Name of Drug Tramadol hydrochloride (Ultram)

DRUG SUMMARY - POST-OP DRUG #1 Date Ordered Classificatio Dose Mec$a ism of S%ecific !re"ue c# Actio & dicatio Route 1/15/14 Analgesic, 50 mg 1 tab Un"no#n$ To red%ce synthetic TID or !ain Tho%ght to !ain centrally bind to o!ioid active rece!tors and analgesic inhibit re%!ta"e o nore!ine!hrine and serotonin

Side 'ffects di&&iness headache vertigo na%sea vomiting consti!ation Adverse ' ects res!iratory de!ression

Nursi g &m%licatio s (e ore) * Assess or !resence o !ain (ty!e, intensity, location) * +onitor ,, stat%s and #ithhold dose i ,, - 1. c!m D%ring) * Tell !atient to ta"e dr%g as !rescribed and no increase dosage %nless ordered by doctor * /arn not 01

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to sto! abr%!tly as this can ca%se #ithdra#al sym!toms Advise !atient to ta"e dr%gs be ore onset o !ain or better !ain control ter) ,eassess !ain a ter 00 min * 1 hr o administrat ion 2a%tion amb%lator y !atient to be care %l #hen rising and #al"ing Advise !atient to increase 40

l%id inta"e to .*03/day to !revent consti!atio n 2a%tion !atient not to engage in activities re4%iring mental alertness %ntil dr%g 2567s e ects are "no#n

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