Drug Mechanisms of Action Indication Effects Nursing Health Teaching

Responsibilities
Generic:  Binds to µ-  Managemen  CNS: Dizziness, Assessment  Teach
Tramadol opioid t of CNS  Pain: assess patient to
receptors and moderate stimulation, location, type, report any
Brand: inhibits to severe somnolence, character; give symptoms
Ultram reuptake of pain, headache, anxiety, before pain of CNS
norepinephrine, chronic changes,
confusion, becomes
allergic
Dosage: 50 serotonin pain, euphoria, seizures, extreme reactions
mg/ ml headache, hallucinations,  Assess for  Teach
osteoarthritis sedation, increased side patient that
Frequency: neuroleptic effects in renal/ drowsiness,
QID malignant hepatic disease dizziness,
syndrome–like  Respiratory and
Route: IV reactions depression: confusion
withhold if may occur;
Classification  CV: respirations ,12/ to call for
: Opioid Vasodilatation, min assistance
Analgesics orthostatic  Monitor I&O  Instruct
hypotension, ratio: check for patient to
make
tachycardia, decreasing
position
hypertension, output; may changes
abnormal ECG indicate urinary slowly;
retention orthostatic
 EENT: Visual  Assess need for hypotension
disturbances product may occur
 Assess for  Tell patient
 GI: Nausea, constipation to avoid
constipation, and bowel OTC
vomiting, dry pattern; medication
mouth, diarrhea, increase fluids, and alcohol
unless
abdominal pain, bulk in diet
approved
anorexia, Hypersensitivity: by
flatulence, GI usually after prescriber
bleeding beginning  Instruct
treatment patient not
 GU: Urinary  Monitor CNS to
retention/frequency changes: discontinue
, menopausal dizziness, abruptly,
drowsiness, taper
symptoms, dysuria,
menstrual disorder hallucinations,
euphoria, LOC,
 INTEG: Pruritus, pupil reaction
rash, urticaria,  Determine
vesicles, flushing allergic
SYST: Anaphylaxis, reactions: rash,
Stevens-Johnson urticaria
syndrome, toxic  Serotonin
epidermal syndrome,
necrolysis, neuroleptic
serotonin syndrome malignant
syndrome:
assess for
increased heart
rate, shivering,
sweating,
dilated pupils,
tremors, high
B/P,
hyperthermia,
headache,
confusion; if
these occur,
stop product,
administer a
serotonin
antagonist if
needed