Medication 7-011 - Acetaminophen (Tylenol)

CMH EMS & MIH Protocols

Scope of Practice:

• Registered Nurse
• Paramedic
• Community Paramedic

Route(s):

• PO,

Pharmacodynamics (class and mechanism of action):

• Analgesic (mechanism unknown).
• Antipyretic (through direct action on hypothalmus).

Pharmacokinetics:

• Half-life: 1-4 hours.
• Onset time: 30-45 minutes.
• Peak action time: 30-60 minutes.
• Duration of action: 4-6 hours.

• Peak	30	60	90	120	150	180	210	240	270	300	330	minutes
  Duration	30	60	90	120	150	180	210	240	270	300	330	minutes

Dosing:

• Refer to specific protocol(s) below for dose(s).

Indications:

• Protocol 2-440 - Fever / Sepsis.
• Medication 7-450 - Ibuprofen.

Contraindications:

• Hypersensitivity.

Preganancy Risk Factor:

• Category B
• No risk in other studies: Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women, or animal studies have shown adverse effects, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.

Potential Incompatibilities:

• NA.

Precautions and Adverse Effects:

• Avoid in patients with severe liver disease.
• Use caution with Chronic alcohol use.
• Use caution with Impaired renal function.
• Use caution with Phenylketonuria (PKU).
• May cause rash, uticaria, Nausea.

Antidote:

• Acetylcysteine or mucomyst.

Controlled Substance Information:

• Not a scheduled drug
• The DEA and FDA have not identified this drug with a schedule classification.
• DEA number: NA.
• Narcotic: No.
• Street names: NA.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.