Tylenol 3 vs. Codeine.. Which medication do you administer first?

  1. Pt. complains of pain. Rates pain at 3 out of 5. Pt. prn pain medications orders are Tylenol 3 and Codeine. Which medication do you administer first, Tylenol 3 or Codeine? Or do you administer both? And what's the rationale behind it?
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    About solumedrol

    Joined: Oct '06; Posts: 64; Likes: 2
    Specialty: Emergency

    16 Comments

  3. by   Larry77
    Quote from narcoticjunkie
    Pt. complains of pain. Rates pain at 3 out of 5. Pt. prn pain medications orders are Tylenol 3 and Codeine. Which medication do you administer first, Tylenol 3 or Codeine? Or do you administer both? And what's the rationale behind it?
    Tylenol 3 has codeine in it...are you sure they have T3's and plain codeine ordered? If so I would use a scale method if the pain scale is <6 use T3's and if >6 use codeine or something like that--would just depend on how the order is written (might require some clarification from the doc, maybe they are ordered by two different docs).
  4. by   Spidey's mom
    T-3 and T-4 ARE Tylenol and Codeine together.

    Can you clarify?

    steph
  5. by   solumedrol
    Quote from Larry77
    Tylenol 3 has codeine in it...are you sure they have T3's and plain codeine ordered? If so I would use a scale method if the pain scale is <6 use T3's and if >6 use codeine or something like that--would just depend on how the order is written (might require some clarification from the doc, maybe they are ordered by two different docs).
    Oh sorry. The order was:

    Tylenol 325mg PO prn
    Codeine 20mg PO prn

    I can't give them together? or Can I?
  6. by   solumedrol
    Quote from stevielynn
    T-3 and T-4 ARE Tylenol and Codeine together.

    Can you clarify?

    steph
    Hi Steph,

    The order was:

    Tylenol 325mg PO prn
    Codeine 20mg PO prn

    I can't give them together? Or can I?

    Thanks,

    Rey
  7. by   traumaRUs
    Yes, you can give both together. Good luck.
  8. by   mamason
    The only time I've ever administered codeine, it was added to a medication. Like Tylenol w/ codeine or a cough syrup w/ codeine etc. Could it be that the order was mis written. Say...maybe..
    Tylenol 325mg PO PRN for temp or pain
    Tylenol w/ codeine (Tylenol #3 or #4) PO PRN for Pain?
    If that is what was meant then, I would clarify the order with the MD. I would administer the medication depending on the type of pain. If it was a headache, then, my suggestion to the pt would be Tylenol 325MG. If the pt had pain related to surgery, arthritis, FX,etc. then I would suggest the Tylenol w/ codeine. I would also find out what the pt does at home for pain management if it is a chronic condition such as arthritis etc. I would gauge my suggestions to what the pt does to mange their pain at home.
  9. by   mamason
    Quote from traumaRUs
    Yes, you can give both together. Good luck.
    SO...is there such a thing as Codeine being administered alone? I've never given it in such a way. Please fill me in. I'm very interested in this this.
  10. by   traumaRUs
    Yes, codiene comes by itself, usually as a liquid. In the ER, we would give codiene elixir - which comes in doses of 15, 30, 60mg. The elixir dose we had in the ER was 15mg/5cc.

    We would use it with kids with fractures (many times the parents had given tylenol at home prior to coming to the ER).

    Codiene elixir is also used for coughing.
  11. by   mamason
    Quote from traumaRUs
    Yes, codiene comes by itself, usually as a liquid. In the ER, we would give codiene elixir - which comes in doses of 15, 30, 60mg. The elixir dose we had in the ER was 15mg/5cc.

    We would use it with kids with fractures (many times the parents had given tylenol at home prior to coming to the ER).

    Codiene elixir is also used for coughing.
    Thanks for the clarification. I wasn't familiar with it being used alone. Makes sense w/ the children. Is it commonly used for adults?
  12. by   PANurseRN1
    Quote from mamason
    SO...is there such a thing as Codeine being administered alone? I've never given it in such a way. Please fill me in. I'm very interested in this this.
    Yes, and weirdly enough, when it is not combined with acetaminophen/ASA, it becomes as Schedule II narcotic, not a Schedule III as it is in combo with other meds.
  13. by   traumaRUs
    Yep - as cough suppresant.
  14. by   mamason
    Quote from traumaRUs
    Yep - as cough suppresant.
    Thanks again. I promise not to butt in anymore. Learn something new on this site everytime I come here!!!!! :wink2:

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