{"id":57854,"date":"2024-02-27T18:04:28","date_gmt":"2024-02-27T18:04:28","guid":{"rendered":"https:\/\/medsname.com\/ketanov-injection\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"ketanov-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/ketanov-injection\/","title":{"rendered":"Injekce Ketanov"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je injekce Ketanov?<\/h3>\n<p style=\"margin:0;\"><strong>Injekce Ketanov<\/strong> je <strong>ketorolak trometamol 30 mg\/ml ampule<\/strong> po dobu <strong>intramuskul\u00e1rn\u011b nebo intraven\u00f3zn\u011b<\/strong> pod\u00e1v\u00e1n\u00ed. Je to jeden z nejsiln\u011bj\u0161\u00edch dostupn\u00fdch parenter\u00e1ln\u00edch NSAID a pou\u017e\u00edv\u00e1 se na pohotovostn\u00edch odd\u011blen\u00edch, p\u0159i jednodenn\u00edch chirurgick\u00fdch v\u00fdkonech a poopera\u010dn\u00ed p\u00e9\u010di pro <strong>st\u0159edn\u011b silnou a\u017e silnou akutn\u00ed bolest<\/strong>. Standardn\u00ed d\u00e1vka pro dosp\u011bl\u00e9 je <strong>30 mg intramuskul\u00e1rn\u011b ka\u017ed\u00fdch 6 hodin<\/strong> (maxim\u00e1ln\u011b 120 mg\/den po dobu \u2264 2 dn\u016f parenter\u00e1ln\u011b, \u2264 5 dn\u016f celkem v\u010detn\u011b p\u0159\u00edpadn\u00e9ho peror\u00e1ln\u00edho ketorolaku). Nesm\u00ed se <strong>ne<\/strong> u\u017e\u00edvat dlouhodob\u011b.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<p><strong>Injekce Ketanov<\/strong> je ampule <strong>ketorolac tromethamin 30 mg\/ml<\/strong>, vyr\u00e1b\u011bno spole\u010dnost\u00ed Cipla. Injek\u010dn\u00ed ketorolak se pou\u017e\u00edv\u00e1 v akutn\u00ed p\u00e9\u010di, kde je pot\u0159eba siln\u00e1, rychl\u00e1, neopioidn\u00ed kontrola bolesti \u2013 na pohotovostech p\u0159i ren\u00e1ln\u00ed kolice a v\u00e1\u017en\u00fdch \u00farazech, v poopera\u010dn\u00edch zotavovac\u00edch jednotk\u00e1ch, v jednodenn\u00ed chirurgii a v periopera\u010dn\u00edch protokolech pro bolest, kter\u00e9 maj\u00ed za c\u00edl sn\u00ed\u017eit pot\u0159ebu opioid\u016f.<\/p>\n<p>Analgetick\u00e1 \u00fa\u010dinnost parenter\u00e1ln\u00edho ketorolaku je srovnateln\u00e1 s n\u00edzkou d\u00e1vkou morfinu: 30 mg IM ketorolaku je zhruba ekvivalentn\u00ed 6\u201312 mg IM morfinu p\u0159i st\u0159edn\u00ed poopera\u010dn\u00ed bolesti, bez sedace, respira\u010dn\u00ed deprese nebo potenci\u00e1lu zneu\u017eit\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">K \u010demu se pou\u017e\u00edv\u00e1 injekce Ketanov?