Republic of the Philippines

Cebu Normal University

Osmeña Blvd. Cebu City, 6000 Philippines

College of Nursing
Center of Excellence (COE) | Level IV Re-Accredited (AACCUP)
Telephone No.: (032) 254 4837
Email: cn@cnu.edu.ph/secretary@cnunursing.org
Website: www.cnu.edu.ph
DRUG STUDY

Patient’s Initials:______________________________________ Date of Admission:_________________________________________ Diagnosis:____________________________________________

Age:__________________________________________________ Height/Weight:_____________________________________________ Clinical Intervention:
_________________________________
Sex:__________________________________________________ Ward:________ Bed No.:________ Name of Physician: __________________________________

Name of Drug Classification Mechanism of Action Indication Contraindication Side Effects Nursing Responsibilities
Generic Name: Pharmacologic Class: Tramadol is a General Indications: Acute intoxication w/ CNS: nausea, Before
Tramadol + Opioid centrally acting opioid Indicated for the alcohol, hypnotics, vomiting, anorexia, o Perform
Paracetamol analgesic which binds symptomatic treatment centrally-acting coma, convulsions, handwashing.
Therapeutic Class: to mu-opioid receptors of moderate to severe analgesics, opioids, or seizures o Check doctor’s
Trade/Brand Name: Antipyretic; and weakly inhibits pain. psychotropic drugs; order.
Ultracet Analgesics the reuptake of uncontrolled epilepsy. CV: cardiovascular o Obtain patient’s
norepinephrine and Patient’s Indication: Severe hepatic collapse, cardiac health history.
Patients’ Dose Pregnancy Risk serotonin. Postoperative pain impairment. arrhythmia, o Perform
50 mg 1 tab q 6H PO Category: C Paracetamol, a para- management treatment Concurrent use or w/in hypotension physical
aminophenol for a patient having 2 wk of assessment and
Route: Oral derivative, has caesarean delivery. discontinuation from Respi: respiratory obtain baseline
analgesic, antipyretic MAOIs. arrest, bradycardia, data.
Form: Tablet and weak anti- dyspnea, wheezing, o Ensure right
inflammatory activity. Caution: bronchospasm patient, right
Maximum dose: Together, tramadol Patient w/ epilepsy drug, right dose,
and paracetamol has controlled by Genitourinary: right time, and
Minimum dose: faster onset of action treatment, risk of abdominal pain, acute right route.
compared to tramadol seizure, cranial renal failure o Assess skin
Availability: alone and longer trauma, biliary tract color, texture,
duration of action disorder, altered state lesions;
Content: compared to of consciousness for orientation,
Paracetamol and paracetamol alone. unknown reasons, reflexes, bowel
tramadol problems affecting the sounds, BP, RR,
hydrochloride (active Pharmacokinetics: resp centre or resp and renal
ingredients) Absorption: function, increased function.
Readily absorbed from intracranial pressure, o Assess patient
GI tract suicidal tendency or for any allergy,
patients in a state of past or present
Distribution: shock history of
Widely distributed, dependence to
crosses the placenta Interactions: the drug.
and distributesd into Drug to drug:
the breast milk. Increased risk of During
seizures and serotonin o Identify patient.
Metabolism: syndrome w/ SSRIs, o Explain
Tramadol: SNRIs, TCAs, and 5- procedure to the
Undergoes N- and O- HT agonists (e.g. patient, as well
demethylation by sumatriptan). as the name of
CYP3A4 and Increased CNS the drug, its
CYP2D6 isoenzymes depression w/ therapeutic and
and also by barbiturates, side effects.
glucuronidation and benzodiazepines, other o Instruct patient
sulfation. anxiolytics, hypnotics, to take
Paracetamol: Hepatic sedative medicine on
via glucuronic and antidepressants, time with the
sulfuric acid sedative right dosage as
conjugation antihistamines, prescribed by
neuroleptics, the doctor.
Excretion: centrally-acting o The drug can be
Tramadol: via urine as antihypertensive taken without
metabolites drugs, thalidomide and food. However,
Paracetamol: via urine baclofen. Decreased to decrease GI
as glucuronide and analgesic efficacy w/ upset, it can be
sulfate conjugate ondansetron. taken with
Increased INR w/ meals.
Half-life: warfarin. o Instruct patient
Tramadol: 6 hours to take tablet as
Paracetamol: 1-3 a whole, with a
hours sufficient
quantity of
Onset: liquid. It must
not be crushed
 Peak: 10-60 minutes or chewed.
o Assess BP &
Duration: RR
periodically
during
administration.

After
o Assess bowel
function
routinely.
o Monitor patient
for any adverse
reactions.
o Provide comfort
measures.
o Document
procedure
accordingly.

Source:
Tramadol + Source: Source: Source: Source: Source: Source:
Paracetamol: Tramadol + Tramadol + Tramadol + Tramadol + Tramadol + Tramadol +
Indication, Dosage, Paracetamol: Paracetamol: Paracetamol: Paracetamol: Paracetamol: Paracetamol:
Side Indication, Dosage, Indication, Dosage, Indication, Dosage, Indication, Dosage, Indication, Dosage, Indication, Dosage,
Effect, Precaution | Side Side Side Side Side Side
MIMS.Com Effect, Precaution | Effect, Precaution | Effect, Precaution | Effect, Precaution | Effect, Precaution | Effect, Precaution |
Philippines. MIMS.Com MIMS.Com MIMS.Com MIMS.Com MIMS.Com MIMS.Com Philippines.
[online] Mims.com. Philippines. Philippines. Philippines. Philippines. Philippines. [online] Mims.com.
Available at: <https:// [online] Mims.com. [online] Mims.com. [online] Mims.com. [online] Mims.com. [online] Mims.com. Available at: <https://
www.mims. Available at: <https:// Available at: <https:// Available at: <https:// Available at: <https:// Available at: <https:// www.mims.
com/philippines/drug www.mims. www.mims. www.mims. www.mims. www.mims. com/philippines/drug
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2020]. [Accessed 21 March [Accessed 21 March [Accessed 21 March [Accessed 21 March [Accessed 21 March 2020].
2020]. 2020]. 2020]. 2020]. 2020].
Drug Study Scoring 10 pts.
Name of Drug 1 pts.
Classification 1 pts.
Mechanism of Action 1 pts.
Indication 1 pts.
Contraindication 1 pts.
Side Effects 1 pts.
Nursing Responsibilities 3 pts.
Sources 1 pts. (at least 2 references)
Scoring System Criterion Reference: 70%