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TRAMADOL HCL (Ultram)

Tramadol hydrochloride (Ultram) is a centrally acting analgesic indicated for short-term management of acute pain. It works through modulation of noradrenergic and serotonergic systems as well as mild agonism of the μ-opioid receptor. Common adverse reactions include nausea, dizziness, headache, and constipation. It is contraindicated in patients with hypersensitivity, opioid dependence, or acute intoxication with CNS depressants. Nursing responsibilities include assessing pain levels, monitoring for cardiovascular, respiratory, and neurological effects, and watching for signs of seizures or withdrawal.

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1K views2 pages

TRAMADOL HCL (Ultram)

Tramadol hydrochloride (Ultram) is a centrally acting analgesic indicated for short-term management of acute pain. It works through modulation of noradrenergic and serotonergic systems as well as mild agonism of the μ-opioid receptor. Common adverse reactions include nausea, dizziness, headache, and constipation. It is contraindicated in patients with hypersensitivity, opioid dependence, or acute intoxication with CNS depressants. Nursing responsibilities include assessing pain levels, monitoring for cardiovascular, respiratory, and neurological effects, and watching for signs of seizures or withdrawal.

Uploaded by

karenmichellelecaroz
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • Drug Reference Guide: Provides detailed information on various drugs including generic names, brand names, class, actions, indications, adverse reactions, contraindications, nursing responsibilities, and parameters.

Name of Drug Classification/Action Indications Adverse Contraindications Nursing Parameters

Reactions Responsibility
Generic Classification: Indicated for Body as a Whole Hypersensitivity  Reassess  Anaphylactoid
Name: Analgesic the short- to tramadol, patient’s level reactions
term (five - Chest pain,
Tramadol opioids, or any of pain at  CNS depression
days or less) rigors, syncope,
Hydrocloride Action: component of the least 30  Seizures
managemen withdrawal
The mode of action t of acute
formulation; minutes after
Brand Name: of tramadol has yet syndrome opioid-dependent administratio
pain.
Ultram to be fully Cardiovascular patients; acute n.
understood, but it is Disorders- intoxication with  Monitor CV
Route of believed to work Hypertension, alcohol, and
Administration: through modulation hypnotics, respiratory
hypotension
I.V. of the noradrenergic centrally-acting status.
and serotonergic Central and analgesics,  Monitor
Dosage and systems in addition Peripheral opioids, or bowel and
Frequency: to its mild agonism of Nervous System - psychotropic bladder
50-100 mg the μ-opioid receptor. Ataxia, drugs function.
IM/IV every 4- The contribution of  Monitor
convulsions,
6 hr. Max: 400 non-opioid activity is patients at
mg daily. demonstrated by the hypertonia, risk for
analgesic effects of migraine, seizures.
tramadol not being involuntary
fully antagonised by muscle
the μ-opioid receptor contractions
antagonist naloxone
Gastrointestinal
System-
Dysphagia,
melena,tongue
edema
Hearing and
Vestibular
Disorders -
Tinnitus
Heart Rate and
Rhythm Disorders
- Arrhythmia,
palpitation,
tachycardia
Liver and Biliary
System - Hepatic
function abnormal
Metabolic and
Nutritional
Disorders -
Weight decrease
Psychiatric
Disorders -
Amnesia,
depersonalization,
depression, drug
abuse, emotional
lability,
hallucination,
impotence,
paroniria,
abnormal thinking
Red Blood Cell
Disorders -
Anemia
Respiratory
System -
Dyspnea

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