Ketorolac (Toradol) #

Question 1

Class / Action

Answer 1

Nonsteroidal Anti-inflammatory (NSAID) / Acts via prostaglandin synthase inhibition.

Question 2

Onset / Duration of Action

Answer 2

ONSET: 30min IV/IM
DURATION: 4-6hrs

Question 3

Indications

Answer 3

Moderate to Severe Pain

Question 4

Contraindications

Answer 4

1. Peri-operative patients (eg. CABG)
2. Advanced Renal Impairment
3. CVA Bleed or GI Bleed
4. Labor & Delivery
5. Hypersensitivity

Question 5

Precautions

Answer 5

Elderly patients generally require a lower dose

Question 6

Dosage / Administration

Answer 6

SIVP Slowly over 15-20seconds. IM Slowly & Deeply into the muscle.
Adult IM: Pts <65y/o 60mg. Pts >65y/o and/or <110lbs 30mg.
Adult IV: Pts <65y/o 30mg. Pts >65y/o and/or <110lbs 15mg
Peds: >2y/o 0.5mg/kg IV/IO/IM, MAX Single Dose 15mg

Question 7

Adverse Reactions

Answer 7

1. Allergic Reaction
2. Dizziness
3. HypERtension