DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program
DRUG STUDY
Name of Patient: Patient M Date of admission: February 9, 2022 Room: 405B

Age: 68 years old Sex: M Civil Status:___________ Attending Physician: Dr. Dumaguit

CLASSIFICATION /
DRUG NAME MECHANISM OF INDICATION CONTRAINDICATION ADVERSE EFFECTS NURSING RESPONSIBILITY
ACTION
.
BRAND NAME: CLASSIFICATION:  Moderate to  Contraindicated in  Dizziness 1. Observe the 12 rights of drug
Therapeutic Class: moderately patients  Nausea administration.
Tramal Analgesics severe chronic hypersensitive to  Headache 2. Reassess patient’s level of pain at
Pharmacologic Class: pain. least 30 minutes after
drug or opioids.  Constipation
GENERIC: Synthetic centrally administration.
 Contraindicated in  Vomiting
active analgesics 3. Monitor CV and respiratory status,
patients with  Drowsiness especially within first 24-72 hours
Tramadol
severe renal or  Anxiety of therapy initiation.
MECHANISM OF
DOSAGE: hepatic  Vertigo 4. Monitor bowel and bladder
ACTION:
impairment, and function. Anticipate need for
Unknown. Thought
50 mg suicidal patients. stimulant laxative.
to bind to opioid
receptors and inhibit  Contraindicated in 5. Withdrawal symptoms may occur if
ROUTE: patients with GI drug is stopped abruptly. Reduce
reuptake of dosage gradually.
norepinephrine and obstruction,
IVTT including paralytic 6. Caution ambulatory patient to be
serotonin. careful when rising and walking to
ileus.
FREQUENCY: avoid driving and other potentially
 Contraindicated hazardous activities.
with concomitant 7. Caution patient to immediately
q12 PRN for pain use or within 14 report signs and symptoms of
days of MAO serotonin syndrome, adrenal
inhibitor therapy. insufficiency, and decreased sex
hormone levels.

REFERENCE: Kluwer, W. (2019). Nursing2020 Drug Handbook (40th ed., Vol. 2). Lippincott Williams & Wilkins.

Jewel Kaiser Gloria_____

Name of Student