In making a Drug Study, the following elements must be present: Generic Name and the Brand name (not all brands, just the brand used by the patient), Action, Indication, Pregnancy Category, Drug Classification, and Contraindication, Adverse Effect, Drug interaction and Nursing Consideration/Intervention…. Most clinical instructors preferred this to be in a long bond paper in printed or handwritten with paper in landscape.
tramadol hydrochloride
Brand Name: Ultram
Pregnancy Category C
Drug class: centrally acting analgesic
Therapeutic actions
Binds to mu-opioid receptors and inhibits the reuptake of norepinephrine and serotonin; causes many effects similar to the opioids--dizziness, somnolence, nausea, constipation--but does not have the respiratory depressant effects.
Indication
· Relief of moderate to moderately severe pain
Contraindications
· Contraindicated with pregnancy; allergy to tramadol; acute intoxication with alcohol, opioids, psychotropic drugs or other centrally acting analgesics; lactation.
· Use cautiously with seizures, concomitant use of CNS depressants or MAOIs, renal or hepatic impairment.
Adverse effects
Sedation, dizziness/vertigo, headache, confusion, dreaming, sweating, anxiety, seizures, Hypotension, tachycardia, bradycardia, Sweating, pruritus, rash, pallor, urticaria, Nausea, vomiting, dry mouth, constipation, flatulence, Potential for abuse, anaphylactoid reactions
Drug Interactions:
· Decreased effectiveness with carbamazepine
· Increased risk of tramadol toxicity with MAOIs
Nursing considerations
· Provide environmental control (temperature, lighting) if sweating, CNS effects occur.
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