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No. 10
from Nursekatydid
Old Feb 24, 2004, 09:08 AM

Thats so strange to hear about these doctors using Toradol after stuff like abd. surgery. I thought doctors were reluctant to use this after surgery or even before because of the risk of bleeding. Doesn't Toradol do something, like interfere with the platelets or bleeding cascade?
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No. 11
from Dave ARNP
Old Feb 24, 2004, 10:52 AM

My wife gives it to most all of her post-op's.

Also, whenever I do a pain consult on a post-op, 95% of the time I order the drug in addition to whatever narcotic I'm giving.

-Dave
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No. 12
from bellehill
Old Feb 24, 2004, 05:13 PM

Originally Posted by MD Terminator
If you can get them on PO, you can supplement with Vioxx.
I don't use it post-op, more in chronic pain but Indocin can be a decent supplmenting agent, and is availble in a PR form.
Other than Toradol, I know of nothing that is a good supplement. (But give me a minute or two more to think... I may come up with something).

BTW, does it HAVE to be Dilaudid? If they're ALL getting loopy, then you're giving a wee wittle bit too much. Perhaps MS04 would be better, as everyone is more familiar with it.

-Dave

Our doctors love Dilaudid for just about anything, they say it has fewer side effects than Morphine. We actually use sliding scales for the pain meds...if the patients pain is 1-5 they get so much and if it is 5-10 they get so much (sometimes it is broken down into smaller increments). I wish Toradol was a standard order but for some reason they don't like to use it with our lumbar fusion sugeries, any ideas why?
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No. 13
from Dave ARNP
Old Feb 24, 2004, 05:15 PM

The neuros I know order it.
I'll have to inquire about why one would NOT want to use it in this case. Never had to consult on one of their patients, so I have pretty limited knowledge there.

-Dave
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No. 14
from z's playa
Old Feb 24, 2004, 05:22 PM

Default Toradol shmoradol
Does anyone know if its normal to get the extreme agitation and tremors with Maxeran and Toradol together? How about Decadron thrown into the equation? I think Toradol is grreat but not ALL the time in my case. Makes me freak out.
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No. 15
from Dave ARNP
Old Feb 24, 2004, 05:25 PM

Adding some Decadron to the mix?

Yea... that's WHY !

-Dave
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No. 16
from fab4fan
Old Feb 24, 2004, 06:24 PM

Just curious - why would someone use zofran, compazine, phenergan for pain relief? I thought they were just used for n/v. BTW, many orthopedic surgeons I work with are reluctant to use phenergan because of oversedation, but I find Zofran to be useless, and phenergan seems to work so much better.
Back in the Paleolithic, when I went to nursing school, we were taught that Phenergan "potentiated" the effect of a narcotic...it made the pain relief even better, in other words. Of course, this is hogwash. What they were seeing was increased sedation, and we all know that sedation does not equal pain relief (everyone nod your head and say "yes").
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No. 17
from Dave ARNP
Old Feb 24, 2004, 06:37 PM

I'm nodding Fab, I'm nodding!

However it appears others have a neck injury.



-Dave
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No. 18
from bellehill
Old Feb 24, 2004, 08:43 PM

Originally Posted by fab4fan
Back in the Paleolithic, when I went to nursing school, we were taught that Phenergan "potentiated" the effect of a narcotic...it made the pain relief even better, in other words. Of course, this is hogwash. What they were seeing was increased sedation, and we all know that sedation does not equal pain relief (everyone nod your head and say "yes").

I am nodding! I was taught the potentiating effect of Phenergan when I was in school and that was just 4 years ago. When I got out I worked on a women's health floor and everyone got Demerol and Phenergan together...the doctors would even order it that way. Now we realize the danger in using Demerol and we know Phenergan doesn't help with pain...what do you figure we will learn tomorrow or the day after?
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No. 19
from NRSKarenRN
Old Feb 24, 2004, 10:03 PM

Husband has had 90+ kidney stones. When IV Toradol first given to him, he couldn't believe the relief he got for Sever Renal Colic 20/10 scale!
Much better than IV Dilaudid without nausea. Toradol is the first thing he requests in ER. Thankfully, stones are now about 18 months apart, 95% are passed instead of every 6 weeks as was happening about 7 years ago.

i just call him my own personal rock quarry.
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