SlideShare a Scribd company logo
 To x i c i t y i s t h e e f f e c t t h a t o c c u r s wh e n 
t o o mu c h o f a d r u g a c c umu l a t e s i n t h e 
b l o o d s t r e am. 
 T h i s c o u l d b e d u e t o e i t h e r o v e r d o s e 
o r t h e i n a b i l i t y o f t h e k i d n e y o r l i v e r 
t o b r e a k d own t h e d r u g . 
 T h e d e g r e e o f h a rmf u l e f f e c t s v a r i e s 
dependin g o n t h e d r u g a n d t h e d o s e , 
b u t t h e y c a n b e l i f e - t h r e a t e n i n g .
 When the blood plasma level of the drug is below the minimum 
effective concentration, no therapeutic effect occurs. 
 The therapeutic range falls between the MCE and the toxic 
concentration. This is where the blood plasma level of the drug 
is intended to be. 
 The toxic concentration indicates the concentration of the drug 
that is not safe to be in the bloodstream.
WHAT DOES ACETAMINOPHEN TOXICITY DO TO 
THE LIVER? 
 Damage to the liver occurs between 72-96 
hours after acetaminophen ingestion. 
 Hepatic necrosis occurs, along with hepatic 
dysfunction. 
 If treatment is not received, multi-organ failure 
is possible. 
 (Farrell, 2014)
HOW TO PREVENT TOXICITY… 
Always take drugs 
as directed. 
Do not exceed 
maximum dosage. 
Know the dosage of 
drug per tablet. 
Know how often to take 
the medication. 
Know what other 
medications to 
avoid while taking 
Tylenol. 
Acetaminophen is in 
over 600 medications, 
thus it is easy to exceed 
the therapeutic dose 
(Tylenol, 2014).
REFERENCES 
Farrell, S. E. (2014, June 24). Acetaminophen Toxicity . Retrieved September 1, 2014, from Medscape: 
http://emedicine.medscape.com/article/ 820200-overview 
Tylenol (2014). Frequently asked questions. Washington, PA: McNeil-PPC, Inc. Retrieved from Tylenol: 
http://www.tylenol.com/safety-dosing/faq#safety-dosing 
Tylenol (2014). Acetaminophen dosage for adults. Washington, PA: McNeil-PPC, Inc. Retrieved from 
http://www.getreliefresponsibly.com/acetaminophen-dosage/ 
adults?utm_source=google&utm_medium=cpc&utm_campaign=GRR+- 
+Unbranded&utm_term=acetaminophen%2520dosage&utm_content=Acetaminophen+- 
+Dosing|mkwid|s1RXEK6GM_dc|pcrid|27714131282|338ilu23432 
Lehne, R. A. Parmacology for Nursing Care. St. Louis, Missouri, U.S.: Elsevier. 
Mehta, N. (2012, June 27). Drug-Induced Hepatotoxicity. Retrieved September 2, 2014, from Medscape: 
http://emedicine.medscape.com/article/169814-overview#aw2aab6b3

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Toxicity

  • 1.
  • 2.  To x i c i t y i s t h e e f f e c t t h a t o c c u r s wh e n t o o mu c h o f a d r u g a c c umu l a t e s i n t h e b l o o d s t r e am.  T h i s c o u l d b e d u e t o e i t h e r o v e r d o s e o r t h e i n a b i l i t y o f t h e k i d n e y o r l i v e r t o b r e a k d own t h e d r u g .  T h e d e g r e e o f h a rmf u l e f f e c t s v a r i e s dependin g o n t h e d r u g a n d t h e d o s e , b u t t h e y c a n b e l i f e - t h r e a t e n i n g .
  • 3.
  • 4.  When the blood plasma level of the drug is below the minimum effective concentration, no therapeutic effect occurs.  The therapeutic range falls between the MCE and the toxic concentration. This is where the blood plasma level of the drug is intended to be.  The toxic concentration indicates the concentration of the drug that is not safe to be in the bloodstream.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. WHAT DOES ACETAMINOPHEN TOXICITY DO TO THE LIVER?  Damage to the liver occurs between 72-96 hours after acetaminophen ingestion.  Hepatic necrosis occurs, along with hepatic dysfunction.  If treatment is not received, multi-organ failure is possible.  (Farrell, 2014)
  • 11. HOW TO PREVENT TOXICITY… Always take drugs as directed. Do not exceed maximum dosage. Know the dosage of drug per tablet. Know how often to take the medication. Know what other medications to avoid while taking Tylenol. Acetaminophen is in over 600 medications, thus it is easy to exceed the therapeutic dose (Tylenol, 2014).
  • 12. REFERENCES Farrell, S. E. (2014, June 24). Acetaminophen Toxicity . Retrieved September 1, 2014, from Medscape: http://emedicine.medscape.com/article/ 820200-overview Tylenol (2014). Frequently asked questions. Washington, PA: McNeil-PPC, Inc. Retrieved from Tylenol: http://www.tylenol.com/safety-dosing/faq#safety-dosing Tylenol (2014). Acetaminophen dosage for adults. Washington, PA: McNeil-PPC, Inc. Retrieved from http://www.getreliefresponsibly.com/acetaminophen-dosage/ adults?utm_source=google&utm_medium=cpc&utm_campaign=GRR+- +Unbranded&utm_term=acetaminophen%2520dosage&utm_content=Acetaminophen+- +Dosing|mkwid|s1RXEK6GM_dc|pcrid|27714131282|338ilu23432 Lehne, R. A. Parmacology for Nursing Care. St. Louis, Missouri, U.S.: Elsevier. Mehta, N. (2012, June 27). Drug-Induced Hepatotoxicity. Retrieved September 2, 2014, from Medscape: http://emedicine.medscape.com/article/169814-overview#aw2aab6b3