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Oct 08, 2008 07:29 AM

??

by sweetie715 Premium Member

If a pt is on INH and rifampin and spikes a fever that is first treated with motrin without a good drop in temp, is it ok to give oen dose of tylenol? i know tylenol can be hard on the liver, but thsi particular patient has a 103.4 temp! (after motrin dose, dropped to 102.7) Doc on call then ordered tylenol, but I'm not questioning if that was good given the other meds the pt was on. Still, that's a high temp that must be treated.

Thoughts?


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4 Comments
No. 1
from Babs0512
Old Oct 08, 2008, 06:49 PM

Default Re: ??
What is patients diagnosis, MRSA? A little history would be helpful.
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No. 2
from annreese
Old Oct 11, 2008, 08:37 PM

Default Re: ??
Originally Posted by sweetie715 View Post
If a pt is on INH and rifampin and spikes a fever that is first treated with motrin without a good drop in temp, is it ok to give oen dose of tylenol? i know tylenol can be hard on the liver, but thsi particular patient has a 103.4 temp! (after motrin dose, dropped to 102.7) Doc on call then ordered tylenol, but I'm not questioning if that was good given the other meds the pt was on. Still, that's a high temp that must be treated.

Thoughts?
Was this a TB pt? Are you asking if its okay to give tylenol and motrin concurrently? Generally the answer is yes, they are two different drugs and with a persistent high fever, sometimes its okay to mix them. However with isoniazid/rifampicin, there is an increased sensitivity to tylenol, so unless the motrin is really not working, its better to stay away from it.
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No. 3
Old Oct 13, 2008, 11:35 PM

Default Re: ??
There are a lots of independent nursing care for fever, dont stick onto medication (even if it is med section hehe). i suggest TSB first.
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No. 4
from Babs0512
Old Oct 14, 2008, 10:44 PM

Default Re: ??
Another guess, were they ruling out Bacterial Mennigitis?

In any case, a fever shouldn't be looked upon as a bad thing. Fevers get the bodies immune system activated and revvvvved up to fight infection. The problem isn't the fever, it is what is causing the fever.

Tylenol and/or Motrin are fine for fever and body aches, another thing that can bring fevers down is proper hydration. Perhaps, since the patient has been ill, he/she has had poor po intake. I've see IVF work wonders in many cases of fever that doesn't respond well to antipyretics. As long as the liver and kindneys are working, tylenol/motrin are fine.

Ice packs to underarms, groin, back of neck also helps.
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