NAME OF ACTION INDICATION CONTRAINDICATION ADVERSE SIDE EFFECT NURSING RESPONSIBILITIES

DRUG

Generic Name: Ketorolac inhibits key It is indicated for short term Ketorolac is -Black, “tarry” stool -Headache Before:
KETOROLAC pathways in management of acute pain that contraindicated in -Blurred vision -Drowsiness • Observe the patients 14
prostaglandin synthesis requires the calibre of pain individuals who have -Bronchospasm -Indigestion rights of medication
which is crucial to it's management offered by adverse reactions or are
Brand Name: mechanism of action.4 opioids.14 Clinicians may -Cholestatic jaundice -Stomach or abdominal pain • Monitor vital signs before
allergic to NSAIDs. It is administering.
Acular, Although ketorolac is choose to initiate ketorolac to -Depression -Nausea
not recommended to be
Acuvail, non-selective and manage post-operative pain, -Difficulty in concentration -Diarrhea During:
given intraoperatively or
Omidria, inhibits both COX-1 spinal and soft tissue pain, • Administer the Right
preoperatively due to the -Euphoria -Dizziness
Readysharp and COX-2 enzymes, rheumatoid arthritis,
increased risk for -Hemolytic-uremic -Itching dose at the right time
Anesthetics Plus it's clinical efficacy is osteoarthritis, ankylosing
Ketorolac, Sprix, bleeding. It is not syndrome -Swelling (edema) • Measure and record patient’s
derived from its COX- spondylitis, menstrual
Toradol, recommended during -Hepatitis temperature to monitor temperature
2 inhibition. The COX- disorders and headaches -Increased blood urea
Toronova Suik labor and delivery, as it changes.
2 enzyme is inducible among other ailments.12 -High blood potassium nitrogen (BUN)
Classification: and is responsible for Regardless of the etiology of negatively affects fetal
-Increased liver function test -Constipation
converting arachidonic pain, patients should use the circulation and decreases values After:
Non-steroidal -Purpura
acid to prostaglandins lowest possible dose, and uterine contraction. • Monitor vital signs
anti- -Low blood pressure -Increased serum creatinine
inflammatory that mediate avoid using ketorolac for an Ketorolac is
(hypotension) • Assess for allergy reaction
inflammation and pain. extended period of time contraindicated in -Drowsiness
drug (NSAID) -Severe allergic reaction  Monitor for GI bleeding
By blocking this (ideally ≤ 5 days). patients with renal -High blood pressure
antipyretic, (anaphylaxis) • report any possible side effects
pathway, ketorolac disease or renal failure (hypertension)
analgesic Throat/tongue swelling
achieves analgesia and because it may increase • Document the giving
Doctors Order: INDICATION TO
reduces inflammation.3 fluid retention and Urinary frequency of the medication to
30mg/ml Ketorolac is PATIENT:
worsen renal function. GI- Urinary retention patient to prevent an
administered as a ➢ Ketoroloacl is related contraindications Urinating less than usual accidental doubling of the dose.
Frequency: racemic mixture; Indicated to the patient since for ketorolac include
however, the "S" Vasodilation
TID the patient undergo a TABSO patients with active
enantiomer is largely procedure this is used to peptic ulcer disease,
responsible for its relieve the patient pain as the EFFECT TO
recent GI bleed, or GI
pharmacological anesthesia wears off. PATIENT:
perforations. Extreme
activity.6 Furthermore, this is given to caution is necessary when ➢ Patient did not
reduce inflammation and administering ketorolac
accelerating wound closure of manifest any
to the geriatric side/ adverse
the patient.
population.
reaction
CONTRAINDICATION
TO PATIENT:
➢ This drug is not
contraindicated to
the patient