Toradol IM injection
- 0Feb 26, '11 by nursesearlI have always given Toradol in a large muscle because I was told many years ago that it needed to go there. I have recently tried to look this up and can not find any info on this. We had a patient in our Urgent Care that returned with a lump on his arm where a Toradol injection was given. Any info on this, or is this just something that is understood?
What I'm asking: is it OK to inject Toradol in the deltoid? I was told always gluteal muscle.Last edit by nursesearl on Feb 26, '11 : Reason: question not clear
- 0Feb 26, '11 by Black JadeI always gave it in the gluteal muscle and never had any problems, except for two ocassions; when I aspirated blood and also when the needle wouldn't go in and needed to start all over again. There was a tough looking patient who insisted that I give Toradol in the deltoid muscle. I warned him that it will be extremely painful and mentioned this to the doctor. The doctor spoke with the patient, but the patient wouldn't have it any other way. Everything was documented and the patient was monitored. The patient complained about the pain (at least he was warned); other than that he was fine. The next time he came for his routine Toradol, he agreed to be given in the gluteal muscle.
- 2Feb 26, '11 by GHGoonetteStrange, I know it can be given IM, but I rarely see it written up as such. Mostly for IV administration. I can't see that the size of the muscle is so critical, except that the anti-inflammatories tend to be irritant. Toradol is only 1ml, so the deltoid should be big enough.
I agree, I don't think a bit of swelling is too much to worry about, unless there's infection involved.
- 5Feb 26, '11 by Pixie.RN, BSN, RN, EMT-P Senior ModeratorQuote from GHGoonetteOur Toradol is 30 mg/ml and we typically give 60 mg when giving it IM, so it would be 2 ml for us. I always give it in the gluteal area.Toradol is only 1ml, so the deltoid should be big enough.
- 1Feb 26, '11 by Meriwhen, ASN, BSN, RN Senior ModeratorQuote from azhiker96I agree--the larger the muscle the better. I also give Toradol in either the gluteus or the vastus lateralis.I always give it in the gluteal or quad. I've seen many of my patients where the doc gave it in the deltoid. I think a larger muscle is kinder but any of the three sites should be fine.
- 0Feb 26, '11 by Skip219, BSN, RNI have given Toradol 60mg IM in Vastus lateralis muscle to total knee patients and have given the same amount through deltoid route. The dosage must be adjusted if over 65 yrs old because of decreased renal function. Never heard of patients coming in with nodule-like areas from injection. Not to worry unless hot, tender, and febrile.