let me just preface this by saying i am a nursing student doing my ob rotation right now.
toradol is apparently a very common medication used in l&d. the hospital i am at for clinical uses it all the time and i have heard other classmates say their hospitals use it too. yesterday i had a patient in the recovery room after a c-section. she was breast feeding and had some break through pain (she had duramorph in her spinal). the patient had a standing order for toradol and the nurse gave her 30mg. i researched the medication and found that it has a lot of black box warnings. it is contraindicated in l&d because it can inhibit uterine contractions and it is contraindicated in nursing mothers because potential adverse affects can be passed on to the babies less than 1 month old. it is also contraindicated if the patient is at a high bleeding risk because it inhibits platelet function. so it sounds to me like this is the worst possible drug to be using in these situations and hospitals are using it as their go-to drug! can someone please explain to me why? with just this knowledge, i don't feel comfortable giving it.[color=#663366]