<\/h2>\n<ul>\n<li><strong>Poopera\u010dn\u00ed bolest<\/strong> \u2013 zejm\u00e9na v jednodenn\u00ed chirurgii a ortopedick\u00fdch v\u00fdkonech; \u010dasto kombinov\u00e1n s paracetamolem v r\u00e1mci \u201c\u0161et\u0159\u00edc\u00edho opioidn\u00edho\u201d re\u017eimu<\/li>\n<li><strong>Ledvinov\u00e1 kolika<\/strong> \u2013 bolest p\u0159i ledvinov\u00fdch kamenech; parenter\u00e1ln\u00ed ketorolak je l\u00e9kem prvn\u00ed volby v mnoha protokolech pohotovostn\u00ed p\u00e9\u010de<\/li>\n<li><strong>Bili\u00e1rn\u00ed kolika<\/strong><\/li>\n<li><strong>Akutn\u00ed muskuloskelet\u00e1ln\u00ed trauma<\/strong> \u2013 zlomeniny p\u0159ed definitivn\u00ed l\u00e9\u010dbou, v\u00e1\u017en\u00e9 poran\u011bn\u00ed m\u011bkk\u00fdch tk\u00e1n\u00ed<\/li>\n<li><strong>T\u011b\u017ek\u00e1 akutn\u00ed migr\u00e9na<\/strong> \u2014 kdy\u017e sel\u017ee peror\u00e1ln\u00ed terapie nebo zvracen\u00ed znemo\u017e\u0148uje peror\u00e1ln\u00ed pod\u00e1n\u00ed<\/li>\n<li><strong>T\u011b\u017ek\u00e1 dysmenorea<\/strong> \u2014 kdy\u017e peror\u00e1ln\u00ed NSAID nen\u00ed tolerov\u00e1no<\/li>\n<li><strong>Akutn\u00ed exacerbace chronick\u00e9 onkologick\u00e9 bolesti<\/strong> \u2014 kr\u00e1tkodob\u00e1 adjuvans k opioidn\u00ed terapii pod odborn\u00fdm dohledem<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Jak Ketorolac funguje?<\/h2>\n<p>Ketorolac je <strong>neselektivn\u00ed NSAID<\/strong> \u2014 blokuje jak <strong>COX-1<\/strong> (kter\u00fd udr\u017euje \u017ealude\u010dn\u00ed sliznici, funkci krevn\u00edch desti\u010dek a prokrven\u00ed ledvin), tak <strong>COX-2<\/strong> (kter\u00fd je zv\u00fd\u0161en\u011b exprimov\u00e1n v m\u00edstech z\u00e1n\u011btu). Toto \u0161irok\u00e9 p\u016fsoben\u00ed vysv\u011btluje jak jeho siln\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek, tak jeho dob\u0159e zn\u00e1m\u00fd profil gastrointestin\u00e1ln\u00edch a ren\u00e1ln\u00edch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f.<\/p>\n<p>Terapeutick\u00fd \u0159et\u011bzec ud\u00e1lost\u00ed je u v\u0161ech NSAID stejn\u00fd:<\/p>\n<ol>\n<li>Po\u0161kozen\u00ed tk\u00e1n\u011b nebo z\u00e1n\u011bt uvol\u0148uje fosfolipidy z bun\u011b\u010dn\u00fdch membr\u00e1n<\/li>\n<li>Fosfolip\u00e1za A\u2082 je p\u0159em\u011b\u0148uje na kyselinu arachidonovou<\/li>\n<li>Cyklooxygen\u00e1za (COX-1\/COX-2) p\u0159em\u011b\u0148uje kyselinu arachidonovou na <strong>prostaglandiny<\/strong> \u2014 molekuly zodpov\u011bdn\u00e9 za bolest, otok a hore\u010dku<\/li>\n<li>Ketorolac blokuje COX enzymy, \u010d\u00edm\u017e se sni\u017euje tvorba prostaglandin\u016f, co\u017e vede k men\u0161\u00ed bolesti a z\u00e1n\u011btu<\/li>\n<\/ol>\n<p>Proto\u017ee prostaglandiny tak\u00e9 chr\u00e1n\u00ed \u017ealude\u010dn\u00ed sliznici, reguluj\u00ed pr\u016ftok krve ledvinami a ovliv\u0148uj\u00ed funkci krevn\u00edch desti\u010dek, stejn\u00fd mechanismus, kter\u00fd zm\u00edr\u0148uje bolest, je tak\u00e9 zodpov\u011bdn\u00fd za hlavn\u00ed vedlej\u0161\u00ed \u00fa\u010dinky NSAID: podr\u00e1\u017ed\u011bn\u00ed \u017ealudku, zadr\u017eov\u00e1n\u00ed tekutin, vysok\u00fd krevn\u00ed tlak a (u n\u011bkter\u00fdch jedinc\u016f) z\u00e1t\u011b\u017e ledvin.