Ketorolac – Toradol

If a patient is taking Xarelto (or similar drug) they can still receive Ketorolac

If a patient is allergic to acetaminophen they are not able to receive Ketorolac

If a patient has an open fracture they can still receive Ketorolac

If a patient is allergic to Ibuprofen they can receive Ketorolac without worry

There is minimal risk giving Ketorolac to a patient who suspects they might be pregnant

Most NSAIDs are metabolized in the liver.

The ALS provider can obtain a BHPO to get permission to administer Ketorolac to other body areas than the back, abdomen, and extremities

If the patient still requires additional pain medications after Ketorolac, the amount of an opioid usually is reduced

If there is an adverse outcome after administering Ketorolac the ALS provider should immediately notify their supervisor and the receiving facility

Ketorolac can be used for extremity trauma only

There is no lower age limit for pediatric patients receiving Ketorolac

The maximum dose for pediatric patients receiving Ketorolac is 15 mg IV or IM

The upper age limit for patients in whom the provider wants to administer Ketorolac is 70 years of age

It is safe to administer Ketorolac to patients in the prehospital arena that have a history of renal disease or kidney transplant