which meds do you find work best thanks?
Aug 11, '03
Seriously, I don't think there's *anything* that really takes away kidney stone pain. I'd rather go through childbirth 10 times over than another episode of nephrolithiasis. On a 0-10 pain scale, I rate this experience at least a 12. OUCH.
Aug 11, '03
Most patients seem do do pretty well with 30mg of IV toradol.
We start a line of NS, give 30 of toradol and 12.5 of phenergan. For breakthrough pain, the patient may get a little touch of demerol (50mg) IV.
As a result of combined anti-inflammatory and spasmolytic effects, nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, diclofenac (Voltaren) and ibuprofen (e.g., Motrin) can be effective in managing the pain of renal colic. Of these agents, ketorolac (Toradol) merits special mention. In one emergency department study, the narcotic-like analgesic effects of this agent were superior to the effects of meperidine.20 Unfortunately, the antiplatelet effects of NSAIDs (including ketorolac) are a contraindication to the use of extracorporeal shock wave lithotripsy, because of the increased risk of perinephric bleeding.