MS-Clinical Form 014

Lyceum of the Philippines University

College of Nursing

DRUG STUDY

Drug Name Classification Indication Contraindication Side Effects/Adverse Nursing Monitoring

and Mechanism Reaction Responsibilities Parameters
of Actions
Brand Name: Classification: Tramadol is primarily Tramadol is Side Effects: Independent:  Pain relief
indicated for the contraindicated in  Vital signs
Ultram Opioid analgesics management of individuals with a known  Dizziness  Assess pain levels  Seizure activities
moderate to allergy to the drug,  Nausea before and after  CNS effects
Generic Name: Mechanism of moderately severe pain those intoxicated with  Constipation administration  Bowel function
Action: in adults, including pain alcohol or CNS  Headache using a pain  Allergic reaction
Tramadol following surgery, depressants, and those  Drowsiness scale.  Urinary retention
Tramadol is a synthetic injury, or chronic with a history of  Dry mouth  Monitor vital
Dosage: opioid analgesic that conditions like seizures. It should not  Fatigue signs, especially
works by binding to mu- osteoarthritis. It is also be used in patients respiratory rate,
50 mg opioid receptors in the used in the treatment taking monoamine Adverse Reaction: as tramadol can
brain and spinal cord, of neuropathic pain oxidase inhibitors cause respiratory
Route: leading to pain relief. and can be prescribed (MAOIs) or within 14  Seizures depression.
Additionally, it inhibits for musculoskeletal days of using them. It is  Respiratory  Evaluate for any
IV the reuptake of pain. Due to its dual also contraindicated in depression history of seizures
serotonin and action on opioid children under 12 years  Severe allergic or other
Frequency: norepinephrine, receptors and of age and those who reactions (e.g., rash, contraindications
enhancing the body's neurotransmitter have had certain itching, difficulty before
PRN natural pain-modulating systems, tramadol is surgeries like breathing) administering.
pathways. This dual often considered an tonsillectomy or  Serotonin  Assess for signs
mechanism—opioid option for patients who adenoidectomy. syndrome (symptom of adverse
receptor binding and may not tolerate s include agitation, reactions, such as
neurotransmitter stronger opioids. hallucinations, rapid dizziness,
reuptake inhibition— However, it should be heart rate, fever) confusion, or
helps reduce pain used with caution in  Elevated blood allergic reactions.
perception and individuals with a pressure or heart  Monitor bowel
provides analgesia, history of substance rate function for
 MS-Clinical Form 014

though it has a lower abuse or certain  Withdrawal constipation and

potential for abuse medical conditions. symptoms (if abruptly encourage
compared to stronger discontinued after hydration and
opioids. prolonged use) mobility to prevent
  Confusion or it.
hallucinations,  Educate patients
particularly in older on potential side
adults effects, including
dizziness and
drowsiness, and
advise against
operating heavy
machinery or
driving.

Dependent:

 Administer
tramadol as
prescribed,
ensuring the
correct dosage
and timing.
 Administer adjunct
medications (e.g.,
laxatives) if
prescribed to
manage
constipation.
 Coordinate with
the healthcare
provider for dose
adjustments if
adverse reactions
occur or if the
patient has a
history of
seizures.