What are nursing implications for ketorolac?

The use of TORADOL (ketorolac tromethamine) is contraindicated in nursing mothers because of the potential adverse effects of prostaglandin-inhibiting drugs on neonates….Common side effects of Toradol include:

  • headache,
  • heartburn,
  • upset stomach,
  • nausea,
  • vomiting,
  • diarrhea,
  • stomach pain,
  • bloating,

What should the nurse assess before giving ketorolac?

Assess blood pressure (BP) periodically and compare to normal values (See Appendix F). NSAIDs can increase BP in certain patients. Be alert for signs of prolonged bleeding time such as bleeding gums, nosebleeds, and unusual or excessive bruising. Report these signs to the physician.

What should be monitored when taking ketorolac?

Blood pressure (BP) should be monitored closely during the initiation of NSAID treatment and throughout the course of therapy. Fluid retention, edema, retention of NaCl, oliguria, elevations of serum urea nitrogen and creatinine have been reported in clinical trials with TORADOL.

Is ketorolac contraindicated in diabetes?

May increase risk of hyperkalemia, especially in renal disease, patients with diabetes, the elderly, and when used concomitantly with other agents capable of inducing hyperkalemia. Not for use in patients with aspirin-sensitive asthma (severe bronchospasm may occur).

What are the adverse effects of ketorolac?

Ketorolac may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • headache.
  • dizziness.
  • drowsiness.
  • diarrhea.
  • constipation.
  • gas.
  • sores in the mouth.
  • sweating.

Does Toradol raise blood pressure?

Blood pressure: Like other NSAIDs, ketorolac can cause increased blood pressure, which may contribute to other heart conditions.

How do you administer ketorolac IV?

When administering ketorolac tromethamine injection, the IV bolus must be given over no less than 15 seconds. The IM administration should be given slowly and deeply into the muscle. The analgesic effect begins in 30 minutes with maximum effect in 1 to 2 hours after dosing IV or IM.

Does IV Toradol cause GI bleeding?

May cause peptic ulcers, gastrointestinal bleeding, or potentially fatal stomach or intestinal perforation.

When should you withhold ketorolac?

You must stop taking oral ketorolac on the fifth day after you received your first ketorolac injection. Talk to your doctor if you still have pain after 5 days or if your pain is not controlled with this medication. Ketorolac may cause serious side effects, especially when taken improperly.

Is ketorolac a blood thinner?

Ketorolac has blood thinning effects and may increase the effects of your blood thinner.

What drugs interact with ketorolac?

Some products that may interact with this drug include: aliskiren, ACE inhibitors (such as captopril, lisinopril), angiotensin II receptor blockers (such as losartan, valsartan), lithium, methotrexate, probenecid, corticosteroids (such as prednisone), other medications that may affect the kidneys (including cidofovir.