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 Instruct client to
 "# 
"   Ketorolac is   
 Common side effects avoid alcohol and
  Ketorolac is a used for short-term Probenecid (Benemid) from ketorolac include maintain adequate
 member of a class of management (up to 5 should not be combined rash, ringing in the hydration (2-3L/day
  ! drugs called days) of moderately with ketorolac because it ears, headaches, of fluids) unless
p
 p
  nonsteroidal severe acute pain that reduces the elimination dizziness, drowsiness, instructed to restrict
p
  antiinflammatory otherwise would of ketorolac by the abdominal pain, fluid

 drugs (NSAIDs) that require narcotics. It kidneys. This may lead to nausea, diarrhea, intake.
 is used for treating most often is used increased levels of constipation,
inflammation and after surgery. ketorolac in the body and heartburn, and fluid Monitor for signs of
pain. Other drugs in increased side effects retention. pain relief, such as an
this class include c
  from ketorolac. increased appetite and
ibuprofen (Motrin) Treatment should be Ketorolac may increase Less common but activity.
and naproxen started with ketorolac the blood levels of serious side effects
(Naprosyn, Aleve), injection. Tablets are lithium (Eskalith) by include: Instruct client to
but ketorolac is more used only if reducing the elimination avoid taking ketorolac
effective than other treatment is of lithium by the kidneys. ë nexplained with aspirin or other
NSAIDs in reducing continued after Increased levels of bleeding NSAIDs such as
pain from both patients begin to eat lithium may lead to ë Stomach or ibuprofen
inflammatory and and drink. The total lithium toxicity. intestinal (Motrin, Advil),
non-inflammatory duration of therapy Concomitant use of problems, naproxen (Aleve,
causes. Ketorolac should not exceed 5 ketorolac and angiotensin including Naprosyn), piroxicam
reduces the days because of the converting enzyme (ACE) bleeding, an (Feldene), etc
production of potential for inhibitors may reduce the ulcer, or a hole
prostaglandins, gastrointestinal function of the kidneys. (known as a Observe and watch
chemicals that cells of bleeding and other Individuals taking oral perforation) out for signs of
the immune system side effects. The blood thinners or ë Liver damage bleeding.
make that cause the recommended adult anticoagulants [for ë Kidney
redness, fever, and intravenous single example, warfarin problems, Advise patient to
pain of inflammation dose is 15 to 60 mg. (Coumadin) should avoid including avoid activities that
and that also are Multiple intravenous ketorolac because kidney failure requires mental
believed to be doses of 15 or 30 mg ketorolac also thins the ë Congestive alertness like driving.
important in the every 6 hours, not to blood, and excessive heart failure
production of non- exceed 60 or 120 mg blood thinning may lead ë Allergic reaction Advise patient to
inflammatory pain. It a day, also may be to bleeding. ë nexplained inform health care
does this by blocking used. Following rash. provider when rashes,
the enzymes that cells intravenous therapy, . visual disturbances,
use to make the recommended tinnitus , edema black
prostaglandins dose is one or two stools and influenza
(cyclooxygenase 1 tablets initially like symptoms occur.
and 2). As a result, followed by 1 tablet
pain as well as every 4-6 hours, not
inflammation and its to exceed 40 mg
signs and symptoms - daily. The smaller
redness, swelling, dose is used for
fever, and pain - are patients with poor
reduced. The FDA kidney function or
approved ketorolac in those older than 65
November 1989. years.

$   %
There are no
adequate studies in
pregnant women.
Ketorolac should be
used during
pregnancy only if the
potential benefit
justifies the potential
risk to the fetus.
NSAIDs may cause
cardiovascular side
effects during late
pregnancy.

 
"#

Ketorolac should not
be used by nursing
mothers because it is
excreted in breast-
milk.