DRUG STUDY

NURSING RESPONSIBILITES/
Name of Drug Indications Mechanism of Action Contraindication Adverse Effect
PRECAUTIONS

Generic Name: It is indicated for Inhibits the uptake of  Hypersensitivit Sleep-related breathing  Assess and Check if patient is
Tramadol the patient for norepinephrine and y to tramadol disorders (e.g. sleep- allergic to the drug or any
Cerebral serotonin, suggesting or other opioid related hypoxemia, component in it.
Brand Name: Insufficiency ((e.g., both opioid and analgesics central sleep apnea),  Instruct patient/SO to take the
TRAMAL, CETADOL, dizziness, memory nonopioid mechanisms withdrawal symptoms, medication as prescribed.
DOLCET loss, poor of pain relief.  Patients convulsions, reversible  Teach the patient/SO that
concentration, acutely adrenal insufficiency, tramadol may be taken with or
Dosage/Frequency: disorientation) due intoxicated severe hypotension without food.
500mg / TID to head trauma or with alcohol (including syncope and  Assess vital signs to note any
brain injury; orthostatic hypotension) changes related to the intake of
Route: P.O the medication.
Side Effects of  Advise patient to ask for help
Tramadol; when taking the medication;
Instruct and encourage SO to
 Constipation
assist the patient in medication
 drowsiness
intake
 dry mouth
 irritability  Monitor for adverse effects;
 joint pain instruct patient/SO to report
 heartburn immediately if signs & symptoms
 occur.
 Watch out for symptoms of
Overdose (e.g. Vomiting,
sedation, miosis, seizures,
skeletal muscle flaccidity, cold
and clammy skin, pulmonary
edema, hypotension, airway
obstruction, QT prolongation)
 Instruct patient or SO to Swallow
it as a whole with water; do not
crush, break or chew it

References:
 Holland, R. (2007). TRAMADOL. Retrieved from http://www.robholland.com/Nursing/Drug_Guide/data/monographs/monoframe.html?vfile=T063.html
 Tramadol. (n.d.). Search Drug Information, Interactions, Images, Dosage & Side Effects | MIMS Philippines.
https://www.mims.com/philippines/drug/info/tramadol?mtype=generic
 Tramadol (Oral route) side effects - Mayo Clinic. (2022, November 3). Mayo Clinic - Mayo Clinic. https://www.mayoclinic.org/drugs-supplements/tramadol-oral-route/side-
effects/drg-20068050