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it says Tramadol 400mg TDS. So, 1200mg a day?
39231
QuestionComment
It says that for Ibuprofen not Tramadol.
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Neoplasia Sclerosis
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Myotonia Biopsy
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

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Drug Calculations
Topic
74
Elderly Care
Current dose of tramadol a day = 400mg a day
Number of tablets a day
= 400mg/ 200mg tablets
= 2 tablets a day
Number of tablets for 10 days
= 2 tablets x 10days
= 20 tablets for 10 days
6916
QuestionQAAnswer
20
tablets
A 77- year-old man was admitted to the care of the elderly ward for infective exacerbation of COPD. PMH Mild COPD, Osteoarthritis of left knee. DH Paracetamol 1g QDS, Ibuprofen 400mg TDS PO, Tramadol 200mg BD PO, Ipratropium bromide 40 micrograms INH, Salbutamol 200 micrograms INH QDS


Tramadol tablets are available in 50mg, 100mg, 150mg and 200mg.

How many 200mg tablets should the patient be discharged with for a duration of 10days?