PR Tylenol

This is how you role in a resource poor setting…

1) Patient has a fever

2) Patient is receiving antibiotics for a known infection

3) Fever needs to come down

Therefore, give patient tylenol.

HOWEVER…

4) Patient is not tolerating anything by mouth

Therefore, give patient tylenol suppository.

HOWEVER…

5) You are out of tylenol (and every other NSAID or similar antipyretic agent) suppository.

6) MD doesn’t want to give patient IV antipyretic like toradol.

Therefore, you crush up tylenol pills with a mortar and a pestel, add lubricant — voila! Tylenol suppository.

{Yea, the patient didn’t like it, either.}

Down to my last pair of clean scrubs.

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