Pain reliefs

  1. Hi. I'm a nursing student and I've been wondering why 3 pain medications are given in a patient after cholecystectomy? Nubain prn for severe pain, Toradol, and Tramadol via IV. Can someone explain the rationale behind the presciption? Thanks!
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    Joined: Jul '14; Posts: 9

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  3. by   Esme12
    Simply put....Each have different mechanisms for relief of pain. Torodol is an anti-inflammatory and is a good alternative to narcotics. Tramadol is stronger but not a "narcotic" although is a Class IV scheduled drug. Nubain is a narcotic.

    ....and the MD doesn't want to be called if one pain Rx isn't effective he has already provided alternatives.
  4. by   wtbcrna
    Toradol is an NSAID. Nubain is an opioid agonist/antagonist. Nubain is used for moderate pain relief, and usually has a ceiling effect to its respiratory depression effects (i.e. won't usually cause respiratory cessation). Tramadol is a multi-modal pain medication (it works on multiple receptors), but it is considered a very low potency narcotic because it is agonist of the opioid/mu receptors. [Pharmacology of tramadol]. [Drugs. 1997] - PubMed - NCBI

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