Clinical Context
A 45-year-old patient presents to an urgent care clinic with acute moderate-to-severe musculoskeletal pain after a fall during weekend recreational activity. The patient reports pain localized to the right shoulder with limited range of motion and tenderness on palpation. After triage and brief evaluation by the clinician, nonsteroidal anti-inflammatory therapy is indicated for short-term pain control. The clinician determines that an intramuscular injection is appropriate because the patient requires rapid analgesia, oral intake is limited, or prior oral NSAIDs were ineffective or contraindicated.
The clinical workflow: patient registration and allergy/medication reconciliation; focused history and physical exam documenting location, severity, onset, and functional impact of pain; assessment of contraindications to ketorolac (active bleeding, renal impairment, NSAID allergy, recent anticoagulant use, pregnancy); informed consent for injection; preparation of J1885 (ketorolac tromethamine) dose per 15 mg unit; administration via intramuscular or intravenous route as clinically indicated; monitoring for immediate adverse effects (bleeding, hypotension, allergic reaction); documentation of drug name, dose, route, lot number, site, patient response, and any counseling. Typical site of service: outpatient clinics, urgent care centers, emergency departments, and ambulatory surgical centers for short-term analgesia. Service type: pharmaceutical injectable non-chemotherapeutic, short-term analgesic (single-dose or short course injectable NSAID).