Ontario Paramedic Practice Exam

True or False: In cases of renal colic, ketorolac and ibuprofen should be co-administered

1. True

2. False

The correct answer is: False

In the context of managing renal colic, the recommendation is to avoid the co-administration of ketorolac and ibuprofen. Both of these medications are nonsteroidal anti-inflammatory drugs (NSAIDs), and using them together does not provide enhanced pain relief and may increase the risk of adverse effects, such as gastrointestinal irritation or kidney damage, which is particularly concerning in patients already dealing with renal issues. When treating renal colic, it's often more appropriate to use one NSAID rather than combining them. This approach minimizes the risk of side effects while still effectively managing pain. Dosing should be based on the severity of the pain, and the choice of medication should consider the patient's overall health and any contraindications. Therefore, the assertion that these two should be used together is not supported by clinical guidelines.