DRUG ACTION INDICATION AND CONTRAINDICATION ADVERSE NURSING

DOSAGES REACTION RESPONSIBILITIES

Tramadol Inhibits reuptake  Hypersensitivity to CNS: dizziness, Tell patient to take the
of serotonin and 50 to 100 mg P.O. q4 to Drugs vertigo headache, medication before
norepinephrine 6 hours PRN  Acute intoxication drowsiness, pain is severe
with alcohol, anxiety,
sedative hypnotics, stimulation, Inform patient that
centrally acting confusion, drug may cause
analgesics, opioid incoordination. respiratory depression
analgesics, or CV: vasodilatation
psychotropic EEnt: visual Instruct the client or
 Physical opioid disturbances relative to immediate
dependence GI: nausea, report seizure
vomiting, diarrhea,
constipation,
abdominal pain,
dyspepsia.
GU: urinary
retention and
frequency,
protenuia,
menoposal
syndrome
RESP: respiratory
depression
Skin: pruritus,
sweating
Salbutamol Relaxes smooth Tablets - 2 to 4 mg P.O. CNS: dizziness, Stay alert for
muscle by three or four times  Hypersensitivity to excitement, hypersensitivity
stimulating beta2- daily, not to exceed 32 Drugs headache, reactions and
receptor, thereby mg daily. hyperactivity, paradoxical
causing insomnia bronchospasm
bronchodilation Aerosol – one to two CV: Hypertension,
and vasodilatation inhalations q4 to 6 palpitation, Monitor serum
 hours to relieve tachycardia electrolytes
bronchospasms. EENT:
conjunctivitis, dry Tell patient not to mix
and irritated throat, the medicine to the
pharyngitis, food
GI:nausea and
vomiting, anorexia, Advice patient to limit
heart burn, GI the caffeine intake
distress, dry mouth
METABOLIC:
hypokalemia
MUSCULOSKELETAL
: muscle cramps
RESP: cough,
dyspnea, wheeze
SKIN: Pallor,
urticaria, rash,
angiodema,
flushing, sweating

Fluticasone Anti-inflammatory 110 mcg ( 2 sprays per  Hypersensitivity to CNS: light- Tell patient to take
properties and nostril) Drugs headedness drug at prescribe time
vasoconstrictive  Primary treatment of EENT: Flonase –
status asthmatics or cataract, glaucoma, Observe for reduced
other acute asthma increased growth rate in child or
episodes intraocular adolescence using
necessitating pressure, epistaxis, Flovent, Flonase or
intensive measures nasal burning. Veramyst.
 Severe allergy to milk
protein