IV Toradol?

Farkinott, RN · Jun 12, 2004

sorry about the size of the font on my previous post!

kids · Jun 12, 2004

What do you mean by fusion please?

Spinal fusion.

I had 12 screws, 2 rods & 3 cross braces placed from L2-S1 with autolog & cadavar bone packed into the gutters on 4/19/04.

donormom · Jun 21, 2004

As a person who has had two c-sections, I love the IV toradol. Much, much better than IV morphine. Excellent pain relief without sedation. Would hate the thought of surgery without it !!

bellehill, RN · Jun 21, 2004

kids-r-fun,

our neurosurgeons won't use toradol for that reason...it interferes with the fusion process. I miss giving toradol, what a great drug and I never had a problem with people complaining about burning (I push it without dilution except maintenance fluids). Most patients I have given it to in the past liked it more than the narcotics.

PS: that is a huge fusion, hope you are doing well :)

Kingbandit · Jun 21, 2004

kids-r-fun,
our neurosurgeons won't use toradol for that reason...it interferes with the fusion process. I miss giving toradol, what a great drug and I never had a problem with people complaining about burning (I push it without dilution except maintenance fluids). Most patients I have given it to in the past liked it more than the narcotics.
PS: that is a huge fusion, hope you are doing well :)

Our Orthopedic surgeons claim there is a direct corallation between IV/IM Toradol and non-union healing of fractures and fusions of any type the surgeons are working on a research project but have not begun the trials yet. It will be interesting to see the results?

mtnmom · Jun 21, 2004

I have used it quite a bit and the patients love it. It works very well for post c/s pain. seems to be synergistic with the narcotic pain relievers.

Only contraindications would be allergy to NSAID or aspirin - or bleeding issues such as low platelets, current or very recent heavy bleeding/clotting, etc. Otherwise it is well tolerated if given slowly - either very diluted or slow push with a fluid bolus.

It is ordered q6h prn for 1, 2, or 3 doses depending on physician preference. Some of the docs will schedule it to be given q6 for 24h.

Mimi2RN, ASN, RN · Jun 21, 2004

We use Toradol on our pp unit, too. It works very well for c/s patients.

I was given it q 6 after abdominal surgery, I'd rather use that than narcotics. I went home with po Toradol, and I think it was Darvocet, I alternated meds every three hours. I'd have been miserable without the Toradol!

tiredfeetED · Jun 21, 2004

Toradol 60 mg IM is my life saver when i get a HA at work....I hate shots..but it works for me..Funny most of our frequent flyers are allergic to Toradol...I have yet seen one reaction from it??

CMacPh · Jun 21, 2004

We use IV toradol in my pediatric hospital, especially after bowel surgery. I feel it really makes a difference in pain control, even with narcotic drips. We give only 10 total doses.

We dilute with NS and give over 15 minutes, follow with NS flush.

pickledpepperRN · Jul 3, 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...

One of our surgeons has it as a standing PRN order.

I LOVE it when the patient is extubated, alert, and pain free!

I generally ask the MD or PA when the patient is in pain and there is no order. Yhey order MS yet don't want it given (so the patient can breathe) so Toradol is great!

Chronis dialysis patients get it too. Renal patients and as was posted

^ creatinine patients do NOT.

pickledpepperRN · Jul 3, 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...

One of our surgeons has it as a standing PRN order.

I LOVE it when the patient is extubated, alert, and pain free!

I generally ask the MD or PA when the patient is in pain and there is no order. Yhey order MS yet don't want it given (so the patient can breathe) so Toradol is great!

Chronis dialysis patients get it too. Renal patients and as was posted

^ creatinine patients do NOT.

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)