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.