DRUG STUDY
Initials of patient: _________________ Clinical Area __________________
Chief Complaint/s: ________________ Shift: _______________
DRUG MECHANISM OF INDICATION/S CONTRAINDICATION/S EFFECTS NURSING
ACTION/S RESPONSIBILITIES
Generic Name: Tramadol -Management of -Hypersensitivity to Side Effects: Assess pain level before and
Tramadol binds to mu- moderate to tramadol or opioids Nausea after administration
Brand Name: Ultram, ConZip Constipation
Classification: opioid receptors in the moderately severe
central nervous system -Acute intoxication with Vomiting Monitor vital signs,
· Therapeutic: Analgesic pain
· Pharmacologic: Opioid agonist (CNS), altering the alcohol, hypnotics, opioids, Dry mouth particularly respiratory rate
Dosage: Indigestion
perception and or psychotropic drugs Dizziness
and blood pressure
Immediate-Release: 50-100 mg every
4-6 hours as needed (Maximum: 400
response to pain. Headache
mg/day) Additionally, it inhibits -Patients using monoamine Fatigue Watch for CNS depression
the reuptake of oxidase inhibitors (MAOIs) Sweating (hyperhidrosis) and seizure activity
Extended-Release: 100 mg once daily; norepinephrine and or within 14 days of Itching (pruritus)
may increase by 100 mg increments serotonin, which stopping them Educate patients about
every 5 days (Maximum: 300 mg/day)
modulates descending proper use, side effects, and
Route:Oral (tablets, capsules), pain pathways. This -Severe renal or hepatic Adverse Effects: potential dependency risks
Intravenous (IV), Intramuscular (IM), dual mechanism impairment - Seizures
Rectal provides analgesic - Respiratory depression Encourage increased fluid
Frequency: As prescribed, - Hypotension
typically every 4-6 hours for effects while also -Epileptic patients with and fiber intake to prevent
immediate-release formulations. influencing uncontrolled seizures - Long-term use of tramadol constipation
neurotransmitter activity can lead to physical
Form: Tablet (Immediate-release, involved in pain dependence Avoid abrupt discontinuation
Extended-release), Capsule,
Solution (IV/IM)
regulation. to prevent withdrawal
symptoms