THE USE OF INTRAVENOUS KETOROLAC FOR THE TREATMENT OF RENAL COLIC IN THE EMERGENCY DEPARTMENT

被引：21

作者：

LARSEN, LS ^{[1
]}

MILLER, A ^{[1
]}

ALLEGRA, JR ^{[1
]}

机构：

[1] MORRISTOWN MEM HOSP,RESIDENCY EMERGENCY MED,MORRISTOWN,NJ 07960

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1993年 / 11卷 / 03期

关键词：

RENAL COLIC; NEPHROLITHIASIS; NSAIDS; KETOROLAC;

D O I：

10.1016/0735-6757(93)90123-S

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The objective of this study was to report the authors' experience using intravenous ketorolac (Syntex Laboratories, Palo Alto, CA) as an analgesic in the treatment of renal colic in a convenience sample at three suburban community hospital emergency departments. Twenty-five patients with renal colic were participants. Pregnant women, patients with a history of renal or hepatic impairment, bleeding diathesis, active peptic ulcer disease, or hypersensitivity to aspirin or nonsteroidal antiinflammatory drugs (NSAID) were excluded. Ketorolac 30 mg administered intravenously during a 1-minute period, and the following parameters were monitored at times 0, 5, 10, 20, 30, and 60 minutes: pain on a scale of 0 to 10, pulse rate, blood pressure, and adverse side effects. A total of 25 patients were included in our series. Initially, they had a median pain score of 9 with an interquartile range of 1. Thereafter, the median pain scores and (interquartile ranges) were 8 (three) at 5 minutes, 5 (four) at 10 minutes, 2 (four) at 20 minutes, 1 (three) at 30 minutes, and 0 (one) at 60 minutes. There were no adverse side effects observed in any patients. Therefore, it can be concluded that intravenous ketorolac is an effective analgesic agent for the control of pain in patients with renal colic. © 1993.

引用

页码：197 / 199

页数：3

共 26 条

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