Date Published

May 13, 2014

Updated For

ALS PCS Version ALS PCS Version 5.2


Question: I have a question regarding the Analgesia and Moderate to Severe Pain medical directives for torodol and narcotics. Can a narcotic analgesia and torodol be administered to the same patient on the same call if the ACP determines the patient's pain is severe enough and the properties of both analgesics would be beneficial given the situation? Or are we best to pick the most appropriate analgesia and possible consult with a BHP? Thanks for your time and input!


 Excellent question. The advantage to Ketorolac is that the NSAID for specific conditions (especially renal colic) may significantly lessen the narcotic requirement for patients in significant discomfort. So, to answer your question, yes, if a patient meets the medical directives for Ketorolac as well as the ACP Pain Medical Directive which lists Morphine and Fentanyl as choices, both Ketorolac and Morphine OR Fentanyl may be administered.



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