Acetaminophen “tyelnol”

Question 1

Indications

Answer 1

-Analgesic: minor pain
-antipyretic
-identical to ASA but no anti-inflammatory

Question 2

Contraindications

Answer 2

-impaired hepatic function**
-impaired renal function
-pregnancy/lactation

Question 3

Adverse effects

Answer 3

-hepatoxicity: fatal liver necrosis w/ overdose**
-renal failure
-hypersensitivity reactions

Question 4

Nursing implications

Answer 4

-dont exceed recommended dose (3000mg in 24 hrs)
-careful w/ combo meds containing Tylenol
-call HCP if fever and rash
-hepatoxic @ therapeutic dose with alcohol, smoking, anti-seizure meds

Question 5

Manifestations of early toxicity

Answer 5

-anorexia
-N/V
-sweating

Question 6

Manifestations of late toxicity

Answer 6

-jaundice
-vomit
-CNS stim
-vascular collapse
-coma
-death

Question 7

What to do if suspected of toxicity

Answer 7

Get serum levels within 4 hrs of ingestion

Question 8

Treatment for toxicity

Answer 8

-within 4 hrs gastric lavage and activated charcoal
-antidote: Acetylcystine, give within 8 hrs