Toradol-Ketorolac
ADULT:
Moderate pain:
15 mg IV/IO/IM, one time
PEDS:
Moderate pain:
0.25 mg/kg IV/IO/IM to a maximum of 15 mg, one time
INDICATIONS:
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Moderate pain,
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Can't tolerate Narcotics or refuses them,
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Can't establish IV,
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Fentanyl has been given and patient requires more pain medication,
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The patient's ventilatory status may be at risk
PROCEDURE:
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Confirm the patient meets the indications for administering ketorolac (Toradol).
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Confirm the patient has no contraindications to receiving ketorolac.
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Adminster the ketorolac at the prescribed dose. If patient has an IV line, that route is preferred.
CONTRAINDICATIONS:
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Age < 2 years old or Age >65
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Suspected cardiac pain
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Hypersensitivity or allergy to NSAIDs (e.g. aspirin, ibuprofen, naproxen)
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Active peptic ulcer disease or recent (< 3 months) history of GI bleed or perforation
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Designated trauma center patients; persons with suspected active or at high risk for significance
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Hemorrhage, including intracranial bleeding, major trauma, GI bleeding, or coagulopathy
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Concurrent use of NSAIDs and/or anti-coagulants (low does aspirin okay)
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Recent (6 < weeks) or scheduled major surgery
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Renal disease or patient with renal transplant
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Pregnancy, suspected pregnancy, or breastfeeding
DOCUMENTATION:
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Pain scale pre-administration
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Patient weight (kg) if pediatric
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Indications for administration
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Confirmation of no contraindication
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Any adverse reactions