1. Acetaminophen (APAP) Medications

2. Goal
The goal of this presentation is to review the administration of acetaminophen and the importance of avoiding the resident receiving more than 4000mg/day

3. Objectives
At the completion of this presentation the staff will be able to:
State the maximum dose of acetaminophen a resident my receive in a day
Verbalize the amount of acetaminophen in Tylenol #3 and Norco 10/325
Identify two other combination medications that contain acetaminophen

4. Acetaminophen Acetaminophen is a pain reliever and a fever reducer.
Acetaminophen is used to treat many conditions such as headache, muscle aches, arthritis, backache, toothaches, colds, and fevers.

5. Acetaminophen
Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines.
Drug
Amount of acetaminophen
Acetaminophen
Extra Strength Tab
500 mg per tablet
Regular Strength Tab
325 mg per tablet
Acetaminophen Elixir
650 mg per 20.3 ml
Percocet
Norco 10/325
Norco 7.5/325
Norco 5/325
Tylenol with Codeine #3
300 mg per tablet
Tylenol with Codeine elixir
300mg per 12.5 ml
Acetaminophen Suppositories
350mg or 650mg per Suppository

6. Acetaminophen
The maximum daily dose of acetaminophen of 4000 mg per day.
A day is one calendar day which starts at midnight.

7. Acetaminophen
When giving a resident medication that contains acetaminophen, you need to be aware of the amount of acetaminophen that is contained in that dosage.
The acetaminophen amount given within the calendar day must be totaled and assessed to avoid administering over the maximum dose of 4000mg.

8. Acetaminophen An example would be:
The resident has two orders for acetaminophen
Tylenol (acetaminophen) 650 mg via G-tube every 4 hours PRN fever
Tylenol (acetaminophen) with Codeine #3 one tablet via G-tube every 4 hours PRN pain
At 1100 the resident complains of pain but you had given the resident Tylenol for a fever, you may not give the resident the Tylenol #3.
The physician would have to be notified for a new order for pain relieve with a medication that does not contain acetaminophen.

9. Thank You