Most common ER pediatric meds - page 2

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  1. Jan 5 by
    Quote from hiddencatRN
    We use toradol frequently in pediatrics. It's a godsend for sickle cell pain and migraines. The formulary (lexicomp) we use doesn't caution against it.
    Quote from ChristineN
    Chris, I have done peds and adults and I have seen tordol used more frequently with children than with adults. With sickle cell, migraines, or any sort of inflammatory pain, Tordol can work wonders for kids. Because of the risk of bleeding, it is often contraindicated in a lot of the elderly population. Most hospitals have a policy about how many doses of tordol you can receive in a 30 day period, and once you have max'ed out your tordol doses the patient would be switched to Motrin.
    Sorry, I haven't been on this site in a while so I haven't got a chance to respond. I have looked at a few different medication references and what they all noted was "the safety of using Toradol in the Pediatric population has not been established" and I believe that is why most of our ED Physicians would not order it for our kids. With that being said, there were cases where we would see a dose (or maybe two doses) of Toradol ordered but it tended to be for older teenagers and kids in Sickle Cell Crisis. I think the use of Toradol in the Pediatric population is largely based on the physician (or group of physicians) and your own hospital's policies. To the OP, add it to your list of meds. to know about but be aware of potential safety concerns.

    !Chris
  2. Jan 6 by
    Quote from Jahna
    I would only add ketamine to this list. In Peds, this drug is one of the go meds for moderate sedation procedures.
    I would also add that for pediatric moderate sedations (only MD can push IV ketamine, but RN draws it up and attaches syringe to IV with tubing clamped), versed and atropine are frequently ordered along with ketamine. Versed helps to relax the patient and decrease hallucinations 2/2 ketamine. Atropine helps decrease secretions and prevent vagal stimulation (pt usually becomes a little tachy).
    Also, simethicone (mylicon, gas-x) was frequently ordered for kids even if there were no GI symptoms or complaints. Especially when Motrin was ordered because it helps coat the upper GI tract.

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