Question

PATIENT-CENTERED CARE Complications Nursing Care Client Education Medications Therapeutic Procedures Interprofessional Care THERAPEUTIC PR LEARNING TEMPLATES
can someone help me fill out this paper for acetaminophen toxicity/ poisening

Answer 1

1. Nursing care of acetaminophen toxicity:

• I cases of acetaminophen toxicity nurses must assess the time of ingestion and the reason acetaminophen was originally administered .
• Nurses should obtain complete history to ascertain whether any other medication were administered simultaneously and if those drugs contained acetaminophen.
• Assess patients for malnutrition and alcohol use, since these conditions can contribute to an increased risk of hapatotoxicity in acetaminophen overdoses.
• Patients with hepatic dysfunction or history of alcohol abuse should be cautioned about proper dosing, as any increase in acetaminophen dosing can increase the existing risk for hepatotoxicity.

2. Therapeutic procedure:

• EMTYING THE STOMACH: The doctors may attempt to empty the stomach. By Inducing vomiting or by placing a large tube thg through the person's mouth and into the stomach, putting fluid in and then pumping it out.
• ACTIVATED CHARCOAL: Can be given by mouth to bind any drug remaining in the gastrointestinal tract.
• CHOOSE THE ROUTE OF ADMINISTRATION: Both intravenous and oral formulation of acetyl cysteine are available and approved by US FDA.
• TRANSITIONING FROM ORAL TO INTRAVENOUS ACETYLCYSTIENE TREATMENT: If patient has vomited a leading dose of oral acetylcysteine within 60 min. Begin with the first infusion of intravenous protocol.
• CONTINUATION OF ACETYLCYSTEINE TREATMENT: Acetylcysteine should be continued beyond the standard time based protocols for all patients with acetaminophen induced acute liver failure.

3. Medications: 1. Oral NAC .Mucomyst . The FDA approved regimen is as follows: Dilute the 20% solution 1:3 with coca cola, orange juice to prepare 5% solution. Use within 1hr of preparation for total treatment of 72 hrs.

2.IV NAC: The IV Formulation of NAC ( Acetode) is currently used in many emergency department. Patient unable to tolerate oral NAC IV formulation is preferred.

4.COMPLICATIONS: liver damage on to much consumption of acetaminophen.

5. Client education:

• Get Emergency medical help if you have hives, difficulty breathing, swelling of the face, lips tongue.
• Acetaminophen cause severe skin reaction that can be fatal.
• Stop taking acetaminophen and call the doctor at once if have signs of liver problems. Eg loss of appetite, stomach pain, dark urine, jaundice, clay coloured stool.