toradol vs morphine

[missE]

so this may just be a question that I am just thinking too deeply into with trying to understand the answer.. My patient is taking toradol as well as being prescribed morphine PRN. she has sickle cell anemia.. I understand that toradol is a Nonsteroidal anti inflammatory agent; nonopioid analgesic and acts peripherally for the management of pain as well as morphine is an Opioid analgesic for the management of severe pain. Why would she be on 2 narcotics?

[anonymousstudent]

Have you had pharmacology yet?

If not, what are you doing to look up these drugs, what is your process?

[missE]

i have davis' drug guide and have been using that book. it says that toradol is used for short term management of pain and not to exceed 5 days total for all routes combined... that is produces peripherally mediated analgesia and has antipyretic and anti-inflamatory properties.. i have not worked with this drug before.. morphine on the other hand is for severe pain binding to opiate receptors in the cns producing generalized cns depression ultimately reducing the severity of the pain.. is it because one of the problems with sickle cell anemia is the pain and toradol helps with the chronic pain and morphine is as needed for severe pain and flare ups that may occur?

[Turd Ferguson]

You said it yourself in the original post

Toradol is not a narcotic

[missE]

that is what i told my professor minus toradol being a narcotic. that was a mistake that i wrote in this forum. i said that toradol is a nonsteroidal anti-inflammatory agent, nonopioid analgesic and acts peripherally. Morphine is an opioid analgesic and manages severe pain. She then asked me why she was on 2 pain medications. Ill figure it out

[Turd Ferguson]

I think you were fairly close to the answer with your previous post then. Sickle cell patients require chronic analgesic therapy, and you don't want them on a narcotic (opioid) analgesic 100% of the time.

[illuminati88]

Morphine would probably be the drug of choice if your patient is going through a sickle cell crisis.

[yginay]

Perhaps the Toradol is being used as the primary drug and the Morphine PRN for breakthrough pain in the situation you were asking about?

I know Dilaudid is used a lot at the hospital I am currently assigned to for clinical because Sickle Cell Crisis is said to be incredibly painful...

[ChristineN, BSN, RN]

Morphine would probably be the drug of choice if your patient is going through a sickle cell crisis.

The OP already said her pt is on both Toradol and Morphine, which actually is a basic pain regimen for Sickle cell pts. Tordol, being an NSAID helps reduce inflammation and provide longer acting pain relief than the Morphine, which being a narcotic provides fast acting relief. Once the pt has completed the 5 days of Toradol, they are typically switched to Motrin which works similarly.

[illuminati88]

The OP already said her pt is on both Toradol and Morphine, which actually is a basic pain regimen for Sickle cell pts. Tordol, being an NSAID helps reduce inflammation and provide longer acting pain relief than the Morphine, which being a narcotic provides fast acting relief. Once the pt has completed the 5 days of Toradol, they are typically switched to Motrin which works similarly.

And in the case of the pt having a sickle cell crisis? From what I understand, narcotics are usually part of the treatment. So for the OP's situation, the prescribed PRN morphine would be given in a crisis.

[ChristineN, BSN, RN]

And in the case of the pt having a sickle cell crisis? From what I understand, narcotics are usually part of the treatment. So for the OP's situation, the prescribed PRN morphine would be given in a crisis.

I'm sorry did you even read my post? I was referring to sickle cell pts, which should be on either Motrin or Tordol as well as PRN Morphine or Dilaudid. A PRN fast acting narcotic alone is poor pain management for a chronic pain pt like a sickle cell pt as you need something like Tordol to help their pain levels stay down, around the clock

[illuminati88]

I'm sorry did you even read my post? I was referring to sickle cell pts, which should be on either Motrin or Tordol as well as PRN Morphine or Dilaudid. A PRN fast acting narcotic alone is poor pain management for a chronic pain pt like a sickle cell pt as you need something like Tordol to help their pain levels stay down, around the clock

I did read your post. I'm not disagreeing with you. But the point to my posts was in the case of a pt with an acute exacerbation of the disease, opoid analgesics are given IE. sickle cell crisis.