IV Toradol?

  1. 0 [font=Comic Sans MS]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 up your vessels, or may cause high incidence of GI bleed. I don't find a whole lot of info to back this up however. If anyone has some web site or personal experiences, I would like to hear them. Tx
  2. Visit  OZ88 profile page

    About OZ88

    52 Years Old; Joined Jun '04; Posts: 4.

    56 Comments so far...

  3. Visit  Txsizzler profile page
    0
    At my facilility we give IV Toradol quite often. Our Doctors like it. I have noticed some patients complain of a little "burning" when I push it.... so I try to go slow with it. I have not noticed a higher incidence of GI bleeds with it.
  4. Visit  TMPaul profile page
    0
    Quote from OZ88
    [font=Comic Sans MS]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 up your vessels, or may cause high incidence of GI bleed. I don't find a whole lot of info to back this up however. If anyone has some web site or personal experiences, I would like to hear them. Tx
    We give Toradol IVP in the ER. We push it extremely slow and follow it with a saline flush (usually 30 cc). There are potential GI bleed side effects to this drug. You must do a complete history (if possible) on the patient prior to administration to r/o any contraindications.
    Toradol is given for a total (po/IV/IM) of 5 days only.
  5. Visit  z's playa profile page
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    I always get it piggybacked with a bolus of saline. I get severe adverse reactions when mixed with Maxeran or Stemetil.
  6. Visit  Rena RN 2003 profile page
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    we do IV push toradol 30 mg only in our ER and it's a one time only thing.
  7. Visit  mother/babyRN profile page
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    Iv toradol is in our standing post op csection orders q 6 hours prn.....Often works better than the morphine and even after dura morph spinals, some patients have it ordered q 6 hours for 24 hours. Have never had a problem with it in the time we have used it and most patients like it much better than the other iv meds which are ordered...
  8. Visit  SmilingBluEyes profile page
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    It's done all the time in the OB unit where I work, without incident or problem.
  9. Visit  zambezi profile page
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    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...
  10. Visit  psychomachia profile page
    0
    Quote from OZ88
    [font=Comic Sans MS]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 up your vessels, or may cause high incidence of GI bleed. I don't find a whole lot of info to back this up however. If anyone has some web site or personal experiences, I would like to hear them. Tx

    It sucks for anything except kidney stones/renal colic.
  11. Visit  mother/babyRN profile page
    0
    In my experience in OB, we LOVE the drug..I have never in all the years we have used it, ever had anyone develop a problem with it....Isn't it weird how different the experiences are? Seems like OB is the place to be for IV torradol...
  12. Visit  camay1221_RN profile page
    0
    Mother/babyRN,

    Your toradol orders are the same as the ones we used at the PP unit I used to work on. We had one MD who refused to write orders for Toradol postop, but the c-section moms just LOVED it!



    Quote from mother/babyRN
    Iv toradol is in our standing post op csection orders q 6 hours prn.....Often works better than the morphine and even after dura morph spinals, some patients have it ordered q 6 hours for 24 hours. Have never had a problem with it in the time we have used it and most patients like it much better than the other iv meds which are ordered...
  13. Visit  mother/babyRN profile page
    0
    Whew! Thank goodness. I was starting to get a little nervous....Our moms prefer it over morphine iv, which often makes them nauseated....What are your other standing orders? Ours are zofran four mg iv q six hours prn nausea, narcan, pepcid or reglan iv prn and several other things along with nubain for prurits post duramorph spinals, the torradol, droperidol for nausea and whatever else the individual doc wants..
  14. Visit  Spidey's mom profile page
    0
    We give IV Toradol in the ER alot for migraines, kidney stones. On the floor it is used mostly with post-op hip replacements and total knees usually for 48 hours. We simply give it with a running IV, never had a complaint. You would never give it or any NSAID with a GI Bleed however. We don't give it for OB's but do give ibuprofen 600 mg. for vag deliveries w/o complications. One doc gives that before narcs. Mom's who have had surgery get narcs . . usually morphine and then as soon as they can take fluids, depending on allergies, we give Tyl. #3, Vicodin and maybe Darvocet. I've found giving simethicone to post-op moms is good too . . . my pain after my c-section was mainly due to gas

    We don't push it very slowly.

    Funny how we all do things differently.

    steph

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