A patient comes into the emergency department after ingesting 50 650 mg tablets of arthritis-strength acetaminophen (Tylenol) 2 hours ago
What interventions will the nurse prepare to implement at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Provide medication to induce vomiting.
2. Prepare to insert a nasogastric tube for gastric lavage.
3. Contact the pharmacy for activated charcoal.
4. Draw a serum acetaminophen level.
5. Administer N-acetylcysteine (NAC) (Mucomyst).
1,2,3
Rationale 1: If the time of ingestion was less than 4 hours, induction of emesis may be considered.
Rationale 2: If the time of ingestion was less than 4 hours gastric lavage of pill fragments may be considered for treatment.
Rationale 3: If the time of ingestion was less than 4 hours, administration of activated charcoal to reduce absorption may be considered.
Rationale 4: If the time of ingestion is greater than 4 hours but less than 24, a serum acetaminophen level should be immediately drawn.
Rationale 5: This medication is used if the patient is at risk for hepatotoxicity.
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