TRAMADOL Esguerra

Drug Name Dosage and Classification Mechanism Of Action Indications Contraindications Adverse Nursing Responsibilities
Route Reactions
Generic Name: Dosage: ● Analgesic Tramadol is a centrally Prescribed to Acute intoxication GI: Nausea, Before:
Tramadol 50 mg (centrally acting analgesic that relieve moderate to from centrally acting vomiting,
Order: acting) has opioid agonist severe pain and analgesics, hypnotics, constipation, ● Observe the 12 rights
Brand Name: PRN q6h ● Belongs to the properties. It binds to postoperative pain. psychotropic drugs, abdominal of medication
ultram Route: class of other μ-opiate receptors in alcohol, or other discomfort, administration.
IV opioids. Used the CNS resulting in opioids; uncontrolled dyspepsia ● Assess type,
[ Case Scenario to relieve pain. inhibition of ascending epilepsy, significant location ,and intensity
based ] pain pathways, thus respiratory CV: Palpitations, of pain before
altering the perception depression, acute or tachycardia administering drugs.
of and response to severe bronchial ● Frequently evaluate
pain. Along with the asthma (in an CNS: bowel function of
Initially 100 mg partial agonist activity unmonitored setting Drowsiness, patients.
via slow IV, IM, or on the opioid or in the absence of anxiety, ● review past analgesic
SC injection receptors, it also resuscitation headache, tremor history. Tramadol is
followed by 50 mg inhibits the reuptake of equipment), known not suggested for
every 10-20 serotonin and or suspected SKIN: Pruritus, people who are opioid
minutes up to a
norepinephrine gastrointestinal urticaria, rash, dependent or have
total of 250 mg
(initial dose) in the contributing to its obstruction hyperhidrosis , previously received
1st hour. analgesic effect. (including paralytic toxic epidermal opioids for more than
Subsequent doses ileus). Children aged necrolysis, one week; it may
of 50 mg or 100 12 and up, as well as stevens-johnson produce opioid
mg 4 to 6 hourly those aged 18 and up, syndrome withdrawal symptoms.
may be given who have had a
Max: 600 mg tonsillectomy and/or REPRO:
daily. an adenoidectomy. Menopausal
[ MIMs Book ] CYP2D6 enzymes symptoms
are both fast and poor Others: Severe
metabolizers. Use hyponatremia,
concurrently or hypotension,
within 14 days of hypoglycaemia, During:.
MAOI therapy. Use cns depression
during light planes of ● monitor the patient's
anaesthesia or for vital signs.
narcotic withdrawal ● monitor patients for
treatment. seizures, which may
occur within the
recommended dose
range.
● Frequently evaluate
bowel function of
patients.
● Maintain Client
comfort and safety

After:

● monitor the patient's

vital signs.
● assess type, location
and intensity of pain
after administration of
drug.
● Frequently evaluate
bowel function of
patients.
 ● advise the patient to
report to the physician
if symptoms are not
relieved.

Reference:
Dosage & Drug (Tremadol)
https://www.mims.com/philippines/drug/info/tramadol?mtype=generic