drug study tramadol

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NAME Tramadol hydrochloride Ultram, Ultram ER

DOSE Patients who require rapid analgesic effect: 50-100 mg PO every 4-6 hr; do not exceed 400 mg/day

CLASSIFICATION Analgesic (centrally acting) Opioid analgesic

INDICATION Relief of moderate to moderately severe pain

CONTRAINDICATION Contraindicated with allergy to tramadol or opioids or acute intoxication with alcohol, opioids, or psychoactive drugs Use cautiously with pregnancy, lactation; seizures; concomitant use of CNS depressants, MAOIs, SSRIs, TCAs, renal impairment; hepatic impairment

SIDE EFFECTS CNS: Sedation, dizziness or vertigo, headache, confusion, dreaming, sweating, anxiety, seizures CV: Hypotension, tachycardia, bradycardia Dermatologic: Sweating, pruritus, rash, pallor, urticaria GI: Nausea, vomiting, dry mouth, constipation, flatulence Other: Potential for abuse, anaphylactoid reactions

NURSING RESPONSIBILITY Control environment (temperature, lighting) if sweating or CNS effects occur †Warning Limit use in patients or present history of addiction to or dependence on opioids You may experience these side effects: Dizziness, sedation, drowsiness, impaired visual acuity (avoid driving or task that require alertness); nausea, loss of appetite (lie quietly, eat frequent small meals) Report severe nausea, dizziness, severe constipation

NAME

DOSE

CLASSIFICATION

INDICATION

CONTRAINDICATION

SIDE EFFECTS

NURSING RESPONSIBILITY note reason for therapy Assess patient for infection prior to and during therapy. Obtain specimens for culture and sensitivity before initiating therapy Observe patient for signs and symptoms of anaphylaxis (rash, pruritus, laryngeal edema, wheezing) Monitor prothrombin time closely in patients receiving fluoroquinolones and warafarin

Generic Name:Cipro floxacin Brand Names:Cipr obay

Ordered dose:500 mg 1 tab q12

Antibiotics (Quinolones)

Infections of the respiratory tract, middle ear, sinuses, eyes, kidneys and urinary tract, genital organs, abdomen, skin and soft tissues, bones and joints; further, septicemia, infections in patients with reduced host defense and for selective intestinal decontamination in immuno suppressed patients.

Hypersensitivity to quinolones Drugs that inhibit peristalsis Concurrent administration of tizanidine

Diarrhea n/v dizziness, drowsiness, headache, insomnia altered taste. abdominal pain

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