DRUG NAME CLASSIFICATION MECHANISM OF INDICATIONS & DOSAGE CONTRAINDICATION ADVERSE REACTION NURSING

ACTION S CONSIDERATION
Brand Therapeutic Inhibits reuptake Moderate to moderately Contraindicated in Watch out for
Name: classification: of serotonin and severe Pain patients who have CNS: SEIZURES, seizure
Ultram, Analgesic (centrally norepinephrine had a hypersensitivity dizziness, headache,
Ultram ER, acting) and It alters ADULTS reaction to any somnolence, Be alert for
Ryzolt, perception and opioid. anxiety, CNS excessive
ConZip Pharmacologic class: response to pain Patients who require stimulation, sedation or
Opioid agonists by binding to mu- rapid analgesic effect: Patients under the confusion, somnolence.
Generic opiate receptors in 50–100 mg PO q 4–6 hr; age of twelve should coordination Notify physician
Name: the CNS. do not exceed 400 not use the disturbance, or nurse
Tramadol mg/day. medication. euphoria, malaise, immediately if
nervousness, sleep patient is
Patients with moderate Pt. who have Gl disorder, weakness. unconscious or
to moderately severe obstruction should extremely
chronic pain: Initiate at not use tramadol. EENT: visual difficult to
25 mg/day in the disturbances. arouse.
morning and titrate in Pt. under the age of
25-mg increments q 3 eighteen with a CV: vasodilation. Monitor Skin
days to reach 100 history of color, texture,
mg/day. Then, increase tonsillectomy or GI: constipation, lesions;
in 50 mg-increments q 3 adenoidectomy. nausea, abdominal orientation,
days to reach 200 pain, anorexia, reflexes, bilateral
mg/day. After titration, diarrhea, dry mouth, grip strength,
50–100 mg q 4–6 hr; do dyspepsia, affect; P,
not exceed 400 mg/day. flatulence, vomiting. auscultation, BP;
bowel sounds,
Patients with cirrhosis: GU: menopausal normal output;
50 mg q 12 hr. symptoms, urinary LFTs, renal
retention/frequency. function tests.
Patients with creatinine Notify physician
clearance < 30 ml/min: Derm: pruritus, if there’re
50–100 mg PO q 12 hr. sweating. changes.
Maximum 200 mg/day.
Neuro: hypertonia. Use appropriate
PEDIATRIC PATIENTS pain scales
Misc: physical (visual analogue
Safety and efficacy not dependence, scales, others) to
established. psychological document
dependence, whether this
 tolerance. drug is successful
GERIATRIC PATIENTS OR in helping
PATIENTS WITH HEPATIC manage the
OR RENAL IMPAIRMENT patient's pain.

> 75 yr: Do not exceed

REFERENCE

Tramadol: Uses, Interactions, Mechanism of Action | DrugBank Online. (2005, June 13). DrugBank. https://go.drugbank.com/drugs/DB00193

Dhesi, M. (2021, May 25). Tramadol - StatPearls - NCBI Bookshelf. NCBI. https://www.ncbi.nlm.nih.gov/books/NBK537060/