Patient’s Name: Age/Sex: Ward/Bed No: W14B-B40

Medical Diagnosis: Date of Assignment:

PARACETAMOL ( )
Indication:
Indications for Use: NURSING RESPONSIBILITIES:
Relief of mild to moderate pain, fever. (This should include all warnings, specific instructions on preparation, mixing, administration, monitoring, etc. You may list all, and then
IV: (Additional) Management of moderate to severe pain tick the boxes applicable for your patient. Include IV and oral preparations.)
when combined with opioid analgesia.
Preparation:
IV IV
Does not require further dilution.
Store at room temperature.
Withdraw doses less than 1,000 mg.
Place in separate empty, sterile
container PO
PO
Tablets may be crushed.
Do not crush extended-release
caplets.
Rectal
Contraindications:
Moisten suppository with cold
Severe hepatic impairment or severe active liver water before inserting well up into
disease rectum.
Caution: Do not freeze suppositories.
Sensitivity to acetaminophen;
severe renal impairment;
alcohol dependency,
hepatic impairment, or active hepatic disease;
chronic malnutrition and hypovolemia (Ofirmev);
G6PD deficiency (hemolysis may occur)
Classification: PHARMACOTHERAPEUTIC- Central Analgesic
Administration: Monitoring
Infuse over 15 min. Assess for clinical improvement
Refer to physician if drug is taken and relief of pain, fever.
more than 4 g/24-hr period. Monitor nutritional intake/. Ensure
Avoid alcohol. that there is no alcohol intake.
Monitor for:
Give without regard to meals.  Headache
Suspension: Shake well before use.  Chest pains
Take with full glass of water.  Jaundice
 Hematuria, anuria, neutropenia,
leukopenia
 Rash
Consult physician for use in
children younger than 2 yrs, oral use
longer than 5 days (children) or longer
than 10 days (adults), or fever lasting
longer than 3 days.
Severe/recurrent pain or
high/continuous fever may indicate
serious illness

References: Saunder’s Nursing Drug Handbook