IV Toradol?

Txsizzler · Jun 9, 2004

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.

TMPaul · Jun 9, 2004

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.

z's playa · Jun 9, 2004

I always get it piggybacked with a bolus of saline. I get severe adverse reactions when mixed with Maxeran or Stemetil.

Rena RN 2003, RN · Jun 9, 2004

we do IV push toradol 30 mg only in our ER and it's a one time only thing.

mother/babyRN, RN · Jun 9, 2004

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...

SmilingBluEyes · Jun 9, 2004

It's done all the time in the OB unit where I work, without incident or problem.

zambezi, BSN, RN · Jun 9, 2004

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...

psychomachia · Jun 9, 2004

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.

mother/babyRN, RN · Jun 9, 2004

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...

camay1221_RN · Jun 9, 2004

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!

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...

mother/babyRN, RN · Jun 9, 2004

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..