MECHANISM OF INDICATION / NURSING

DRUG NAME ADVERSE EFFECT

ACTION CONTRAINDICATION RESPONSIBILITIES

GENERIC: INDICATIONs: GI: BEFORE:

ACETAMNOPHEN Appears to inhibit Relief of mild to HEPATIC FAILURE, Dx:

prostaglandin moderate pain, fever. IV: HEPATOTOXICITY(OVERDOSE).
Assess the patient’s
synthesis in the CNS (Additional) Management
medical history and
BRAND: and, to a lesser of moderate to severe
tests to ensure
extent, block pain pain when combined with GU:
TYLENOL compatibility of drug
impulses through opioid analgesia.
,VALORIN, Renal failure (high with the patient’s
peripheral action.
PANADOL, NEOPAP doses/chronic use). current condition.
Acts centrally on
hypothalamic heat- CONTRAINDICATION:
regulating center,
CLASS: producing peripheral Severe hepatic HEMAT: Check doctor’s order
vasodilation (heat impairment or severe or prescription before
ANTIPYRETCS, active liver disease Neutropenia, pancytopenia, administration.
loss, skin erythema,
NONOPIOID leukopenia.
and diaphoresis).
ANALGESICS
Therapeutic Effect:
Results in DRUG TO DRUG Instruct patient on
antipyresis. INTERACTION: DERM: Rash, urticaria. how to take medicine.
PHARMACOLOGIC: Produces analgesic
DRUG: Alcohol (chronic
effect
CENTRAL use), hepatotoxic
(F.A. Davis. n.d.) Tx:
ANALGESIC. medications (e.g.,
phenytoin), hepatic Instruct patient to eat
enzyme inducers (e.g., before taking
ROUTE: phenytoin, rifampin) may medication
increase risk of
ORAL
hepatotoxicity with
prolonged high dose or - Instruct patient
single toxic dose. May to report if he
increase risk of bleeding or she has any
liver disease.
with warfarin with
Monitored patient’s
chronic, high-dose use.
vital signs.
HERBAL: St. John’s wort
may decrease blood
levels.
EDx:
DRUG TO FOOD
INTERACTION: Explained purpose of
medication.
None .
Advised patient to
take medication as
ordered.

Avoid alcohol use

Teach patient to
recognize signs of
chronic over dose.