Drug name Mechanism of action contraindication Side/ adverse effect Nursing responsibilities

Generic: Tramadol Tramadol binds to n- Hypersensitivity. Vasodilation; Give with antiemetic

Brand: Dolotral, opiate receptor and inhibit Acute intoxication dizziness/vertigo, for nausea, vomiting.
Milador, Peptrad, receptor of with alcohol, headache, Administer when pain
Sivedol, Tradonal, norepinephrine and hypnotics, centrally somnolence, is beginning to
Tramal secrotonin it reduce acting analgesics, stimulation, anxiety, return; determine
Class: Analgesic intensity of pain stimuli opioids, or confusion, dosage interval by
IndicationUsed for incoming from sensory psychotropic agents. coordination patient response
moderate to severe nerve endings, altering disturbances,
pain pain receptor and euphoria, Tell patient that driving or
Dosage: Usual dose emotional response to nervousness, sleep
operating machinery
by mouth are 50 to pain. disorder, seizures.
100 mg every 4-6 should be avoided until
hrs. Total daily
the effect of drug wears
dosage by mouth
should not exceed off.
400 mg.

◙ Instruct patient to repot

cravings to physician
immediately.

◙ Inform client that

medication may cause
CNS depression and/or
respiratory depression,
particularly when
combined with other CNS
depressants
Drug name Mechanism of action contraindication Side/ adverse effect Nursing responsibilities
Generic Name: Competitive inhibition of Hypersensitivity to  Constipation Inform patient that the
histamine at H2-receptors ranitidine or any
Ranitidine/ PLASIL  Diarrhea medication may cause
of the gastric parietal cells, component of the
which inhibits gastric acid formulation.  Fatigue drowsiness, dizziness, or
secretion, gastric volume,
Brand name:
and hydrogen ion  Headache fatigue (use caution when
Zantac concentration are  Insomnia driving or engaging in tasks
reduced. Does not affect
 Muscle pain requiring alertness).
pepsin secretion,
Classification: pentagastrin-stimulated  Nausea
intrinsic factor secretion,
Gastointestinal agent;  Vomiting ◙ Instruct patient to avoid
or serum gastrin.
Antisecretory (H2-  Agitation taking any new medication
receptor antagonist)  Anemia during therapy without
Dosage: consulting prescriber.
 Confusion
50mg
 Depression
Frequency: ◙ Instruct patient to avoid
Easy bruising or bleeding
alcohol and follow diet as
Q8°
prescriber recommends.
Route:
IVTT while on NPO

INDICATION:
Used to prevent ulcer
while patient is on NPO.