If patient is experiencing chest pain and all signs/symptoms lead to suspected cardiac Ischemia, and considering ASA. Patient has a history of sensitivity to ibuprofen however takes ASA daily as well as patient took own ASA prior to EMS arrival Am I still alright to administer my own ASA even though patient has hx if sensitivity to Ibuprofen but takes ASA daily?
This is a very unlikely scenario, but I wondered if Toradol could replace Ibuprophen for the patient experiencing pain. In the unlikely event that a patient is able to take Tylenol and once administered pt refuses Ibuprophen due to nausea (post tylenol administration) could Toradol be used? It would be rare as the contraindications are the same for both nsaids aside from nausea and unable to tolerate oral med administration for Ibuprophen. Could pt preference come into play, a patient in severe pain states “I have had toradol in the past and it works really well for me” assuming all other conditions are met could they receive toradol in addition to tylenol to compliment the nsaid?





