Tylenol, or acetaminophen, is a nonopioid analgesic and antipyretic used to treat mild to moderate pain or fever. It acts in the peripheral nervous system to block pain impulses without reducing inflammation. Common uses include headaches, migraines, arthritis pain, and fever. Dosing is based on age and weight. Potential side effects range from drowsiness and nausea to liver damage or failure in cases of overdose. Nursing assessments focus on monitoring for signs of toxicity, allergic reactions or chronic overuse while educating patients on proper administration and warning signs.
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Tylenol: By: Allison Plato
Tylenol, or acetaminophen, is a nonopioid analgesic and antipyretic used to treat mild to moderate pain or fever. It acts in the peripheral nervous system to block pain impulses without reducing inflammation. Common uses include headaches, migraines, arthritis pain, and fever. Dosing is based on age and weight. Potential side effects range from drowsiness and nausea to liver damage or failure in cases of overdose. Nursing assessments focus on monitoring for signs of toxicity, allergic reactions or chronic overuse while educating patients on proper administration and warning signs.
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TYLENOL
By: Allison Plato
Generic/Trade Name Tylenol is the generic name of the drug, but the trade name is called Acetaminophen (a-seat-a-mee’noe-fen)
Tylenol’s functional classification: it is a nonopioid
analgesic, antipyrectic Action & Uses Tylenol acts as a wall against pain impulses in the peripheral nervous system, it does not help with inflammation in the body Tylenol is used to treat mild to moderate pain or fever, migraines, arthralgia, dental pain, dysmenorrhea, headache, myalgia, and osteoarthritis Administration Adult and children > 12 yr: Oral and Rectally 325-650 mg q4-6 hr PRN, max 4 g/day Child 1 – 12 yr: Oral 10-15 mg/kg q4-6 hr, max 5 doses/ 24 hr; Rectally 10-20 mg/kg/ dose q4-6hr Neonate: Rectally 10-15 mg/kg/ dose q 6-8hr
If you are suffering from nausea or severe vomiting,
Tylenol may be administered rectally over PO to ensure the medication is absorbed Side Effects Major Side Effects: GI bleeding, renal failure, leukopenia, neutropenia, hemoplytic anemia, cyanosis, anemia, neutopenia, jaundice, vascular collapse, seizures, coma, death
Common Side Effects:
Drowsiness, nausea, vomiting Case Scenario An 17 year old girl has suffered from severe head aches most of her teen years. She states she feels a stabbing pain in temples and it sometimes hurts her eyes, to the point where lights bother her. If she lets them go untreated for awhile she will start to feel physical ill. She usually gets these headaches from not eating properly throughout the day or when she is very stressed. To relieve the pain she tries to put a cold cloth on her head and relax in a dark quiet room; if she hasn’t eaten all day then drinking juice or trying to eat something helps. She doesn’t know any other way of relieving her headaches. She is nervous about trying medication because she does not want to take something that will harm her. Nursing Process: Assessment/ Interventions Hepatic studies, renal studies, blood studies, in & out ratio, fever and pain, chronic poisoning, hepatotoxicity as well as allergic reactions Give crushed or whole; chewable tabs may chewed; give with a full glass of water If there is any presence of allergic reaction, discontinue using Tylenol immediately and contact your physician. If you have a sudden onset of a rapid, weak pulse, dyspnea; cold clammy extremities, report immediately to prescriber If reason for taking medication has not been dismissed you may require another dose of Tylenol, within the correct time line Nursing Process: Evaluate Therapeutic response: absence of pain (pain scoring), as well as absence of fever Evaluate the absence of allergic reactions as well as chronic poisoning Nursing Process: Health Teaching Do not exceed recommended dose: acute poisoning with liver damage may result Toxicity may occur when used with other combination products (i.e.; alcohol) Recognize signs of chronic overdose; bleeding, bruising, malaise, fever, and sore throat As well, to notify the prescriber if pain or fever lasts over 3 days Nursing Diagnosis Acute pain related to lack of knowledge of pain control techniques and methods to prevent headaches as evidence by expression of pain with no relief, and proper pharmacological methods to relieve pain. Questions ? Name something you would health teach the patient on with regards to the use of Tylenol.
In your own words, describe the action of Tylenol
within the body. Reference Ackley, B. & Ladwig, G. (2008). Nursing Diagnosis Handbook (8th ed.). St. Louis, MO: Mosby Elsevier.
McNeil Consumer Healthcare. (2010, September 15). Tylenol.
Retrieved from http://www.tylenol.ca
Skidmore-Roth, L. (2011). Nursing Drug Reference (24th Ed.).
Littleton, COL: Mosby Elsevier.
Swart, B. (2011). Pharmacology for Canadian Health Care