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Can you tell me a bit more so I can better assist you? How much does Piper weigh? How much tramadol did she ingest?
Thank you for the additional information. At 7 pounds, if she ate all 150 mg of tramadol that would be a very high dose...aproximately 45 mg/kg. Typical dosage in dogs is 1 to 4mg/kg, so this would be an overdose if she ingested all the medication. If you are not sure, often it is best to err on the side of caution. If you can take her to your nearest vet, they will be able to induce vomiting to ensure that the high dose in not absorbed in her system. This would be the safest option as she is so tiny.