1. Ultracet (Tramadol+acetaminophen)
Side effect: nausea and vomiting, dizzy . abd pain
max: 8 tabs/day
** for renal imaired patient: max 2 tabs/2 hrs
(no longer than 5 hrs)
2. Tramadol
react with opioid receptor for analgesic & sedation
max: 400mg/day
side effect: risk of addiction, respriratory depression, N&V, cardiac arrest
**Nursing action: monitor respiratory pattern **
3. Pethidine
analgesic for severe pain/ acute/ pre-op/ post-op
PO, Inj(IM, IV)
max:400mg/day
Side effect: N&V, dizzy, sedative
**Nursing action: monitor respiratory pattern**'

4. Targin
analgesic for severe pain
Initial 80mg/day
max: 400mg/day
side effect: headache, dizzy, loss of appeite

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