I rank Tylenol 28 out of 33 in my drug kit.
First, let me say, I am speaking only of the Tylenol in my kit and not my own personal stash. If I were rating my own personal stash of Tylenol, then I would have to add Tylenol and Ibuprofen to my as yet unrevealed list of Eight Essential Drugs, making it The Essential Ten.
The Tylenol I carry in my kit is restricted to pediatrics with fevers. We can give it to pediatrics greater than 6 months old if they have a temperature 101.5°F (38.5°C) or greater or if the patient is believed to be febrile (with no thermometer available) and they have not had Tylenol within the last four hours.
These are some of our PEARLS:
· This Guideline is NOT to be used for patients suffering from environmental hyperthermia
· If the patient is vomiting, suppositories are more appropriate and oral acetaminophen should be
· Administer once the patient is in the ambulance to avoid patient/parent refusal after treatment.
· Concentrated infant drops (80 mg per 0.8 mL) are recommended and may be dispensed using a
· Do not administer acetaminophen if the patient has received greater than 15 mg/kg dose in
the last 6 hours.
Tylenol is an awesome drug for kids with fevers, but in the short time we have had it in our guidelines, I rarely have occasion to use it. My town is more old people than young families and the young families tend to have Tylenol on hand.
While as a parent I gave Tylenol quite a bit this last year, as a Paramedic, I did not give it at all.
Class: Antipyretic; Analgesic
Action: Antipyretic effect via direct action on the hypothalamus heat-regulation center; Unknown mechanism of analgesia
Indications: Pediatric fever; Minor pain
Contraindication: Hypersensitivity to acetaminophen
Adverse effects: Hepatotoxicity in overdose
Pedi Dose: 15 mg/kg every 4 – 6 hours as needed
Route: PO; PR
Note: Concentrated infant drops (80 mg per 0.8 mL) are recommended and may be dispensed using a needless syringe.