Toradol IM injection | allnurses

Toradol IM injection

  1. 0 I 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
  2. Visit  nursesearl profile page

    About nursesearl

    nursesearl has '30' year(s) of experience and specializes in 'home care, urgent care, ER, med surg'. 57 Years Old; Joined May '02; Posts: 87; Likes: 5.

    22 Comments so far...

  3. Visit  MassED profile page
    0
    .... unless it is red, swollen and painful, I wouldn't worry too much. That is why we monitor for 15 minutes s/p IM injection....for reactions.
  4. Visit  Black Jade profile page
    0
    I 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.
  5. Visit  GHGoonette profile page
    2
    Strange, 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.
    Altra and shiccy like this.
  6. Visit  azhiker96 profile page
    0
    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.
  7. Visit  Pixie.RN profile page
    5
    Quote from GHGoonette
    Toradol is only 1ml, so the deltoid should be big enough.
    Our 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.
    crb613, JKL33, VICEDRN, and 2 others like this.
  8. Visit  Meriwhen profile page
    1
    Quote from azhiker96
    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.
    I agree--the larger the muscle the better. I also give Toradol in either the gluteus or the vastus lateralis.
    tablefor9 likes this.
  9. Visit  Skip219 profile page
    0
    I 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.
  10. Visit  ShannonRN2010 profile page
    0
    Toradol HURTS. I have always given it IM in the glute...thank goodness because I had to have an injection of it back in December and they gave it in my glute and it stayed very tender with a knot for about 3-4 days!
  11. Visit  Skip219 profile page
    0
    Hi, my most recent adminstration of toradol was during anesthesia school with shoulders and total knees. I understand many of of drugs we give are painful: Penicillin VK, Toradol, and other antibiotics. I sense that I got your senses aroused so just relax.
  12. Visit  loriangel14 profile page
    0
    That's funny.I 've had Toradol IM twice in the delt and it only hurt for a minute.After that it was fine.
  13. Visit  Weebee profile page
    0
    Quote from LunahRN
    Our 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.
    Ditto
  14. Visit  Larry77 profile page
    2
    Location doesn't matter as much as size of the muscle...some talk like your arm will fall off or something...if you say you always give it in the LE, fine, but if I'm your patient and I ask you to give it in my arm...just do it please :-)

    People get so hung-up on location but it's all relative--larger muscle is what matters...
    WonderRN and Altra like this.


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