1) Paracetamol is used to relieve pain and reduce fever through inhibiting prostaglandin synthesis in the central nervous system. It is indicated for headaches, fever, minor pains, and menstrual cramps.
2) Adverse effects include hematologic, hepatic, metabolic and skin issues. Nursing responsibilities include monitoring for adverse effects, checking for drug interactions, and educating patients on proper use.
3) Paracetamol should not be used in patients with known hypersensitivity and may interact with other drugs to reduce therapeutic effects or enhance toxicity, especially with long term high dose use.
1) Paracetamol is used to relieve pain and reduce fever through inhibiting prostaglandin synthesis in the central nervous system. It is indicated for headaches, fever, minor pains, and menstrual cramps.
2) Adverse effects include hematologic, hepatic, metabolic and skin issues. Nursing responsibilities include monitoring for adverse effects, checking for drug interactions, and educating patients on proper use.
3) Paracetamol should not be used in patients with known hypersensitivity and may interact with other drugs to reduce therapeutic effects or enhance toxicity, especially with long term high dose use.
1) Paracetamol is used to relieve pain and reduce fever through inhibiting prostaglandin synthesis in the central nervous system. It is indicated for headaches, fever, minor pains, and menstrual cramps.
2) Adverse effects include hematologic, hepatic, metabolic and skin issues. Nursing responsibilities include monitoring for adverse effects, checking for drug interactions, and educating patients on proper use.
3) Paracetamol should not be used in patients with known hypersensitivity and may interact with other drugs to reduce therapeutic effects or enhance toxicity, especially with long term high dose use.
1) Paracetamol is used to relieve pain and reduce fever through inhibiting prostaglandin synthesis in the central nervous system. It is indicated for headaches, fever, minor pains, and menstrual cramps.
2) Adverse effects include hematologic, hepatic, metabolic and skin issues. Nursing responsibilities include monitoring for adverse effects, checking for drug interactions, and educating patients on proper use.
3) Paracetamol should not be used in patients with known hypersensitivity and may interact with other drugs to reduce therapeutic effects or enhance toxicity, especially with long term high dose use.
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FERNANDEZ, Bianca Nicole G.
October 26-28, 2020
BSN 3B 2a CI: Ma’am Nasper Anod
DRUG NAME MECHANISM OF INDICATION / ADVERSE EFFECT NURSING RESPONSIBILITIES
ACTION CONTRAINDICATION
GENERIC: Paracetamol may cause INDICATIONs: Hematologic: BEFORE:
Paracetamol analgesia by inhibiting Temporary relief of pain and hemolyticanemia, Dx: CNS prostaglandin discomfort from headache, fever, neutropenia, leukopenia, a. Asses patient’s drug history and calculate total daily BRAND: synthesis. The cold, flu, minor muscular aches, pancytopenia dosage accordingly: Tylenol mechanism of morphine overexertion, menstrual cramps, b. Assess patient’s temperature before therapy and is believed to involve toothache, minor arthritic pain. Hepatic: regularly thereafter. CLASS: decreased permeability of liver damage, c. Check for allergies Analgesics ( Non- the cell membrane to CONTRAINDICATION: Tx: opioid) sodium, which results in Paracetamol is contraindicated for Metabolic: d. Monitor CBC, liver and renal functions. Antipyretics diminished transmission use in patients with known hypoglycaemia EDx: of pain impulses hypersensitivity or idiosyncratic e. Educate SO on drug therapy to promote compliance. THERAPEUTIC therefore analgesia. reaction to paracetamol (or any of Skin: Pain reliever and fever the other ingredients in the product); rash, urticaria DURING: reducer Source: Dx: Nurse’sDrug Handbook DRUG TO DRUG a. Monitor for adverse effects like respiratory PHARMACOLOGIC: Jones & Bartlett INTERACTION: dysfunctions Learning 14th edition Barbiturates, carbamapezine, b. Check for drug or herbal interactions DOSAGE: 2015 hydantoins, isoniazid, rifampin, Tx: 20/mg/kg/dose sulfinpyrazone: May reduce c. Do not give children more than 5 doses in 24 h therapeutic effect and enhance unless prescribed by physician. ROUTE: hepatotoxic effects of acetaminophen EDx: IV with high doses or long-term use of d. Report diarrhea, nausea, dyspepsia, insomnia, these drugs. Avoid use together. drowsiness, dizziness, or persistent headache to Warfarin: May increase physician. hypoprothrombin-emic effect with long-term use of high doses. AFTER: Zidovudine: May increase risk of Dx: bone marrow suppression because of a. Assess knowledge/teach SO appropriate use impaired zidovudine metabolism. ,interventions to reduce side effects, and adverse symptoms to report FERNANDEZ, Bianca Nicole G. October 26-28, 2020 BSN 3B 2a CI: Ma’am Nasper Anod
DRUG TO FOOD b. Monitor for effectiveness as exhibited by a decrease
INTERACTION: in symptoms _________________ c. Monitor for side effects. Tx: d. Provide safety measures to prevent injuries. e. Provide comfort measures like telling things to avoid to help patient tolerate drug effects. f. Administer drug once a day in the evening to achieve optimal therapeutic effects. EDx: g. Monitor patient for 2-4 weeks to ascertain onset of full therapeutic effect. h. Teach client warning signs that needs immediate attention of the physician.
Health Problem Family Nursing Problem Goal of Care Objectives of Care Nursing Interventions Methods of Nurse-Family Contact Resources Required Human Resources