1. Ketorolac aka: Toradol A physician option medication
Michael R. Brodeur, PharmD, CGP, FASCP Michael W. Dailey, MD, FACEP

2. Class/Description
Nonsteroidal anti-inflammatory drug (NSAID) that is indicated for the management of moderately serve, acute pain that requires analgesia

3. Onset & Duration IV and IM
Onset: 30 minutes
Peak: 1-2 hours
Duration: 4-6 hours

4. Indications
Ketorolac is indicated for moderate to serve musculoskeletal pain
Unlike opioids ketorolac has no effect on the central nervous system and has no sedative or anti-anxiety effects

5. Contraindications Hypersensitivity Allergy to aspirin and other NSAIDs
Suspected or confirmed cerebrovascular bleeding
Hemophilia or other bleeding disorders
Do not use in the second and third trimesters of pregnancy

6. Contraindications Renal failure Dehydration
Upper GI bleed / ulcer history
Heart failure
Elderly patients* (relative contraindication)

7. Adverse Reactions Nausea Vomiting Pain at injection site
Prolonged bleeding time
Edema
Renal failure
GI Bleed

8. How Supplied Injection IM or IV 15mg/ml (1 ml vials)
Color of solution: clear to slight yellowish
Do not use if precipitate appears
Store at 68 to 77⁰ F
Protect from light

9. Protocol/Dosing General Care: Pain Management
Adults: Physician Option Only
30 mg IV or IM

10. Thank you.