Tramadol
Tramadol
Tramadol
Generic/ Brand
Name &
Classification
Dose,
Strength &
Formulation
ndication/
!echanism of
Drug "ction
"d#erse/ Side
$ffects Drug
nteraction
Nursing
Res%onsi&ilities
Rationale Client Teaching
Generic'
Tramadol
Hydrochloride
Brand'
Ultram
Classification'
Chemical Class:
Cyclohexanol
Therapeutic class:
Analgesic
Pregnancy
category: C
(rdered'
50g Slow IVTT
PRN or moderate
to se!ere "ain
Timing'
PRN
Duration'
#$% hr
(ther Forms'
Ta&let' ()R)
Ta&lets
ndications'
*To relie!e
moderate to
moderately se!ere
"ain)
+ N,rse-s .r,g
Hand&oo/' 00
th
(dition
1ones23artlett4
!echanism of
"ction'
3inds 5U
rece"tors and
inhi&ts the re,"ta/e
o nore"ine"hrine
and serotonine
which may acco,nt
or tramadol
+ N,rse-s .r,g
Hand&oo/' 00
th
(dition
1ones23artlett4
CNS6 Agitation' Anxiety'
Asthenia' .e"ression'
.i77iness
CV6 Chest "ain'
orthostatic' hy"otension'
!asodilation
((NT6 3l,rred !ision' dry
mo,th' nasal or sin,s
congestion
(N.86 Hot lashes
9I6A&dominal Pain'
Anorexia' consti"ation'
diarrhea
Res"6 Co,gh' dis"nea
S/in6 .ia"horesis'
dermatitis' l,shing'
"r,ritis' rash
"cti#ities'
Alcohol ,se6 Additi!e
CNS .e"ression
5onitor "atients !ital
signs)
Chec/ .octors order
Chec/ medications
ex"iration date
8&ser!e correct timing
when gi!ing the
medication)
Chec/ "atients
res"onse to the dr,g
$To ha!e a &aseline data
&eore administering the
dr,g
$To ens,re the dr,g to
&e gi!en)
$(x"ired medications
may loose it-s
eecti!eness
$(ns,res the thera"e,tic
eect o the dr,g)
$To ens,re that there
are no se!ere reaction
+Altman 9)3) Second
(dition4
0)4 ,rge Patient to
ollow "rescri&ed dose
limits to "re!ent
res"iratory de"ression
#)4 Instr,ct "atient
"rescri&ed extended
release or to swallow
ta&let whole and not to
chew
%)4 Ca,tion "atient not
to sto" Tramadol
a&r,"tly
:)4 Ad!ise "atient to
a!oid alcohol while
ta/ing tramadol
5)4 ,rge "atient to
notiy "rescri&er a&o,t
/nown' s,s"ected
"regnancies)
)"RR(BS, $R(N
BSN *$