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5 Cards in this Set
- Front
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An adult patient who has a viral upper respiratory infection as the NP about taking acetaminophen for fever and muscle aches. To help ensure against possible drug toxicity, the NP should first? |
Ask the patient about any other over-the-counter cold medications being used. Acetaminophen is present in many other over-the-counter products of patients should be cautioned about taking these with acetaminophen to avoid overdose |
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A parent asks an NP how much acetaminophen to give a two-year-old child who has a temperature of 37.5. The NP should tell the parent. |
Antipyretic are usually not necessary for temperature is less than 37.7. Acetaminophen is the drug of choice for treating fever but is generally not indicated for fever less than 37.7 treating the fever May prolong the illness and mask symptoms |
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An 80 year old patient with congestive heart failure has a viral upper respiratory infection. The patient asks the NP about treating the fever which is 38.5. The NP should? |
Recommended acetaminophen. Patients with congestive heart failure may have tachycardia from fever that aggravates their symptoms, so fever should be treated. High doses should be given with caution in elderly patients because of possible decreased hepatic function. Antibiotics should not be given without evidence of bacterial infection. |
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A patient comes to the clinic and reports breaking out in a urticrial rash 1 hour after taking acetaminophen for osteoarthritis symptoms. The NP should |
Tell the patient not to take products containing acetaminophen again. Urticaria is indicative of a hypersensitivity reaction to acetaminophen. Patients who are hypersensitive should not take the drug again. |
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A patient in the clinic reports taking a handful of acetaminophen Extra Strength tablets about 12 hours prior. The patient has nausea, vomiting, malaise, and drowsiness. The patient aspartate aminotransferase and alanine aminotransferase are mildly elevated. The primary NP should |
Expect the patient to sustain permanent liver damage. After acetaminophen overdose, if liver enzymes are elevated within 24 hours, irreversible liver damage is likely. Acetylcysteine may still be given to mitigate the effects. Activated charcoal is effective only when given immediately |
