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luckykitkat luckykitkat (New Member)

Pain reliefs

Medications   (2,670 Views 3 Comments)
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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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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.

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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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