Date ordered: 08/20/2015

GENERIC NAME

Tramadol
Hydrochloride

BRAND NAME
DRUG

Ultram
Central nervous system (cns) agent;

CLASSIFICATION

Analgesic;

ORDERED DOSE
MODE OF ACTION

Narcotic (opiate) agonist

50mg IVTT
Centrally acting opiate receptor agonist that inhibits the
uptake of norepinephrine and serotonin, suggesting both
opioid and nonopioid mechanisms of pain relief. May
produce opioid-like effects, but causes less respiratory

INDICATION
CONTRAINDICATIONS

depression than morphine.

Moderate to moderately severe pain.
Hypersensitivity to tramadol or other opioid analgesics;
patients on MAO inhibitors; patients acutely intoxicated
with alcohol, hypnotics, centrally acting analgesics,
opioids, or psychotropic drugs; substance abuse; alcohol

DRUG INTERACTIONS

intoxication
Carbamazepine significantly decreases tramadol levels
(may need up to twice usual dose). Tramadol may
increase adverse effects of mao inhibitors. Tricyclic
antidepressants, cyclobenzaprine, phenothiazines,
selective serotonin-reuptake inhibitors (ssris), mao
inhibitors may enhance seizure risk with tramadol. May
increase CNS adverse effects when used with other cns
depressants.

SIDE EFFECTS

headache, dizziness, drowsiness, tired feeling;

constipation, diarrhea, nausea, vomiting, stomach pain; or
feeling nervous or anxious, itching, sweating, flushing

NURSING
RESPONSIBILITIES

(warmth, redness, or tingly feeling).

1. Assess for level of pain relief and administer prn
dose as needed but not to exceed the
recommended total daily dose.
2. Monitor vital signs and assess for orthostatic
hypotension or signs of CNS depression.
3. Discontinue drug and notify physician if S&S of
hypersensitivity occur.
4. Assess bowel and bladder function; report urinary
frequency or retention.
5. Monitor ambulation and take appropriate safety
precautions.
6. Control environment (temperature, lighting) if
sweating or CNS effects occur.
7. Encourage patient to cough and breathe deeply
every 2 hr to prevent atelactasis and pneumonia.

Date ordered:

GENERIC NAME

BRAND NAME
DRUG
CLASSIFICATION
ORDERED DOSE
MODE OF ACTION
INDICATION
CONTRAINDICATIONS
DRUG INTERACTIONS
SIDE EFFECTS
NURSING
RESPONSIBILITIES

Date ordered:

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GENERIC NAME

BRAND NAME
DRUG
CLASSIFICATION
ORDERED DOSE
MODE OF ACTION
INDICATION
CONTRAINDICATIONS
DRUG INTERACTIONS
SIDE EFFECTS
NURSING
RESPONSIBILITIES

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