We were just discussing why last night and everyone had a different reason and most just heard not to.
Must admit, I have never heard of witholding tylenol before obtaining blood cultures, but practice here is often quite different to the States!
However, I had a quick look on the internet and every article I read, all said the same thing... no special preparation is required before blood cultures. One article stated that initiation of antibiotics should be withheld until blood cultures are drawn, reasons are pretty obvious. It may be that Tylenol is withheld initially, so that the doctor can get a full clinical picture, but once he has examined the patient and has an accurate temperature, I dont see why tylenol should be withheld before blood cultures are drawn
However, I think if subsequent antibiotics are deliberatley withheld in order that blood cultures are drawn, then the antibiotics levels could well fall below therapeutic levels, which is clearly not in the patients best interests
Withholding tylenol could well be one of those myths that are in all hospitals. It had a theory one time, but with advances in medicine, practice just hasn't caught up! Its a thought anyway.
Anyone know an Infection Control Nurse they could ask?
Last edit by PamUK on Dec 31, '04