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Is Toradol still used after a C section?

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by Vito Andolini Vito Andolini (Member) Member

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Is Toradol still used after a C section? Does it help as well as opiates? Thanks for your help.

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I haven't worked PP in a number of years, but we often used NSAIDS, including Toradol in conjunction with epidural PCA for our post-C-section moms.

NSAIDS don't replace narcotics, in my experience, but do lessen the use of them. They seem to be more effective in relieving afterbirth cramping pain, which improves mom's comfort and willingness to ambulate and breastfeed.

Here's an article: http://www.aafp.org/afp/20040701/tips/19.html

Use of Ketorolac for Pain Control After Cesarean Section

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VivaLasViejas has 20 years experience as a ASN, RN and specializes in LTC, assisted living, med-surg, psych.

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I had my C/secs many years ago so I don't know if it helps after one of those, but I can tell you in all certainty that 60 mg. Toradol IM in the glute is superior to opiates in relieving kidney-stone pain! It was the ONLY thing that worked for me---it not only took my pain level from a 10+ down to a 1 or 2, it also didn't make me loopy..........a definite plus for someone like me who prefers to remain in control at all times.

I should think Toradol would be good for the cramps or spasms women experience after childbirth (called "afterpains", which are caused by contractions of the uterus as it reverts back to its prepregnancy size). You have to watch out for the kidneys, though, so it's usually discontinued after the fifth day of use.

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RedCell specializes in CRNA.

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Is Toradol still used after a C section? Does it help as well as opiates? Thanks for your help.

30mg of Toradol is equivalent to 10mg of IV morphine. I give it routinely and will write for 3 additional doses to be given on the floor as long as bleeding is controlled and renal perfusion is not an issue.

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kmarie724 has 5 years experience and specializes in LTC.

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I just graduated in Dec and did my senior preceptorship on a PP unit. We gave c-section moms Toradol (usually 30 mg) until they were able to take Motrin.

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I just wondered because my relative says that she had inadequate pain relief from Toradol for the first 2 post-op days and that she got better relief when switched to oral med (Percocet?) on the 3rd POD. She was only on Toradol - no other analgesics the first 2 days. Doesn't sound like enough to me.

Red Cell, do you use it exclusively the first 2 POD's for a C Section? What route? do you give another analgesic along with it?

Thanks for the replies.

Just wondering - can a person getting only Toradol legally sign a circumcision permit? Since it's not narcotic, I suppose she could.

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1,451 Posts; 12,699 Profile Views

I just graduated in Dec and did my senior preceptorship on a PP unit. We gave c-section moms Toradol (usually 30 mg) until they were able to take Motrin.

What route? Exclusively or in conjuction with opiates? I'm talking the first 2 or 3 days immediately post-op.

Do these moms have someone to pick up their babies and hand them to them for care or must the moms get up, lift the babies themselves, change them, feed them, etc.?

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6,372 Posts; 34,588 Profile Views

I just wondered because my relative says that she had inadequate pain relief from Toradol for the first 2 post-op days and that she got better relief when switched to oral med (Percocet?) on the 3rd POD. She was only on Toradol - no other analgesics the first 2 days. Doesn't sound like enough to me.

Vito,

Is it possible that she received Duramorph? I don't think it is widely used any more, but that might explain the lack of other narcotic analgesics in the first 24 hours post-op.

In my experience, Toradol would not be used exclusively for post-op pain management, but rather in conjunction with a narcotic.

And no, the use of Toradol would not render one incapable of signing a consent.

Edited by Jolie

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RochesterRN-BSN has 6 years experience as a BSN, RN and specializes in Psych, ER, Resp/Med, LTC, Education.

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Toradol should not effect the ability to care for the baby as it is just a really strong NSAID....I like to say it's like Ibuprofen on Steroids...so to say! lol And you can give it when ORAL NSAIDS are contraindicated. I think it may depend on the hospital and the provider as to who uses it........When I worked Labor and Delivery we would have the mom and baby for like 2 hours or so and if they asked for something most docs ordered PO Ibuprofen...600mg...amazingly if usually did the job.

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RedCell specializes in CRNA.

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I just wondered because my relative says that she had inadequate pain relief from Toradol for the first 2 post-op days and that she got better relief when switched to oral med (Percocet?) on the 3rd POD. She was only on Toradol - no other analgesics the first 2 days. Doesn't sound like enough to me.

Red Cell, do you use it exclusively the first 2 POD's for a C Section? What route? do you give another analgesic along with it?

Thanks for the replies.

Just wondering - can a person getting only Toradol legally sign a circumcision permit? Since it's not narcotic, I suppose she could.

Toradol is just an NSAID, so yeah you could sign a circ permit.

How I give it just depends on the situation. I like to give duramorph (preservative free morphine) through the epidural just before I remove it at the conclusion of the case to give mom a decent period of analgesia following the section (several hours). That is when I give the first dose of Toradol (30mg IV). I will usually write in PACU to give 30mg IV q6 hours X 3 to get them through the first day. The OB guys will take over managing pain anyways after we get them to PACU. I have just found that using multiple approaches to addressing pain seems to work better than just one method. Usually after the first day patients are taking PO meds and can be given percocet, motrin etc...

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Elvish is a BSN, DNP, RN, NP and specializes in Community, OB, Nursery.

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A LOT of our scheduled (and some FTP) c/sections get Duramorph, and it works. It doesn't generally make anybody loopy. Itchy maybe, but not loopy. Along with that, they get Toradol 30mg IV q6hrs x 24 hours while the Duramorph is still in effect. Once the Duramorph is up, we switch to Percocet and Ibuprofen, both oral.

Sleepiness can be a side effect of Toradol, but I haven't seen it very much at all. Most people say they like the Toradol better than Duramorph. When I worked general surgery, they liked it better than their morphine PCA. I think it's a shame that our c/s moms getting PCA morphine (few & far between) don't get Toradol.

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