Ketorolac tromethamine is a NSAID used for short-term management of moderately severe acute pain. It works by inhibiting prostaglandin synthesis to produce analgesic and anti-inflammatory effects. Common side effects include dyspepsia, GI pain, and bleeding. It should not be used in patients with anemia, vitamin B12 deficiency, or those taking certain other medications due to risk of bleeding. When using the nasal spray, patients should be warned of potential nasal irritation and instructed to take water after dosing and discard the bottle within 24 hours of first use.
Ketorolac tromethamine is a NSAID used for short-term management of moderately severe acute pain. It works by inhibiting prostaglandin synthesis to produce analgesic and anti-inflammatory effects. Common side effects include dyspepsia, GI pain, and bleeding. It should not be used in patients with anemia, vitamin B12 deficiency, or those taking certain other medications due to risk of bleeding. When using the nasal spray, patients should be warned of potential nasal irritation and instructed to take water after dosing and discard the bottle within 24 hours of first use.
Ketorolac tromethamine is a NSAID used for short-term management of moderately severe acute pain. It works by inhibiting prostaglandin synthesis to produce analgesic and anti-inflammatory effects. Common side effects include dyspepsia, GI pain, and bleeding. It should not be used in patients with anemia, vitamin B12 deficiency, or those taking certain other medications due to risk of bleeding. When using the nasal spray, patients should be warned of potential nasal irritation and instructed to take water after dosing and discard the bottle within 24 hours of first use.
Expected Pharmacological Action Therapeutic Use Short-term management of
moderately severe, acute pain for single-dose May inhibit prostaglandin synthesis to produce anti- treatment inflammatory, analgesic, and antipyretic effects.
Complications dyspepsia, GI pain, nausea, constipation, diarrhea, Medication administration
flatulence, peptic ulceration, stomatitis, vomiting, GI hemorrhage. Injection
Nasal spray
Tablets
Contraindications/Precautions: Contraindicated in patients with
undiagnosed anemia (it may mask pernicious anemia) and in those with vitamin B12 deficiency Nursing Interventions
Educate patient of adverse effects
Educate not to take with alcohol or
other NSAID for higher risk of bleeding Interactions ACE inhibitors, ARBs, Anticoagulants, Antihypertensives, diuretics, Disulfiram, Lithium, Methotrexate, Client Education: Tell patient to discard Pentoxifylline, Probenecid, Salicylates, and SSRIs and alcohol nasal spray within 24 hours of the first dose, even if medication remains in the bottle. Warn patient using nasal spray that transient, mild to moderate nasal irritation may occur that lasts for a few minutes and will not worsen with next Evaluation of Medication Effectiveness the patient will display less dose. pain Advise patient to take a sip of water after using nasal spray to decrease throat sensation. Teach patient to read package insert and full directions for use of nasal spray Designed after ATI Template 2020 active learning templates Therapeutic Procedure A7 bottle. Warn patient not to take ketorolac with other NSAIDs.