Name of Patient E. F. Age 24 y.

o Height 5’2
o
Diagnosis G1P1 (1001) PU delivered breech iive birth by 1 LSCTS Sex Female Weight 55 kg
Author M. M. Olmillo Website milkv.co.vu A/N you’re welcome 

MECHANISM OF ADVERSE
DRUG DATA CLASSIFICATION ACTION
INDICATIONS CONTRAINDICATION NURSING RESPONSIBILITIES
EFFECTS
Generic name: Pharmacologic: Binds to mu-opioid General: Contraindicated with CNS: asterixis, Before:
Tramadol Hcl Opioid analgesic receptors and inhibits > relief of allergy to tramadol or dizziness, > check the doctor’s order.
the reuptake of moderate to opioids or acute weakness, > assess for hypersensitivity to
norepinephrine and moderately intoxication with alcohol, headache, tramadol, pregnancy, lactation,
Trade name/s: serotonin severe pain oipioids or psychoactive drowsiness seizures
Ryzolt, Ultram > relief of drugs >assess for skin color, texture,
Therapeutic: moderate to CV: orthostatic lesions, mental status, take V/S
Centrally-acting severe chronic hypotension > check for the patency of the IV line
Patient’s dose: analgesic pain in adults who > review the purpose and importance
500mg q 6o need around-the- Precaution: GI: nausea, of the drug
clock treatment Use cautiously with anorexia, vomiting,
for extended pregnancy, lactation, diarrhea
Minimum dose: Pregnancy Onset: periods (ER seizures, concomitant During:
25mg/day Category Risk: C 1 hr tablets) use of CNS depressants, GU: polyuria, > administer with food or milk to
> unlabeled uses: MAOIs, SSRIs, TCAs, nocturia prevent GI upset
Peak: premature renal impairment, hepatic > measure and record regular
Maximum dose: 2 hr ejaculation; impairment Hematologic: weights to monitor fluid changes
500mg/day restless leg hypokalemia > administer drug early in the day so
Metabolism: syndrome increased urination will not disturb
Hepatic; 6-7 hr Interactions: Local: pain, sleep
Availability: Drug-drug: decreased phlebitis at > control environment (temperature,
Tablets: 50mg Distribution: effectiveness with injection site lighting) if sweating or CNS effects
ER tablets: 100, Crosses placenta, Patient’s actual carbamazepine, occur
200, 300 mg enters breast milk indication: increased risk of Other: muscle
> relief of tramadol toxicity with cramps and
Excretion: urine moderate to MAOIs or SSRIs. muscle spasms, After:
Route: moderately weakness, arthritic > document and record.
IVTT severe pain pain > monitor serum electrolytes,
hydration, and liver function during
long-term therapy
> provide diet rich in potassium or
give supplemental potassium
>report if side effects occur.

Source: 2011 Source: 2011 Source: 2011 Source: 2011 Source: 2011 Source: 2011 Source: 2011 Lippincott’s Nursing
Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Lippincott’s NDG Drug Guide