra, Tylenol, Valadol
Classifications: central nervous system agent; nonnarcotic analgesic, antipyretic
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects
- Monitor for S&S of: hepatotoxicity, even with moderate acetaminophen doses, especially in individuals with poor nutrition or who have ingested alcohol over prolonged periods; poisoning, usually from accidental ingestion or suicide attempts; potential abuse from psychological dependence (withdrawal has been associated with restless and excited responses).
Patient & Family Education
- Do not take other medications (e.g., cold preparations) containing acetaminophen without medical advice; overdosing and 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.
- Do not breast feed while taking this drug without consulting physician.
Other Nursing Articles you may want to look at:
- PIPERACILLIN SODIUM (pi-per’a-sill-in) Pipracil Classifications: antiinfective; beta-lactam antibiotic; antipseudomonal penicillin Prototype: Mezlocillin Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Obtain history of hypersensitivity to penicillins, cephalosporins, or other drugs prior to administration. Lab tests: C&S prior to first dose of the drug; start drug pending results. Periodic CBC
- CORTICOSTEROIDS NURSING IMPLICATIONS Assessment & Drug Effects Establish baseline and continuing data on BP, weight, fluid and electrolyte balance, and blood glucose. Lab tests: Periodic serum electrolytes blood glucose, Hct and Hgb, platelet count, and WBC with differential. Monitor for
- ESOMEPRAZOLE MAGNESIUM (e-so-me’pra-zole) Nexium Classifications: gastrointestinal agent; proton pump inhibitor Prototype: Omeprazole Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Monitor for S&S of adverse CNS effects (vertigo, agitation, depression) especially in severely ill patients. Monitor phenytoin levels with concurrent use. Monitor INR/PT with concurrent
- MEFENAMIC ACID (me-fe-nam’ik) Ponstan, Ponstel Classifications: central nervous system agent; analgesic; nsaid; antipyretic Prototype: Ibuprofen Pregnancy Category: C NURSING IMPLICATIONS Assessment & Drug Effects Assess patients who develop severe diarrhea and vomiting for dehydration and electrolyte imbalance. Lab tests: With long-term therapy (not recommended) obtain periodic complete blood counts, Hct and
- METFORMIN (met-for’min) Fortamet, Glucophage, Glucophage XR, Riomet Classifications: hormones & synthetic substitutes; antidiabetic agent; biguanides Pregnancy Category: B NURSING IMPLICATIONS Assessment & Drug Effects Lab tests: Obtain baseline and periodic kidney and liver function tests; drug contraindicated in the presence of renal or hepatic insufficiency. Monitor blood



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