Drug Mechanism Indications Contra-Indications Adverse Reactions Nursing Responsibilities

Generic Name: - Inhibits Short term - Hypersensitivity - GI: - Patients who have asthma, aspirin-induced allergy,
Ketorolac prostaglandin management of pain - Cross-sensitivity with 1) GI Bleeding and nasal polyps are at increased risk for developing
synthesis, producing (not to exceed 5 days other NSAIDs may exist. 2) abnormal taste hypersensitivity reactions. Assess for rhinitis, asthma,
Brand Name: peripherally total for all routes - Known alcohol 3) diarrhea and urticaria.
Kortezor mediated analgesia combined) intolerance. Use 4) dry mouth - Assess pain (note type, location, and intensity) prior
- Also has antipyretic cautiously in: 5) dyspepsia to and 1-2 hr following administration.
Dosage: and anti- 1) History of GI 6) GI pain - Ketorolac therapy should always be given initially by
30mg/amp. inflammatory bleeding 7) nausea the IM or IV route. Oral therapy should be used only
properties. 2) Renal impairment as a continuation of parenteral therapy.
Frequency: every - Therapeutic effect: (dosage reduction may - Caution patient to avoid concurrent use of alcohol,
8 hours Decreased pain be required) aspirin, NSAIDs, acetaminophen, or other OTC
3) Cardiovascular medications without consulting health care
Route: disease professional.
I.V. or I.M. - Advise patient to consult if rash, itching, visual
disturbances, tinnitus, weight gain, edema, black
stools, persistent headache, or influenza-like
syndromes (chills,fever,muscles aches, pain) occur.
- Effectiveness of therapy can be demonstrated by
decrease in severity of pain. Patients who do not
respond to one NSAIDs may respond to another.
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