Nurses are required to escalate concerns about the quality and safety of care and are accountable for incidents that occur on their watch. Nurses have reported paracetamol-induced hypotension, through monitoring and surveillance (Lee et al., 2018). Nevertheless, paracetamol continues to be marketed and prescribed as a presumed safe and harmless drug. This poses a risk that paracetamol will cause haemodynamic instability, which vastly goes undetected, even in high-risk patient populations (Bae et al., 2017;Kang et al., 2018).The risk warnings of current paracetamol manufacturers are questionable, because they do not compel clinical governors to regulate the administration of paracetamol in the hospital environment. This narrative review combines the nurse's voice with the scientific evidence presented in the literature, which demonstrates that paracetamol-induced hypotension is a real-world problem and identifies high-risk patients. Through narrative synthesis, we suggest methods of early detection and prevention of paracetamol-induced hypotension, wherever paracetamol is prescribed in the hospital environment. | BACKG ROU N DTo treat fever or not remains a perennial debate (Mohr and Doerschuk, 2013). The benefits of reducing the oxygen and energy consumption
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