Name of Drug

Dosage,
(Generic
&
Route,
Brand name)
Frequency
Generic Name:
Tramadol
50mg
TIV
Q6 x 4 doses
Brand Name:
Ultram,
Ultram ER,
Conzip

Indication/Action

Contraindication

Adverse effect

Adult
Patients
who
require
rapid
analgesic
effect: 50100mg PO
every 4-6
hrs: Do not
exceed
400mg/day

Indications:
Relief of moderate to moderately severe
pain
Relief of moderate to severe chronic
pain in adults who need around a clock
treatment for extended periods (ER
tablets)
Unlabeled uses: Premature ejaculation:
Rest-legs syndrome.
Actions:
Anti-inflammatory
and
analgesic
activity;
Inhibits
prostaglandins and leukotriene synthesis.

Contraindicated with allergy to

tramadol or opioids or acute
intoxication with alcohol, opioids or
psychoactive drugs.
Use cautiously with pregnancy
lactation, seizures: Concomitant use
of CNS depressant, MAOIs, SSRIs,
TCAs: Renal impairment: History of
seizures: Hepatic impairment.

CNS:
Sedation,
dizziness or vertigo,
headache, confusion,
dreaming,
sweating
anxiety, seizure
CV:
Hypotension,
tachycardia,
bradycardia,
vasodilation, syncope,
orthostatic
hypotension

10 mg/mlIV
q4h x
6doses,
PRN

Indications: Relief of moderate to severe

pain

Preoperative analgesia, as a supplement to

surgical anesthesia, and for obstetric analgesia
during labor and delivery.

Contraindications: hypersensitivity to
nalbuphine, sulfites; lactation.

Use cautiously with emotionally unstable

clients or those with a history of narcotic
abuse; pregnancy prior to labor, labor or
delivery, bronchialasthma, COPD,
respiratory depression, anoxia, increased
intracranialpressure, acute MI when nausea
and vomiting are present, biliary
tractsurgery

Classification:
Analgesic
(centrally
acting)
Opioid
analgesic
Generic Name:
Nalbuphine
Drug
Class:Narcotic
agonist-antagonist
analgesic

Nursing
Responsibility with
Rationale

History:
Hypersensitivity to
tramadol:
pregnancy:
acute
intoxication
with
alcohol,
opioids,
psychotropic drugs
or other centrally
acting
analgesics:
lactation:
seizure:
concomitant use
of CNS depressant or
MAOIs: renal or
hepatic
impairment: past or
present history of
opioid addiction
Physical: Skin color,
texture,
lesions:
orientation, reflexes
CNS:
Reassess
patients
Sedation.Clamminess,
level of pain atleast
Sweating,headache,
15 and
nervousness,
30minutes
after
Restlessness
parenteral
,depression,crying,
administration
confusion,
Alert:Drug causes
faintness,
respiratory
hostility,unusual
depression, which at
dreams,
10mg is equal to
hallucinations,
respiratory
euphoria, dysphoria,
depression produced
unreality, dizziness,
By 10mg of morphine
vertigo,
floating Monitor
feeling,
circulatory and
feeling of heaviness Respiratory status,
,numbness,
bladder and bowel
tingling, flushing, function.
warmth,
If respirations
are