Be Vigilant About Acetaminophen (Tylenol) Toxicity - page 3
by TheCommuter 11,389 Views | 24 Comments Senior Moderator
Acetaminophen, a medication used for the relief of pain and fever, is a common staple in medicine cabinets around the world and can be found in both over-the-counter (OTC) and prescription formulations. Outside of North America,... Read More
- 1Jul 29, '12 by 0402I have heard of the 3g recommendation, but at my hospital, it's still 4g. It amazes me how many nurses don't even really know what class of drug tylenol is. I was giving report to another RN who was precepting a new grad. The pt had previously complained of pain and was ordered a one time dose of percocet, but refused the med because of the narcotic. In the evening, pt was complaining of pain again, so I called and got an order for tylenol, which the pt took with good results. The new grad listening to report jumped in to chastise me for ordering tylenol for this pt. Why? Because the pt had a hx of GI Bleed. For a second, I just stared at her, but after a moment, it hit me, so I asked her, "Do you think tylenol is an NSAID?" Her reply was that it is an NSAID and that it was irresponsible of me to get it ordered for this pt. Her tone and attitude left me wanting to share a few choice words with her, but I took a deep breath and told her, "No, tylenol is not an NSAID; you are welcome to look it up, which you probably should, since you obviously don't know what class of drug it is, but I'll just let you know that I'm right."
The scary thing for me was that this wasn't the first time I had had another RN tell me that tylenol is an NSAID.
- 0Jul 29, '12 by morteheard of it, think the pharm is talking about it, and I think it is actually 2600 for the elderly, which would work out to 2 doses of tylenol arthritis...Quote from kbrn2002A question for all, my facility recently changed the standard for max Tylenol dosing from 4 G/24 hrs to 3 G/24 hrs supposedly based on new federal guidelines. I don't think it is a bad idea, but has anybody else heard of this or made this change where you work?
- 0Jul 29, '12 by TheCommuter Senior ModeratorQuote from kbrn2002Yes. The 24-hour limit of acetaminophen was recently decreased from 4 grams to 3 grams at my workplace.A question for all, my facility recently changed the standard for max Tylenol dosing from 4 G/24 hrs to 3 G/24 hrs supposedly based on new federal guidelines. I don't think it is a bad idea, but has anybody else heard of this or made this change where you work?