In presence of cardiovascular collapse, maintain blood pressure with
f. Cautions and Warnings.
(1) Aspirin is contraindicated or should be used with caution in clients with
hemorrhagic tendencies, diabetes, gastric ulcer, gastrointestinal irritation, and hepatic
(2) Aspirin should not be given concurrently with coumarin, since it will
prolong the prothrombin time.
(3) In sensitive clients or when prolonged high doses of aspirin are required,
gastric irritation can be reduced by using enteric-coated tablets such as Ecotrin,
designed to dissolve in the intestine.
(4) Gastrointestinal effects may be reduced or eliminated by taking aspirin
with food, milk, or a full glass of water.
(5) Children and teenagers should not use aspirin (salicylates) for
chickenpox or flu-like symptoms before a doctor is consulted about Reyes Syndrome, a
rare but serious illness.
g. Supply. Aspirin is available in 80 mg tablets for pediatric use and in 325 mg
tablets. It is also available in 325 mg enteric-coated (Ecotrin) tablets, 325 mg
suppositories, and in various combinations such as aspirin with codeine (Ascodeen)
and aspirin with magnesium oxide and aluminum hydroxide (CAMA).
a. Action and Uses. Acetaminophen (Tempra; Tylenol; APAP) is a mild
analgesic used for temporary relief of minor muscular aches and pains, headache
myalgia, arthralgia, dysmenorrhea, and discomfort and fever associated with common
cold and viral infections. It is the mild analgesic of choice in clients allergic or sensitive
to aspirin, ulcer clients, and clients receiving an anticoagulant or a uricosuric agent,
such as probenecid. Acetaminophen does not possess anti-inflammatory or uricosuric