Tramadol
Tracking # 20-662050
Course overview
In comparison to opioids like hydromorphone and morphine, tramadol is sometimes called a weak opioid and is a Schedule IV drug, however tramadol can lead to a substance use disorder and cause serious morbidities and death. Tramadol should be used cautiously because it can cause sedation and other physical side effects. Dosing adjustments should be made for patients with hepatic and renal conditions and, when given in patients with comorbid hepatic and renal disease, ongoing monitoring of patient response and progress needs to be done. Tramadol should be avoided or used with caution in patients with a history of a mental illness and history or risk of a substance use disorder. Although said to be a weak opioid, tramadol use disorder is a real risk and it can be a dangerous drug when taken in overdose. No Test Required!
Subject areas
This course counts toward the state boards and subject areas below.
Arkansas State Board of Nursing
Certified Nurse Midwife
Certified Nurse Practitioner
Certified Registered Nurse Anesthetist
Clinical Nurse Specialist
Licensed Practical Nurse
Licensed Psychiatric Technician Nurse
Registered Nurse
Registered Nurse Practitioner
District of Columbia Board of Nursing
Certified Nurse Midwife
Clinical Nurse Specialist
Licensed Practical Nurse
Nurse Practitioner
Registered Nurse
Registered Nurse Anesthetist
Florida Board of Nursing
Advanced Practice Registered Nurse
Clinical Nurse Specialist
Licensed Practical Nurse
Registered Nurse
Georgia Board of Nursing
Licensed Practical Nurse
Registered Professional Nurse
New Mexico Board of Nursing
Certified Nurse Practitioner
Certified Registered Nurse Anesthetist
Clinical Nurse Specialist
Licensed Practical Nurse
Registered Nurse
South Carolina Board of Nursing
Advanced Practice Registered Nurse
Licensed Practical Nurse
Registered Nurse
West Virginia Board of Registered Nurses
Advanced Practice Registered Nurse
Registered Nurse
Disclosure statements
Policy Statement
This activity has been planned and implemented in accordance with the policies of NurseCe4Less.com and the continuing nursing education requirements of the American Nurses Credentialing Center's Commission on Accreditation for registered nurses.
Continuing Education Credit Designation
This educational activity is credited for 2.5 hours at completion of the activity. Pharmacology content is 2.5 hours.
Statement of Learning Need
Although tramadol is considered a weak opioid, it can lead to significant sedation and other physical side effects. Patients with comorbid diseases, such as hepatic and renal failure, may need dosing adjustments as well as close monitoring. Tramadol has helpful analgesic properties, however clinicians need to remember that it has other actions, such as serotonin-noradrenaline reuptake inhibition that can lead to a serious side effect of serotonin syndrome.
Course Purpose
To inform health clinicians of the indications, uses, contraindications and potential side effects of tramadol.
Target Audience
Advanced Practice Registered Nurses, Registered Nurses, and other Interdisciplinary Health Team Members.
Disclosures
Dana Bartlett, RN, BSN, MSN, MA, CSPI, William Cook, PhD, Douglas Lawrence, MA, Kellie Wilson, PharmD, Susan DePasquale, MSN, FPMHNP-BC – all have no disclosures. There is no commercial support.