IV Toradol?

Specialties Pain

Published

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

Specializes in Open Heart/ Trauma/ Sx Stepdown/ Tele.

where i work with post op cabg pt's...we use it ivp...again check lab values, pt hx, and allergies...according to the pt's it works.

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Love Toradol!! Same post-c/s orders as Mother/baby RN; never had a problem. We don't give it ASA allergic pts or those who have bleeding problems.

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I work at a major teaching hospital and our docs are trying to NOT give IV Toradol bc there have been well documented studies that show the direct correlation between Toradol and avascular necrosis.Sure....it helps with swelling....but at what price?

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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...

Could be because generally most of the patients you work w/are healthy to begin with. I have seen a decrease in urine output in relationship to its use; icu/ccu. That is grounds to dc it for all of the docs that use it.

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When I had my miscarriage five years ago, I begged for Toradol because the Dilaudid in my PCA was making sick, sick, sick!!! MD, said "No!" I was well aware of the bleeding risks involved, but I would have been willing to take my chances since the other was so awful!

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Specializes in tele, stepdown/PCU, med/surg.

It's the kidneys that Toradol can really damage. That's why with any sign of renal insufficiency and it should not be used. A lot of times patients that have had reactions to dilaudid (weird feelings/nightmares) will do fine when switched to Toradol.

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I work at a major teaching hospital and our docs are trying to NOT give IV Toradol bc there have been well documented studies that show the direct correlation between Toradol and avascular necrosis.Sure....it helps with swelling....but at what price?
I am riding out a multi-level fusion with no NSAIDs as my surgeon says there is research indicating they can interfere with fusion.

I'd give just about anything for a few doses of naprosyn some days.

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Specializes in OB, Telephone Triage, Chart Review/Code.

From personal experience, I received Toradol at one hospital and it burned like heck! I don't think it was diluted. The nurse was really disgusted with me for complaining. It even burned when she flushed the line. "Geez, it's only saline!", she said. I've had Toradol IV before and it never bothered me like that.

I work PP and we don't use Toradol. I don't know why, but I am definately going to ask for it when the C/S pts complain of pain despite their prescribed pain medication management. It can be very frustrating in the middle of the night after receiving the pt for them to complain even after other interventions are given.

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Specializes in Gerontological, cardiac, med-surg, peds.

My drug book states to give it UNDILUTED IVP over at least 15 seconds and this is the way we teach our students. Best to give in a Y-tube with free-flowing IV to avoid burning. It should not be given any longer than 5 consecutive days (preferably only 3) and renal function should be checked before initiating (if creatinine is elevated, don't give!). Watch urinary output closely. Also, watch for hemorrhage and make sure the patient is not taking any other NSAID's (such as Ibuprofen) while taking Toradol. Don't give if the patient has a hx of peptic ulcer dz. Should never be given during the last trimester of pregnancy (can cause the fetal ductus arteriosus to close). Interestingly enough, newest research has shown that this is safe to give to breastfeeding mothers.

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I work on an Orthopedic - Med/Surg - Gastric Bypass floor. We give it IV push all the time. Never heard of any complaints or complications.

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From personal experience, I received Toradol at one hospital and it burned like heck! I don't think it was diluted. The nurse was really disgusted with me for complaining. It even burned when she flushed the line. "Geez, it's only saline!", she said. I've had Toradol IV before and it never bothered me like that.

I work PP and we don't use Toradol. I don't know why, but I am definately going to ask for it when the C/S pts complain of pain despite their prescribed pain medication management. It can be very frustrating in the middle of the night after receiving the pt for them to complain even after other interventions are given.

Deb - if it hurt when she flushed the line it probably wasn't the Toradol but your IV site, especially if you've had it before and it didn't hurt.

Vicky - thanks for the info. That's how I was taught too.

steph

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Specializes in Renal, Haemo and Peritoneal.
I am riding out a multi-level fusion with no NSAIDs as my surgeon says there is research indicating they can interfere with fusion.

I'd give just about anything for a few doses of naprosyn some days.

What do you mean by fusion please?

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