drug safety?

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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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Specializes in Neuro ICU and Med Surg.

I think it would be ok as long as you didn't go over the 4gm/24hr recommended dosage. You can always call the pharmacy and double check. Also you can decrease a temp by giving a cool bath, keeping the room cool, and removing blankets, and a cooling blanket. Also you can still give motrin and alternate with tylenol. Did you get blood cultures? Is this pt + for TB?

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Specializes in LTC, Med-SURG,STICU.
I think it would be ok as long as you didn't go over the 4gm/24hr recommended dosage. You can always call the pharmacy and double check. Also you can decrease a temp by giving a cool bath, keeping the room cool, and removing blankets, and a cooling blanket. Also you can still give motrin and alternate with tylenol. Did you get blood cultures? Is this pt + for TB?

:yeahthat: Also make sure pt does not have a hx of liver disease or conditions that could affect liver function.

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Specializes in Med/Surg, Tele, IM, OB/GYN, neuro, GI.

Had something similar happen to a pt after a tranfusion. We used Tylenol q4 hr and ice packs that we would have the pt put under her arms, in between legs, and around her neck. I got the temp down to 99.4 but it would shoot back up if the Tylenol wasn't given q4 hr.

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