TRAMADOL HYDROCHLORIDE

(tra’ma-dol)
Ultram, Zydol 
Classifications: central nervous system (cns) agent; analgesic; narcotic (opiate) agonist
Prototype: Morphine sulfate
Pregnancy Category: C

NURSING IMPLICATIONS

Assessment & Drug Effects

• Assess for level of pain relief and administer prn dose as needed but not to exceed the recommended total daily dose.
• Monitor vital signs and assess for orthostatic hypotension or signs of CNS depression.
• Discontinue drug and notify physician if S&S of hypersensitivity occur.
• Assess bowel and bladder function; report urinary frequency or retention.
• Use seizure precautions for patients who have a history of seizures or who are concurrently using drugs that lower the seizure threshold.
• Monitor ambulation and take appropriate safety precautions.

Patient & Family Education

• Exercise caution with potentially hazardous activities until response to drug is known.
• Understand potential adverse effects and report problems with bowel and bladder function, CNS impairment, and any other bothersome adverse effects to physician.
• Do not breast feed while taking this drug.

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