IV Toradol?

cnyrn · Jul 3, 2004

Use it all the time on MedSurg, often with great effect. Ever have a patient who got relief with it, then found out it wasn't a narc and decided it didn't work anymore? I've also seen this same phenomenon with Ultram (which doesn't seem to work that great anyways)

natasha700 · Jul 4, 2004

When I was hospitalized w/meningitits for pain toradol was given to me IVpush every 6 hours and it took the pain away. Thank goodness for picc lines. I was only able to have for 5 days because of the gi bleed I was mad ahahahah! Luckily, by that time my pain was better managed with vicodin po and I didn't have take as much. I understand giving it IM is very painful too.

natasha700 · Jul 4, 2004

When I was hospitalized w/meningitits for pain toradol was given to me IVpush every 6 hours and it took the pain away. Thank goodness for picc lines. I was only able to have for 5 days because of the gi bleed I was mad ahahahah! Luckily, by that time my pain was better managed with vicodin po and I didn't have take as much. I understand giving it IM is very painful too.

jett01 · Jul 4, 2004

I work on a med-surg/orthopedic floor and we give toradol often. Usually 30 mg ivp for first dose (depending on age/renal function etc) with subsequent doses of 15 mg q 6 prn. Seems to work better than the morphine for most. I had an left ACL reconstruction in May and obtained better results from the toradol than from my morphine PCA.

jett01 · Jul 4, 2004

I work on a med-surg/orthopedic floor and we give toradol often. Usually 30 mg ivp for first dose (depending on age/renal function etc) with subsequent doses of 15 mg q 6 prn. Seems to work better than the morphine for most. I had an left ACL reconstruction in May and obtained better results from the toradol than from my morphine PCA.

natasha700 · Jul 4, 2004

I work on a med-surg/orthopedic floor and we give toradol often. Usually 30 mg ivp for first dose (depending on age/renal function etc) with subsequent doses of 15 mg q 6 prn. Seems to work better than the morphine for most. I had an left ACL reconstruction in May and obtained better results from the toradol than from my morphine PCA.

I found that it worked better than morphine too. It was a great pain reliever. It worked very well with inflammatory pain. My md ordered toradol and it did not take long for the pain to be relieved vs and IM injection or morphine.

natasha700 · Jul 4, 2004

I work on a med-surg/orthopedic floor and we give toradol often. Usually 30 mg ivp for first dose (depending on age/renal function etc) with subsequent doses of 15 mg q 6 prn. Seems to work better than the morphine for most. I had an left ACL reconstruction in May and obtained better results from the toradol than from my morphine PCA.

I found that it worked better than morphine too. It was a great pain reliever. It worked very well with inflammatory pain. My md ordered toradol and it did not take long for the pain to be relieved vs and IM injection or morphine.

Yellow Rose RN · Jul 7, 2004

My 12 yo son had open heart surgery last summer and was given toradol in the PICU for pain control. I am not sure of the dosage, but the pain control was good. However, after home for a week, he went downhill and after many calls to the MD and getting misinformed. (I knew something was not right, but the MD's were not too interested in listening to me). I called 911 because of his extreme pallor and being diaphoretic. I also had checked his BP and could not get a manual reading at all. The paramedics rushed him to the ER and his H&H was 5 and 15. He was in hypovolemic shock. DRs were not sure what was going on. His BP was 50/20. He was flown by helicopter back to the town where he had his surgery and it was found that he had a GI bleed. He had lost over 50% of blood volume and after a total of 6 units of blood and and endoscopy procedure to remedy the GI bleed along with NG tube with continuous suctioning out copious amounts of blood all through the night.... he is okay. Dr's said freak happening and that it is not common at all for 12 y/o to get strss ulcer. But after reading this thread, have to wonder if toradol had a contributing factor. Also think that being sent home on high amounts of ibuprofen contributed as well. Thank goodness he is okay.

Interesting info.....

treddrn · Jul 7, 2004

We use Toradol IV 30mg like it was going out of style......in the ER!!! If you come into the ER with a kidney stone......we give it quickly.

gwenith, BSN, RN · Jul 7, 2004

Moved this thread to pain management forum so that it is easier to find and access.

ERHack · Jul 7, 2004

our ED uses toradol IV all the time provided there are no contraindications (bleeds, allergies, etc). Its even part of our protocol orders (standing set of orders for certain complaint pathways, such as poss UTI, Kidney stone) The protocol dose for Toradol at our hospital used to be 30mg IV, however it recently changed to 15mg IV based on research that suggested the therapeutic effect could be reached at this lower dosage and that a higher dosage such as 30 IV rarely increased effectiveness (this per our ED med director, unfortunately dont know what sources he cited) As far as reactions, I have never encountered a pt who c/o burning or irritation at the IV insertion site due to the med (such as is common with phenergan). IM injection of Toradol however is a different story. I have had pts c/o burning with IM injections (usually 60mg).

KK92RN · Jul 10, 2004

We use toradol in our standing orders for post op hips, knees ect. I have never had any problems with it. With it being an NSAID then you would watch for contraindications automatically. It was wonderful when I had it for whiplash after a car accident.