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Nursing Responsibilities Adverse Effect Indication / Contraindication Mechanism of Action Drug Name Indication

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MECHANISM OF INDICATION / NURSING

DRUG NAME ADVERSE EFFECT


ACTION CONTRAINDICATION RESPONSIBILITIES

:GENERIC Inhibits prostaglandin INDICATION Swelling of face, BEFORE


.Ketorolac synthesis, producing Short term management fingers, lower legs,  Monitor BP upon
peripherally mediated of pain (not to exceed 5 ankles, and/or feet administration. <
:BRAND analgesia days total for all routes weight gain, high 90/80never administers.
Toradol Also has antipyretic .combined) blood pressure, skin Refer to doctor.
and anti-inflammatory CONTRAINDICATION rash or itching  Assess for asthma,
CLASSIFICATION properties.- Contraindicated with small, red spots on aspirin, induced allergy,
Nonsteroidal anti- Therapeutic effect: significant renal skin, sores, ulcers, or and nasal polyps are at
inflammatory agents, Decreased pain impairment, aspirin white spots on lips or increased risk for
.nonopioid analagesics allergy, recent GI bleed or in mouth, Abdominal developing
perforation Use cautiously or stomach pain, hypersensitivity reactions.
:DOSAGE with impaired hearing; cramping, or burning  Assess for rhinitis,
.mg 30 allergies; hepatic that is severe, asthma, and urticarial.
conditions bleeding from the 
:ROUTE rectum or bloody or DURING
IV black, tarry stools  Assess pain (note type,
bloody or cloudy location, and intensity)
urine, blue lips and prior to and1-2 hr
fingernails, following administration.
 Caution patient to avoid
concurrent use of alcohol,
aspirin, NSAIDs,
 Administer every 6 hrs to
maintain serum levels and
control pain.
AFTER
 Assess renal impairment,
Impaired hearing,
allergies, hepatic
 Assess for skin color and
lesions, orientation,
reflexes, peripheral
sensation, clotting times,
CBC, adventitious sounds
 Keep emergency
equipment readily
available at time of initial
dose, in case of severe
hypersensitivity reaction.

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