(1) TB 182 - Ketorolac

Question 1

Ketorolac is intended to be used for pain management in patients who have _______.

Answer 1

mild to moderate pain.

(It may also be given to patients with moderate to severe pain in conjunction with opioids, or when contraindications to other analgesics exist (e.g., hypotension, respiratory failure, opioid allergy).)

Question 2

Common emergencies for Ketorolac use are:

Answer 2

-isolated extremity injuries/fractures

-non-traumatic abdominal pain.

Question 3

Ketorolac is absolutely contraindicated in patients with any of the following:

Answer 3

1. Active bleeding
2. Active wheezing
3. Age <4 years old or >65 years old
4. Allergy to NSAIDs
5. Current anticoagulation therapy
6. Current steroid use
7. Head injury
8. Multi-system trauma
9. History of upper GI bleeding or peptic ulcer disease
10. History of renal disease or kidney transplant
11. Known or suspected pregnancy
12. Suspected sepsis or septic shock

Question 4

Ketorolac should be avoided in patients with _________ pain.

Answer 4

-cardiac chest pain

(this could increase the chance of kidney damage from contrast dye if the patient requires treatment in the cardiac cath lab.)

Question 5

How many doses of Ketorolac can be given in the prehospital setting?

Answer 5

1 dose

Question 6

What are the possible adverse effects of Ketorolac?

Answer 6

1. Abdominal Pain
2. Headache
3. Nausea

Question 7

Ketorolac is now a mandatory item.

Minimum inventory for both ALS Rescue Ambulances and ALS Assessment Companies is ____mg

Answer 7

60mg

(This can be either 4 vials of 15mg/1mL or 2 vials of 30mg/2mL)