Tylenol IV

[Adri_RN]

Ok, so the other day I receive a post op on our floor with an order for Tylenol 500 mg IV q8h x2. I thought the doc had written the order by mistake.... IV? So I call him to clarify, and he tells me yes, administer it via IVPB. Pharmacy mixed it and sent it up to the floor. Per the pharmacist it was recently approved by the FDA and has been in use for a short time. Have any of you had to administer it yet and what are your thoughts on it?

Thanks for your input :)

[Silverdragon102, BSN]

I believe the Brits have been using IV acetaminophen for some time...I haven't used it before but anything that can decrease my suppository count can only be good in my books.

Yep, UK been using it for several years. When I had Gastric Bypass in 2005 by surgeon used it IV for the first 24 hours as well as PCA for 12 hours and I hardly used the PCA as pain was so well controlled with the IV Paracetamol (UK version of Tylenol)

[cherrybreeze, ADN, RN]

I'm aware that ofirmev doesn't have to be a substitute. I was trying to offer an example in that if you want NSAID coverage and you believe the increased bleeding risk mantra with relation to single dose ketorolac. In my practice I use both occasionally, but usually stick to one NSAID.

I have no idea what you just said. I read it three times, and it's not making sense.

[MunoRN, RN]

I'm aware that ofirmev doesn't have to be a substitute. I was trying to offer an example in that if you want NSAID coverage and you believe the increased bleeding risk mantra with relation to single dose ketorolac. In my practice I use both occasionally, but usually stick to one NSAID.

My understanding is that the main concern is not related to bleeding but to thrombus formation, causing either MI or stroke, I think the FDA warning might be a little broad in this case since it lumps Cox selective and unselective into the same group, but I agree there's enough evidence to be concerned in general, but not enough to definitively say what the risks are with each type.

Not sure what you mean "stick to one NSAID", acetaminophen is not an NSAID.