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Case Pre Drug Study

This document provides information on two drugs: Tramadol and Ketorolac. Tramadol is an analgesic that works on mu opioid receptors in the brain to relieve pain. It is indicated for moderate to severe pain and should be given intravenously every 6 hours at a dose of 50 mg. Common side effects include dizziness, headache, confusion, and anxiety. Nurses should identify patients, explain drug purpose, check for drug interactions and expiration dates, and monitor for seizures. Ketorolac is a nonsteroidal anti-inflammatory given intravenously every 6 hours at 30g for short-term management of acute pain requiring opioid-level analgesia. It works by inhibiting prostagland

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Joule Peirre
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0% found this document useful (0 votes)
366 views5 pages

Case Pre Drug Study

This document provides information on two drugs: Tramadol and Ketorolac. Tramadol is an analgesic that works on mu opioid receptors in the brain to relieve pain. It is indicated for moderate to severe pain and should be given intravenously every 6 hours at a dose of 50 mg. Common side effects include dizziness, headache, confusion, and anxiety. Nurses should identify patients, explain drug purpose, check for drug interactions and expiration dates, and monitor for seizures. Ketorolac is a nonsteroidal anti-inflammatory given intravenously every 6 hours at 30g for short-term management of acute pain requiring opioid-level analgesia. It works by inhibiting prostagland

Uploaded by

Joule Peirre
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Generic Name/ Brand Drug Classification Dosage, Frequency, Mechanism of Action Indication/ Contraindication Side/Adverse Effects Nursing Responsibilities

Name Route

● Generic Name: ● Analgesic ● 50 mg Refers to how the body works on a Indication ● Dizziness/vertigo, ● Identify the patient.
Tramadol ● IVTT ● headache
cellular level to produce the intended
● Q6 hours For the treatment and ● confusion ● Explain to the
● Brand Name: effects of a drug. In the case of prevention of moderate to ● Dreaming patient the purpose
Ultram severe pain. ● Anxiety of the drug.
Tramadol, the intended effect is pain
● Hypotension
relief. The mechanism of action for Contraindication ● Bradycardia ● Double check the
expiration date
Tramadol is not exactly known. But it
Pregnancy; allergy before
is known to act on the mu opioid to tramadol; acute administering the
Intoxication with drug.
receptors to produce pain relief.
alcohol, opioids,
Opioid receptors are located in the psychotropic ● Assess bowel
function routinely.
brain and there are three types, of
which the mu opioid receptor is one. ● Minimize
constipation.
Normally, when a painful stimulus
Assess previous
occurs, a neuron communicates to analgesic history.
Tramadol is not
the brain and the person feels pain.
recommended for
When a person takes Tramadol, it opiod dependent
patients
acts on the mu opioid receptor,
(withdrawal
blocking the neuron from symptoms)
communicating pain to the brain.
● Monitor patients for
seizures.
Generic Name/ Brand Drug Classification Dosage, Frequency, Mechanism of Action Indication/ Contraindication Side/Adverse Effects Nursing Responsibilities
Name Route

● Generic Name: ● Nonsteroidal ● 30g Responsible for ketorolac's anti- Indication ● Identify the patient.
Ketorolac ● IVTT inflammatory, antipyretic and ● Swelling of face,
anti-
tromethamine ● q6 hours analgesic effects is the inhibition Short-term management fingers, lower ● Explain to the
inflammatory of moderately severe, legs, ankles, patient the purpose
of prostaglandin synthesis by
● Brand Name: drug competitive blocking of the acute pain requiring and/or feet of the drug.
Ketorolac enzyme cyclooxygenase (COX). opioid-level analgesia. ● weight gain
● Double check the
Ketorolac is a non-selective COX (unusual) expiration date
inhibitor. Contraindication ● Bruising (not at before
place of injection) administering the
Aspirin allergy. Peptic ● high blood drug.
ulcer. GI bleed or pressure
● Advice patient to
perforation. As ● skin rash or have some
prophylactic analgesic itching adequate rest.
before any major ● small, red spots
surgery. Treatment of on skin ● Advice patient not
peri-op pain in CABG ● sores, ulcers, or to carry heavy
setting. Advanced renal white spots on objects.
impairment. lips or in mouth
Hypovolemia. ● Don’t forget to
● chest pain assess first the
Cerebrovascular
bleeding. Hemorrhagic ● convulsions patient before
● cough or administering this
diathesis. Incomplete
hoarseness drug: know the
hemostasis. Bleeding history and
disorders or high risk of ● dark urine physical condition
bleeding. ● decrease in of the patient
amount of urine
that is sudden ● Report any signs of
● fainting itching, swelling in
the ankles, sore
throat, easy
bruising.
Generic Name/ Brand Drug Classification Dosage, Frequency, Mechanism of Action Indication/ Contraindication Side/Adverse Effects Nursing Responsibilities
Name Route

● Generic Name: ● Analgesic ● 600 g Paracetamol has both analgesic Indication ● Vomiting ● Identify the patient.
Perfalgan ● IVTT and antipyretic actions. It inhibits ● Fever,
● Q4 hours Treatment of short term, ● Rash, ● Explain to the
● Brand Name: prostaglandin biosynthesis. Its mild to moderate pain ● Neutropenia, patient the purpose
Paracetamol half-life is approximately 3.5 and/or fever when enteral ● Leukopenia, of the drug.
hours. There is a paucity of trials route not available or ● Thrombocytopenia.
in neonates and as a result the contraindicated ● May cause liver ● Double check the
toxicity at high expiration date
safety and efficacy in preterm Contraindication plasma levels. before
infants is not established. administering the
Contraindicated in drug.
patients with
hypersensitivity to ● Double check
paracetamol or to physician’s order,
propacetamol
● Do not store above
hydrochloride (prodrug of 30°C. Do not
paracetamol) or to one of refrigerate or
the excipients. in cases freeze.
of severe hepatocellular
insufficiency. ● Before
administration,
product should be
visually inspected
for any particulate
matter and
discoloration. For
single use only.
Any unused
solution should be
discarded.
● Advised patient to
refer unusualities.
Generic Name/ Brand Drug Classification Dosage, Mechanism of Action Indication/ Contraindication Side/Adverse Effects Nursing Responsibilities
Name Frequency, Route

● Generic Name: ● anti infective ● 1.5mg A broad-spectrum semisynthetic Indication ● CNS: Convulsive ● Identify the patient.
Ampicillin Sodium ● Antibiotic ● IVTT aminopenicillin, is highly ● Infections of
seizures with high
● Brand Name: ● Aminopenicillin ● q3 hours bactericidal even at low respiratory tract ● Explain to the
● Infections of the doses. patient the purpose
Ampicillin concentrations, but is inactivated
Gastrointestinal ● GI: Diarrhea, of the drug.
by penicillinase (beta-lactamase).
tract
● Soft tissue nausea, vomiting, ● Double check the
infections pseudomembran expiration date
● Endocarditis before
ous colitis.
treatment administering the
● Bacterial Meningitis ● Other: Severe drug.
pain (following
Contraindication ● Monitor renal
IM); phlebitis function
Ampicillin is (following IV);
● Report diarrhea to
contraindicated in those ● Skin: Rash. physician; do not
with a hypersensitivity self-medicate.
to penicillins, as they can
cause fatal anaphylactic ● Adviced patient not
reactions. to breastfeed while
taking this drug
without consulting
physician

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