IV Toradol? - page 4

Ok I've researched the web and asked some of the other disciplines in our facility but many of the answers are vague. We have doctors here that are reluctant to give IV Toradol. Some say it "burns... Read More

  1. by   bellehill
    kids-r-fun,
    our neurosurgeons won't use toradol for that reason...it interferes with the fusion process. I miss giving toradol, what a great drug and I never had a problem with people complaining about burning (I push it without dilution except maintenance fluids). Most patients I have given it to in the past liked it more than the narcotics.

    PS: that is a huge fusion, hope you are doing well
  2. by   Kingbandit
    Quote from bellehill
    kids-r-fun,
    our neurosurgeons won't use toradol for that reason...it interferes with the fusion process. I miss giving toradol, what a great drug and I never had a problem with people complaining about burning (I push it without dilution except maintenance fluids). Most patients I have given it to in the past liked it more than the narcotics.

    PS: that is a huge fusion, hope you are doing well
    Our Orthopedic surgeons claim there is a direct corallation between IV/IM Toradol and non-union healing of fractures and fusions of any type the surgeons are working on a research project but have not begun the trials yet. It will be interesting to see the results?
  3. by   mtnmom
    I have used it quite a bit and the patients love it. It works very well for post c/s pain. seems to be synergistic with the narcotic pain relievers.
    Only contraindications would be allergy to NSAID or aspirin - or bleeding issues such as low platelets, current or very recent heavy bleeding/clotting, etc. Otherwise it is well tolerated if given slowly - either very diluted or slow push with a fluid bolus.
    It is ordered q6h prn for 1, 2, or 3 doses depending on physician preference. Some of the docs will schedule it to be given q6 for 24h.
  4. by   Mimi2RN
    We use Toradol on our pp unit, too. It works very well for c/s patients.

    I was given it q 6 after abdominal surgery, I'd rather use that than narcotics. I went home with po Toradol, and I think it was Darvocet, I alternated meds every three hours. I'd have been miserable without the Toradol!
  5. by   tiredfeetED
    Toradol 60 mg IM is my life saver when i get a HA at work....I hate shots..but it works for me..Funny most of our frequent flyers are allergic to Toradol...I have yet seen one reaction from it??
  6. by   CMacPh
    We use IV toradol in my pediatric hospital, especially after bowel surgery. I feel it really makes a difference in pain control, even with narcotic drips. We give only 10 total doses.
    We dilute with NS and give over 15 minutes, follow with NS flush.
    Last edit by CMacPh on Jun 21, '04
  7. by   pickledpepperRN
    Quote from zambezi
    There was a couple of threads about the use of IV toradol a couple of months back with a lot of good information--you can use the search engine to look them up if you want to...

    That said, we use IV toradol quite a bit for our post op heart surgery patients...we do look at the history of the patient for previous GI bleeds/renal insufficiency (we don't give for creatinines >1.2), etc...
    I love toradol, as others have mentioned, it works great most of the time, especially on the younger patients. We only have it ordered Q6x 3 doses for 24 hours after extubation...we also frequently give it while we are trying to extubate...it really helps with the patient pain levels...

    I usually push it in central lines with our maintainence D5LR fluids...but I also use it in peripheral lines and have never had anyone complain about burning/pain etc...Just my experiences...
    One of our surgeons has it as a standing PRN order.
    I LOVE it when the patient is extubated, alert, and pain free!
    I generally ask the MD or PA when the patient is in pain and there is no order. Yhey order MS yet don't want it given (so the patient can breathe) so Toradol is great!
    Chronis dialysis patients get it too. Renal patients and as was posted
    ^ creatinine patients do NOT.
  8. by   cnyrn
    Use it all the time on MedSurg, often with great effect. Ever have a patient who got relief with it, then found out it wasn't a narc and decided it didn't work anymore? I've also seen this same phenomenon with Ultram (which doesn't seem to work that great anyways)
  9. by   natasha700
    When I was hospitalized w/meningitits for pain toradol was given to me IVpush every 6 hours and it took the pain away. Thank goodness for picc lines. I was only able to have for 5 days because of the gi bleed I was mad ahahahah! Luckily, by that time my pain was better managed with vicodin po and I didn't have take as much. I understand giving it IM is very painful too.
  10. by   jett01
    I work on a med-surg/orthopedic floor and we give toradol often. Usually 30 mg ivp for first dose (depending on age/renal function etc) with subsequent doses of 15 mg q 6 prn. Seems to work better than the morphine for most. I had an left ACL reconstruction in May and obtained better results from the toradol than from my morphine PCA.
  11. by   natasha700
    Quote from jett01
    I work on a med-surg/orthopedic floor and we give toradol often. Usually 30 mg ivp for first dose (depending on age/renal function etc) with subsequent doses of 15 mg q 6 prn. Seems to work better than the morphine for most. I had an left ACL reconstruction in May and obtained better results from the toradol than from my morphine PCA.
    I found that it worked better than morphine too. It was a great pain reliever. It worked very well with inflammatory pain. My md ordered toradol and it did not take long for the pain to be relieved vs and IM injection or morphine.
  12. by   Yellow Rose RN
    My 12 yo son had open heart surgery last summer and was given toradol in the PICU for pain control. I am not sure of the dosage, but the pain control was good. However, after home for a week, he went downhill and after many calls to the MD and getting misinformed. (I knew something was not right, but the MD's were not too interested in listening to me). I called 911 because of his extreme pallor and being diaphoretic. I also had checked his BP and could not get a manual reading at all. The paramedics rushed him to the ER and his H&H was 5 and 15. He was in hypovolemic shock. DRs were not sure what was going on. His BP was 50/20. He was flown by helicopter back to the town where he had his surgery and it was found that he had a GI bleed. He had lost over 50% of blood volume and after a total of 6 units of blood and and endoscopy procedure to remedy the GI bleed along with NG tube with continuous suctioning out copious amounts of blood all through the night.... he is okay. Dr's said freak happening and that it is not common at all for 12 y/o to get strss ulcer. But after reading this thread, have to wonder if toradol had a contributing factor. Also think that being sent home on high amounts of ibuprofen contributed as well. Thank goodness he is okay.
    Interesting info.....
  13. by   treddrn
    We use Toradol IV 30mg like it was going out of style......in the ER!!! If you come into the ER with a kidney stone......we give it quickly.

close