Robert Martin R.
Puerta BN4A             DRUG STUDY                                                                                                         3/1/18
 Drug                 Dosage,            Indication                 Action               Drug Interaction       Contraindication     Adverse Effects       Nursing
                      Frequency, Route                                                                                                                     Consideration
 Generic Name:        Dosage: 10 mg      Alleviation of signs       Baclofen is an       Opioid pain or cough   Contraindicated in   Sedation,             Assessment
 Baclofen                                and symptoms of            antispastic. It      relievers (such as     patients with:       drowsiness, ataxia,   •History:
 Brand Name:          Frequency: BID     spasticity resulting       inhibits both        codeine,                                    dizziness,            Hypersensitivity to
 Lioresal                                from MS, particularly      monosynaptic         hydrocodone),             Hypersensitivity headache,             baclofen, skeletal
                      Route: PO          for the relief of flexor   and polysynaptic     alcohol, marijuana,       Active Peptic    confusion,            muscle spasm
                                         spasms and                 reflexes at spinal   drugs for sleep or         Ulcer Disease    hallucinations,       resulting from
 Drug                                    concomitant pain,          level.               anxiety (such as                            skin reactions, GI    rheumatic
 Classification:                         clonus, muscular                                alprazolam,                                 symptoms,             disorders, stroke,
 • Centrally acting                      rigidity (for patients                          lorazepam,                                  enuresis.             cerebral palsy,
 skeletal muscle                         with reversible                                 zolpidem), other                                                  Parkinson’s
 relaxant                                spasticity to aid in                            muscle relaxants                            Potentially Fatal:    disease, seizure
                                         restoring residual                              (such as                                    Respiratory or CV     disorders,
                                         function); treatment                            carisoprodol,                               depression,           lactation,
                                         of central                                      cyclobenzaprine), or                        seizures.             pregnancy
                                         spasticity(via Synchro                          antihistamines (such
                                         Medpump)                                        as cetirizine,                                                    Interventions
                                                                                         diphenhydramine).
                                         Spinal cord                                                                                                       •Give with caution
                                         injuriesand other                                                                                                 to patients whose
                                         spinalcord diseases—                                                                                              spasticity
                                         may be of somevalue                                                                                               contributes to
                                                                                                                                                           upright posture or
                                         Unlabeled                                                                                                         balance in
                                         uses:Trigeminalneural                                                                                             locomotion or
                                         gia (ticdouloureux);                                                                                              whenever
                                         maybe beneficial                                                                                                  spasticity is used
                                         inreducing                                                                                                        to increase
                                         spasticityin cerebral                                                                                             function
                                         palsy inchildren
                                         (intrathecaluse)
Robert Martin R. Puerta BN4A           DRUG STUDY                                                                                                        3/1/18
 Drug               Dosage,            Indication              Action              Drug Interaction        Contraindication       Adverse Effects       Nursing
                    Frequency, Route                                                                                                                    Consideration
 Brand Name:        Dosage: 50 mg      -Effective agent for    Centrally acting    Interacts with MAO         Hypersensitivity   CNS: Drowsiness,      Assess for level of
 ConZip, Ultram                        control of moderate     opiate receptor     inhibitors; patients        to tramadol or     dizziness, vertigo,   pain relief and
                    Frequency: BID     to moderately severe    agonist that        acutely intoxicated         other opioid       fatigue, headache,    administer prn
 Generic Name:                         pain.                   inhibits the        with alcohol,               analgesics         somnolence,           dose as needed
 Tramadol           Route: PO                                  uptake of           hypnotics, centrally       alcohol            restlessness,         but not to exceed
                                       - Tramadol inhibits     norepinephrine      acting analgesics,          intoxication       euphoria,             the recommended
 Classification:                       reuptake of             and serotonin,      opioids, or                pregnancy          confusion, anxiety,   total daily dose.
 •Central nervous                      norepinephrine,         suggesting both     psychotropic drugs;         (category C);      coordination          - Monitor vital
 system agent;                         serotonin and           opioid and          substance abuse;            lactation          disturbance, sleep    signs and assess
 •Analgesic;                           enhances serotonin      nonopioid           patients on obstetric                          disturbances,         for orthostatic
 •Narcotic                             release. It alters      mechanisms of       preoperative                                   seizures.             hypotension or
 (opiate) agonist                      perception and          pain relief. May    medication.                                                          signs of CNS
 •Pregnancy                            response to pain by     produce opioid-                                                    CV: Palpitations,     depression.
 Category: C                           binding to mu-opiate    like effects, but                                                  vasodilation.         - Discontinue drug
                                       receptors in the CNS.   causes less                                                                              and notify
                                                               respiratory                                                        GI: Nausea,           physician if S&S of
                                                               depression than                                                    constipation,         hypersensitivity
                                                               morphine.                                                          vomiting,             occur.
                                                                                                                                  xerostomia,           - Assess bowel and
                                                                                                                                  dyspepsia,            bladder function;
                                                                                                                                  diarrhea,             report urinary
                                                                                                                                  abdominal pain,       frequency or
                                                                                                                                  anorexia,             retention.
                                                                                                                                  flatulence.           - Use seizure
                                                                                                                                                        precautions for
                                                                                                                                  Body as a Whole:      patients who have
                                                                                                                                  Sweating,             a history of
                                                                                                                                  anaphylactic          seizures or who
                                                                                                                                  reaction,             are concurrently
Robert Martin R. Puerta BN4A   DRUG STUDY                          3/1/18
                                            withdrawal            using drugs that
                                            syndrome anxiety,     lower the seizure
                                            sweating, nausea,     threshold.
                                            tremors, diarrhea,    - Monitor
                                            piloerection, panic   ambulation and
                                            attacks,              take appropriate
                                            paresthesia,          safety
                                            hallucinations        precautions.
                                                                  Control
                                            Skin: Rashes          environment
                                                                  (temperature,
                                            Special Senses:       lighting) if
                                            Visual                sweating or CNS
                                            disturbances.         effects occur.
                                            Urogenital:
                                            Urinary
                                            retention/frequen
                                            cy, menopausal
                                            symptoms.