College of Allied Health
Sciences School of Nursing
Classification/ Adverse Reactions Nursing
Drug Name Mechanism of Indications Contraindications Responsibilities
Action
Generic Name: Classification: Assess pain level
Tramadol Opioid analgesic To relieve pain severe Hypersensitivity to Dizziness and effectiveness of
enough to require opioid- tramadol or opioids Headache medication
Brand Name: Tramal Mechanism of Action: like treatment and for which Severe respiratory Drowsiness Monitor for signs of
Tramadol is a alternative treatment depression or Fatigue sedation and
centrally acting options such as nonopioid asthma (without dizziness
Dosage: 50 mg
analgesics or opioid ventilatory support) Encourage deep
analgesic that
breathing exercises
Route: IV works by binding to combination products are Acute alcohol
Monitor vital signs
μ-opioid receptors inadequate or not tolerated. intoxication or use (BP, HR, RR) before
Frequency: Q8 x 6 in the brain, of CNS and after
doses inhibiting pain depressants (e.g., administration
perception. benzodiazepines, Assess muscle
sedatives) strength and range of
History of seizures motion post-
or epilepsy operatively
(Tramadol lowers Encourage early
the seizure mobilization and
threshold) assist with ROM
Severe renal or exercises
hepatic impairment
.