MECHANISM SIDE EFFECTS/ NURSING

DRUG NAME DRUG CLASS INDICATIONS CONTRAINDICATIONS

OF ACTION ADVERSE EFFECTS CONSIDERATION
Generic: Therapeutic: Appears to Patient’s Side Effects: Before:
Acetaminophen Central Analgesic inhibit Indications: Sensitivity to acetaminophen; CNS: >Assess patient for allergy
prostaglandin Treat Common headache to acetaminophen,
Pregnancy Category:
synthesis cold, flu, other GI: Nausea, Vomiting impaired hepatic function,
B
in the CNS and, viral and Diarrhea, Stomach pain chronic alcoholism,
Brand: to a lesser bacterial pregnancy, lactation
Precautions:
Tylenol extent, infections with Adverse Reactions: >Assess patient’s Skin
Patient with alcoholic hepatic
block pain pain and fever CV: color, lesions;
disease, hepatic impairment,
impulses chest pain, dyspnea, temperature; liver
or active hepatic disease;
Complete Pharmacologic: through General: myocardial damage evaluation; CBC, LFTs,
chronic malnutrition and
Prescription: Non-narcotic peripheral >Analgesic- when doses of 5–8 renal function tests
hypovolemia (Ofirmev); G6PD
1 g 3–4 analgesic, action. Acts antipyretic in g/day are ingested daily
deficiency. Limit dose to less
times a day antipyretic. centrally on patients with for several weeks or During:
than 4 g/day.
hypothalamic aspirin allergy, when doses of 4 g/day >Instruct patient to take
heat- regulating hemostatic are ingested for 1 yr the medicine with full
center, disturbances, GI: Hepatic toxicity and glass of water.
producing bleeding failure, jaundice >Administer drug to the
peripheral diatheses, upper GU: Acute kidney right patient with the right
vasodilation GI disease, failure, renal tubular dose and route
(heat loss, skin gouty arthritis necrosis >Give drug with food if GI
erythema, Hematologic: upset occurs.
diaphoresis). >Arthritis and Methemoglobinemia—
 rheumatic cyanosis; hemolytic After:
Therapeutic disorders anemia—hematuria, > Instruct patient to
Effect: involving anuria; neutropenia, immediately report to
Results in musculoskeletal leukopenia, Health Care Professionals
antipyresis. pain (but lacks pancytopenia, if rash, unusual bleeding
Produces clinically thrombocytopenia, or bruising, yellowing of
analgesic effect. significant hypoglycemia skin or eyes, changes in
antirheumatic Hypersensitivity: voiding patterns occurs
and anti- Rash, fever
inflammatory > Educate patient to avoid
effects) the use of other over-the-
counter preparations.
>Unlabeled use: They may contain
Prophylactic for acetaminophen, and
children serious overdosage can
receiving DPT occur. If you need an
vaccination to over-the-counter
reduce incidence preparation, consult your
of fever and pain health care provider.
>Document and record
accordingly