Intravenous Acetaminophen

[andersenpa]

We have this on our hospital formulary; it is restricted to PACU right now.
I am writing a request for expanding use to postop analgesia in ICU.

I saw a few mentions of it in the ketorolac thread...who is using it?
ER folks?
Inpatient PAs?
Mike Jones (you are a specialty unto yourself here, sir.....)

I am interested in hearing your experiences.

[chiaroscuro27]

Ditto. I'd like to know all the particulars: dosing, efficacy, SE's, etc

[jmj11]

I've never used it.

[EMEDPA]

never used it. would love to give it to a drug seeker who refuses to leave without a shot.
them: I demand a shot
me: ok
them(20 min later) what was that?
me: 500 dollar tylenol. have a nice day(hands d/c paperwork)

[ATCLATEMTB]

I use it on almost all of my post-op thoracotomy patients. I do check a CMP on all pre-op labs, and obviously not give if even a whiff of liver issues pop up. I typically give Acetaminophen 1grm IV Q6 hrs x 6 doses. With a follow-up order for no oral sources of acetaminophen for 36 hours.

I have had pretty good results, only once have I dc'd it due to liver enzyme elevations.

I should note we also use OnQ pain caths, and usually a spinal narc- if not an infected pleural space.

Had brief interaction with one of the reps about 3 wks ago, had some information and study data....nothing that was really that interesting.

[coloradopa]

We have this on our hospital formulary; it is restricted to PACU right now.
I am writing a request for expanding use to postop analgesia in ICU.

I saw a few mentions of it in the ketorolac thread...who is using it?
ER folks?
Inpatient PAs?
Mike Jones (you are a specialty unto yourself here, sir.....)
I am interested in hearing your experiences.

We use it in the ICUs. In our hospital it's restricted to ICU and pain medicine. Seems to work pretty well. I usually give q8hr x 3. We have also been going away from APAP in other formulations.

[cjancay]

Haven't used it but we've been using IV Ibuprofen frequently postop due to the toradol shortage. Works quite well for patients who prefer not to use or do not require opioids and are still npo. The surgeons are even ok with recent GI surgery. I guess the IV formulation has far less risk of GI bleed than the oral form.