Receiving NSAIDs and Related Agents Assess oKnown allergies to any salicylates

Receiving nsaids and related agents assess oknown

This preview shows page 18 - 26 out of 36 pages.

Receiving NSAIDs and Related Agents Assess: o Known allergies to any salicylates, NSAIDs, or tartrazine o Baseline status before beginning therapy and for any potential adverse effects o Pregnancy or lactation; hepatic or renal disease; CV dysfunction; hypertension; and GI bleeding or peptic ulcer o Presence of any skin lesions; temperature; orientation, reflexes, and affect; pulse, blood pressure, and perfusion; respirations and adventitious sounds; liver evaluation; bowel sounds; and CBC, liver and renal function tests, urinalysis, stool guaiac, and serum electrolytes . 0002674835.INDD 12 4/11/2016 4:45:26 PM Copyright ©
Image of page 18
Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype NSAIDs Prototype NSAIDs
Image of page 19
Copyright © 2017 Wolters Kluwer • All Rights Reserved Acetaminophen #1 Acetaminophen #1 Actions- o Acts directly on the thermoregulatory cells of the hypothalamus o Mechanism of action unknown but related to analgesic effects o Used to treat pain and fever Treat pain and fever associated with a variety of conditions, including influenza Prophylaxis of children receiving diphtheria–pertussis– tetanus (DPT) immunizations Relief of musculoskeletal pain associated with arthritis
Image of page 20
Copyright © 2017 Wolters Kluwer • All Rights Reserved Acetaminophen #2 Acetaminophen #2 Pharmacokinetics o Absorbed from GI tract o Peak ½ to 2 hours o Metabolized in the liver o Excreted in the urine Contraindications- o Known allergy o Use with caution in pregnancy and lactation o Hepatic dysfunction or chronic alcoholism
Image of page 21
Copyright © 2017 Wolters Kluwer • All Rights Reserved Acetaminophen #3 Acetaminophen #3 Adverse Reactions o Headache, hemolytic anemia, renal dysfunction, skin rash and fever o Hepatotoxicity usually associated with chronic use and overdose Drug-to-Drug Interactions o Oral anticoagulants increase bleeding o Hepatotoxicity with barbiturates, carbamazepine, hydantoins, or rifampin
Image of page 22
Copyright © 2017 Wolters Kluwer • All Rights Reserved Nursing Considerations for Patients receiving Acetaminophen Nursing Considerations for Patients receiving Acetaminophen Assess- o Known allergies o Baseline status before beginning therapy and for any potential adverse effects o Pregnancy or lactation; hepatic or renal disease; CV dysfunction; hypertension; and GI bleeding or peptic ulcer o Presence of any skin lesions; temperature; orientation, reflexes, and affect; pulse, blood pressure, and perfusion; respirations and adventitious sounds; liver evaluation; bowel sounds; and CBC, liver and renal function tests, urinalysis, stool guaiac, and serum electrolytes.
Image of page 23
Copyright © 2017 Wolters Kluwer • All Rights Reserved Prototype Summary: Acetaminophen Prototype Summary: Acetaminophen
Image of page 24
Copyright © 2017 Wolters Kluwer • All Rights Reserved Question #2 Question #2 When are NSAIDs contraindicated?
Image of page 25
Image of page 26

You've reached the end of your free preview.

Want to read all 36 pages?

  • Spring '14
  • Paracetamol, Non-steroidal anti-inflammatory drug, Wolters Kluwer Health

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture