GENERIC
NAME
BRAND
NAME
MECHANISM
OF ACTION
DOSAGE
AND ROUTE
INDICATION
CONTRAINDICATION
SIDE/
ADVERSE
EFFECTS
NURSING
INTERVENTION
Ketorolac
Tromethamine
Toradol
Antiinflammatory
and analgesic
activity; inhibits
prostaglandins
and leukotriene
synthesis.
30mg (3
doses)
Short-term
management
of pain (up to
5 days.
Contraindicated with
significant renal
impairment, aspirin
allergy, recent GI
bleed or perforation
Use cautiously with
impaired hearing;
allergies; hepatic
conditions.
CNS:
Renal
impairment,
Impaired
hearing,
allergies,
hepatic,
Route:
IVTT
Frequency:
Every 6
hours
headache,
dizziness,
somnolence,
insomnia,
fatigue,
dizziness
tinnitus,
ophthalmologic
effects.
Skin color and
lesions,
orientation,
reflexes,
peripheral
sensation,
clotting times,
CBC,
adventitious
sounds
Be aware that
patient may be
at risk for CV
events, GI
bleeding, renal
toxicity, monitor
accordingly.
Keep emergency
equipment
readily available
at time of initial
dose, in case of
severe
hypersensitivity
reaction.
Protect drug
vials from light.
Administer every
6 hrs to maintain
serum levels and
control pain.
.
Reference:
Deglin, J., Vallerand, A., & Sanoski, C. (2015). Davis's drug guide for nurses (14th ed.). Philadelphia, Penn.: F.A. Davis.
Submitted by:
FLORIEJANE T. MARATA, SN-UM
Submitted to:
JOYCE D. CAJIGAL, RN