Treatment FAQ

which medication does the nurse have available for the treatment of acetaminophen overdose

by Dillon Zulauf PhD Published 3 years ago Updated 2 years ago

In most cases of toxic acetaminophen overdose, N-acetylcysteine

Acetylcysteine

This medication is used to prevent liver damage from acetaminophen overdose..

, an amino acid, will be given by mouth or IV (through the vein) as an antidote. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs.

Full Answer

Which medications are used to treat acetaminophen toxicity?

Activated charcoal (AC) and N -acetylcysteine (NAC) are used in the treatment of acetaminophen toxicity. Antiemetics are used to relieve nausea and vomiting, which can result from both acetaminophen toxicity and from AC and oral NAC administration.

What is acetaminophen overdose?

Acetaminophen (Tylenol) is a pain medicine. Acetaminophen overdose occurs when someone accidentally or intentionally takes more than the normal or recommended amount of this medication. The following list of medications are in some way related to, or used in the treatment of this condition. Activity ?

What is the antidote to acetaminophen overdose?

Acetaminophen in overdose can seriously damage the liver. If the damage is severe, a liver transplant may be necessary in order to save a life. The antidote to acetaminophen overdose is N-acetylcysteine (NAC).

How to prevent acetaminophen (Tylenol) poisoning?

Acetaminophen (Tylenol) Poisoning Prevention 1 Always securely close acetaminophen containers and use child-proof bottles. 2 Know the correct dose of acetaminophen and the amount of acetaminophen in... 3 Never mix different medications if both medications contain acetaminophen,... 4 If you or a family member is depressed or suicidal,...

What is acetaminophen poisoning?

Acetaminophen poisoning is an overdose of the over-the-counter (OTC) pain medication, acetaminophen (eg, Tylenol, Biogesic), which is usually safe when used as recommended.

What tests are done to determine the level of acetaminophen in your blood?

Diagnosis. Blood Tests —Blood tests are done to determine the level of acetaminophen in your blood and to determine liver function (eg, liver enzyme tests, coagulation tests). Rumack-Matthew Nomogram—This is an assessment to determine the effect on the liver.

Can you give acetaminophen by mouth?

In most cases of toxic acetaminophen overdose, N-acetylcysteine, an amino acid, will be given by mouth or IV (through the vein) as an antidote. Matt Vera, BSN, R.N. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs.

Can acetaminophen cause liver failure?

Combining medications that contain acetaminophen (Acetaminophen is found in more combination products than any other drug; examples include acetaminophen and codeine, as well as acetaminophen and aspirin .) Toxic levels of acetaminophen may also occur in patients with liver failure who are taking recommended doses.

How to avoid acetaminophen overdose?

People can take these steps to avoid acetaminophen overdose. Always securely close acetaminophen containers and use child-proof bottles. Keep all medication out of the reach of children and securely locked up. Know the correct dose of acetaminophen and the amount of acetaminophen in the preparation being are used.

What to do if you overdose on acetaminophen?

If the person suspected to have taken an overdose of acetaminophen is unconscious, semiconscious, or not breathing, call 911 immediately. Go to the hospital's emergency department if the poison control center instructs you to do so. Seek emergency care if you are unsure of the types and amounts of medication taken.

How to give acetaminophen to a person?

This can be accomplished by inducing vomiting or by placing a large tube through the person's mouth and into the stomach, putting fluid in and then pumping it out (gastric lavage). N-acetylcysteine (NAC): NAC is the antidote for toxic acetaminophen overdose. It is generally given by mouth.

What are the symptoms of acetaminophen poisoning?

Physical: The doctor will look for signs and symptoms of acetaminophen poisoning. These may include jaundice ( yellow skin ), abdominal pain, vomiting, and other signs and symptoms. Laboratory tests: A blood level of acetaminophen will aid in determining if a toxic dose was taken.

What is the active ingredient in Tylenol?

Acetaminophen is the active ingredient in Tylenol. It is also found in many other over-the-counter medications people can buy at the drug store and in many prescription drugs. Common drugs include: Actifed. Alka-Seltzer Plus.

How long does it take to get symptom free after taking Tylenol?

Soon after taking an overdose of acetaminophen, the person may have no symptoms from taking a toxic amount. They may remain symptom free for up to 24 hours after taking a toxic overdose of acetaminophen. After this initial period, the following symptoms are common in acetaminophen (Tylenol) poisoning: Nausea. Vomiting.

What happens if you take a toxic overdose?

If a toxic dose is taken and emergency treatment is delayed, liver failure may follow. Liver failure may mean that a liver transplant is needed. Alternatively, if treatment of a toxic overdose is begun early, the person may recover with no long-term health problems.

How to treat acetaminophen overdose?

Treatment depends on how much time has passed since the overdose and if the overdose happened all at one time. You may be given activated charcoal medicine to soak up the acetaminophen that is still in your stomach. Activated charcoal will make you vomit. Gastric lavage may be needed to clean out your stomach to get rid of the acetaminophen. Gastric lavage is also called having your stomach pumped. You may be given antidote medicine to stop the effect of the overdose. You may also be given medicine to slow down the effects of acetaminophen.

Is acetaminophen safe to take?

means taking more than it is safe to take . It may also be called acetaminophen poisoning. Acetaminophen is called paracetamol in countries outside the United States. When used correctly, acetaminophen is a safe drug that decreases pain and fever. Many medicines contain acetaminophen, including some that you can buy without a prescription.

Definition

  1. Acetaminophen poisoning is an overdose of the over-the-counter (OTC) pain medication, acetaminophen(eg, Tylenol, Biogesic), which is usually safe when used as recommended.
  2. The maximum daily dose of acetaminophen is four (4) grams, but patients with chronic diseases (especially liver disease) may need to limit themselves to three (3) grams a day.
  3. Acetaminophen poisoning may occur as a result of one large dose or chronic overdoses.
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Causes

  • An overdose of acetaminophen can result from: 1. Intentional overdose (eg, suicideattempt) 2. Accidental overdose (eg, unsupervised children, altered judgment regarding appropriate acetaminophen intake) 3. Combining medications that contain acetaminophen (Acetaminophen is found in more combination products than any other drug; examples include acetaminophen and …
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Risk Factors

  • The following factors increase your chance of developing acetaminophen poisoning: 1. Age: 15-24 years or older than 40 years (People over 40 are more likely to have severe effects.) 2. Gender: female 3. Suicidal behavior
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Symptoms

  • Symptoms include: 1. Nausea 2. Vomiting 3. Excessive sweating 4. Pale skin 5. Symptoms of liver failure: 5.1. Anorexia 5.2. Nausea 5.3. Vomiting 5.4. Malaise 5.5. Abdominal pain (especially in the upper right portion of the abdomen) 5.6. Pale skin 5.7. Excessive sweating 5.8. Jaundice 5.9. Confusion 5.10. Stupor
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Diagnosis

  1. BloodTests—Blood tests are done to determine the level of acetaminophen in your blood and to determine liver function (eg, liver enzyme tests, coagulation tests).
  2. Rumack-Matthew Nomogram—This is an assessmentto determine the effect on the liver. The test measures blood levels of acetaminophen relative to the time since ingestion of the medication.
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Treatment

  • Monitoring 1. For children who have relatively low levels of acetaminophen in their blood, monitoring at home may be recommended. Activated Charcoal 1. Activated charcoal can help prevent acetaminophen from absorbing in the gastrointestinal tract. It is taken by mouth. N-acetylcysteine 1. In most cases of toxic acetaminophen overdose, N-acetylcysteine, an amino ac…
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