DRUG DRUG DOSA MECHANISM INDICATION C/I ADVERSE NURSING

CLASS GE OF ACTION S REACTIONS CONSIDERATIONS

Tramadol Opiate , 50mg The analgesic action Use to Should not be Perform baseline data like
(Tramal) Agonist, SIVP of tramadol has yet to relieve acute administered to • Nausea orientation to date, time
Analgesics; be fully understood, or chronic, patients who and place; mental
Antipyretics but it is believed to moderate to have previously • Vomiting alertness; bilateral
work through severe pain. demonstrated handgrip and motor
modulation of Postoperative hypersensitivity • Constipation functioning.
serotonin and pain. to tramadol or in
norepinephrine in cases of acute • Diarrhea Take VS, hold medication
addition to its mild intoxication with if respiration is below 12/
agonism of the μ- alcohol, • Dizziness min.
opioid receptor. hypnotics,
The opiate agonist centrally acting • Head ache Check bowel sound and
act by stimulating of analgesics, record the consistency of
opiate receptors in opioids or • Dry mouth the stool including the
the CNS. psychotropic urine output of the patient.
drugs. • Fatigue
Perform pain assessment
before administration of
drug.
 DRUG DRUG DOSA MECHANISM INDICATION C/I ADVERSE NURSING
CLASS GE OF ACTION S REACTIONS CONSIDERATIONS
Inhibits prostaglandin management of Cross-sensitivity Headache  Assess pain,
Ketorolac Non-opioid synthesis producing moderate-to- with other noting type,
(ketomed) analgesic; peripherally mediated severe acute pain NSAIDs may location, and
NSAID analgesia. It also has requiring exist. Edema hypertension intensity.
an antipyretic and an analgesia at the
anti-inflammatory opioid level Lactation. Dizziness drowsiness
property.  Patients with
asthma, aspirin-
Pruritus, purpura, rash
induced therapy,
and those with
GIT upset : Diarrhea nasal polyps are at
constipation, flatulence, increased risk for
developing
GI bleeding, GI fullness, hypersensitivity
GI perforation, GI ulcer, reactions.
heartburn, stomatitis,
vomiting

Hematologic: Anemia,
bleeding time increased

Hepatic: Liver enzymes

increased

Otic: Tinnitus

Renal: Renal function

abnormal