Dosage, Drug-to-

Route and Contra- Mechanism of Drug Adverse Nursing

Name of Drug Frequency Indication indication Action Interaction Effects Responsibility

Generic Name:
Dosage, Management of • Contraindicated in Inhibits reuptake of Decreased CNS • Assess patient’s pain
Tramadol frequency: moderate to patients serotonin and effectiveness • Dizziness level at least 30
50 mg every 6 moderately severe hypersensitive to norepinephrine in with • Confusion minutes before
hours pain drugs or other CNS. carbamazepine • Fatigue
administration.
Brand Name: opioids, those with • Drowsiness
Ultram Route: acute intoxication Increased risk of • Monitor
bowel and
IV from alcohol. tramadol toxicity bladder function.
GI
with MAOIs
• Nausea
Therapeutic • Monitor
for physical
• Anorexia and psychological drug
Classification:
• Constipation dependence.
Opioid Agonist
Analgesics GU • Monitor signs and
• Renal Failure symptoms of potentially
life –threatening
MEDICATION
TICKET
serotonin syndrome
which may range from
Month/Day/Year shivering and diarrhea
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to muscle rigidity, fever,

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Bed #1

mental status changes

Tramadol 50 mg q6h, IV and seizures.
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