Toradol IM injection - page 2

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... Read More

  1. by   LDRNMOMMY
    When I went through nursing school we were taught if the amount is anything more than 1ML it should not be given in the deltoid. Like pp said, if you are giving 30mg it would be appropriate to give in the deltoid.
  2. by   TeleMeMore
    I've actually received a Toradol 30mg IM injection in the 5'2 100lbs skinny lil did not hurt at all my arm was barely even sore...

    I've given it in the deltoid before with no complaints from those pt's - dosage is usually 15-30mg. never gave 60.
  3. by   canoehead
    People tend to complain that it burns, so I give it in a large muscle, no matter the dose. Seems to help, but who knows?
  4. by   SkiingCait
    Like the others said, if I am giving 60mg, I always give it in the gluteal b/c it is 30mg/mL. The 1 or 2 times I have given 30mg IM I have given it in the deltoid, and the pt's didn't have any reaction.
  5. by   allstudentnurses
    I will typically give Toradol 30mg/1cc in the gluteal area, but I also give in the deltoid, but 60mg/2cc is too much fluid for the deltoid and may cause muscle damage.

    When you are giving a deltoid injection you are putting fluid in the middle of the muscle therefore separating the muscle and causing it to tear, if you put too much fluid in the deltoid it will could cause irreversible damage and will definitely cause excessive pain, which is why it's recommended that no more than 1.5 cc's be pushed into the deltoid, anything more than 1.5 cc's must go into a large muscle, likes the glutes.
  6. by   murphyle
    I've done Toradol (30 mg/mL) in the deltoid on my larger patients (i.e. the ex-football player type with arms the size of most people's thighs) and never had a problem. Smaller patients get it in the ventrogluteal. I do warn patients that it's going to burn pretty much anywhere I put it. Amusingly, that advice usually makes them request a deltoid injection - they figure they'd rather have a sore arm than a sore rear end, and it saves all the questions about why they're now walking funny.
  7. by   mybrowneyedgirl
    Our rule is that all doses greater than 1 mL need to go into a larger muscle so no deltoid.
  8. by   JennyAS
    When we give Toradol IM, we give a dose of 60 mg/2 mL. I agree that 2mL of fluid is too much to inject into a small muscle mass like the deltoid. I usually only use the deltoid for Tetanus IM (0.5mL) and anything less than 1mL.
  9. by   valeriad13
    I work in the ER and give Toradol as an IM injection so many times throughout a 12 hour shift that I cannot keep track. I give almost every single injection of mine in the deltoid. Regardless of where you give it, the medication burns, however I tell all of my patient that it will burn for about 2 minutes and will dissipate if they rub their muscle to promote absorption. Doesn't burn nearly as bad as Rocephin IM. There is nothing that i find in literature stating to use a large muscle. The only time that I give it in the gluteus or vastus is when the person is very thin and has a tiny deltoid. I was in school for nursing as well as Physician assistant and was drilled that you can use up to 3 ML concentration doses for deltoid, up to 5 in the glut. (of course not if they are small frail people with little muscles). But I have never had a problem with giving Toradol for years as a deltoid injection as long as their muscle is large enough.
  10. by   Murse901
    2mL is an appropriate dosage for IM injection into a well-developed adult deltoid.
  11. by   oldnurse28
    I learned in LVN school less than 2 ml is the maximum in a deltoid. I tend to go with the idea 1.5 ml is the max I want to push into that muscle.
    My doc always tells them they are getting it in their hip but I always go for the deltoid. Better chance of accuracy and I rarely get a complaint. People tend to think that anything in their tush will hurt so much more so it's really more of a mental thing. Once I say oh no, it's the AMOUNT that matters more than the med....not ENTIRELY accurate but we don't need to freak patients out about thick meds that hurt like a $!#÷% unnecessarily, they tend to relax and are not so frigjtened.