<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed Ketanov injekce<\/h2>\n<ul>\n<li><strong>Dosp\u011bl\u00ed (&gt; 50 kg, v\u011bk do 65 let):<\/strong> 30 mg IM nebo pomal\u00e9 IV ka\u017ed\u00fdch 6 hodin; maximum 120 mg\/den<\/li>\n<li><strong>Senio\u0159i (&gt; 65 let), t\u011blesn\u00e1 hmotnost &lt; 50 kg, m\u00edrn\u00e9 ren\u00e1ln\u00ed po\u0161kozen\u00ed:<\/strong> 15 mg ka\u017ed\u00fdch 6 hodin; maximum 60 mg\/den<\/li>\n<li><strong>Jednor\u00e1zov\u00e1 d\u00e1vka IM:<\/strong> 60 mg (v\u011bk do 65 let, norm\u00e1ln\u00ed hmotnost) nebo 30 mg (senio\u0159i, n\u00edzk\u00e1 hmotnost)<\/li>\n<li><strong>Jednor\u00e1zov\u00e1 intraven\u00f3zn\u00ed d\u00e1vka:<\/strong> 30 mg pomal\u00e9 intraven\u00f3zn\u00ed pod\u00e1n\u00ed po dobu minim\u00e1ln\u011b 15 sekund<\/li>\n<li><strong>Maxim\u00e1ln\u00ed d\u00e9lka parenter\u00e1ln\u00ed l\u00e9\u010dby:<\/strong> 2 dny<\/li>\n<li><strong>Maxim\u00e1ln\u00ed celkov\u00e1 d\u00e9lka l\u00e9\u010dby (parenter\u00e1ln\u00ed + peror\u00e1ln\u00ed):<\/strong> 5 dn\u00ed<\/li>\n<\/ul>\n<p>Injekci pod\u00e1v\u00e1 zdravotnick\u00fd pracovn\u00edk. Samopod\u00e1n\u00ed nen\u00ed u ketorolaku vhodn\u00e9.<\/p>\n<p>P\u0159i p\u0159echodu z injek\u010dn\u00ed na peror\u00e1ln\u00ed formu: prvn\u00ed peror\u00e1ln\u00ed d\u00e1vka se pod\u00e1v\u00e1 v dob\u011b, kdy by byla na \u0159ad\u011b dal\u0161\u00ed parenter\u00e1ln\u00ed d\u00e1vka. Celkov\u00e1 kombinovan\u00e1 l\u00e9\u010dba st\u00e1le nesm\u00ed p\u0159ekro\u010dit 5 dn\u00ed.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>GI bezpecnost \u2014 precist pred prvnim uzitim.<\/strong> Ka\u017ed\u00e9 NSAID, v\u010detn\u011b injek\u010dn\u00edho p\u0159\u00edpravku Ketanov, nese skute\u010dn\u00e9 riziko gastritidy, peptick\u00e9ho v\u0159edu a krv\u00e1cen\u00ed do horn\u00ed \u010d\u00e1sti tr\u00e1vic\u00edho traktu. Riziko je nejvy\u0161\u0161\u00ed u pacient\u016f nad 65 let, u t\u011bch s p\u0159edchoz\u00edm v\u0159edov\u00fdm onemocn\u011bn\u00edm a u v\u0161ech, kte\u0159\u00ed u\u017e\u00edvaj\u00ed n\u00edzk\u00e9 d\u00e1vky aspirinu, kortikosteroidy, SSRI nebo antikoagulancia. P\u0159\u00edpravek Ketanov Injection <em>s j\u00eddlem<\/em>, pouzijte <em>nejnizsi ucinnou davku po nejkratsi rozumne dlouhou dobu<\/em>, a zeptejte se lekare na predpis inhibitoru protonove pumpy (omeprazol, pantoprazol), pokud ho potrebujete dele nez 2\u20134 tydny.<\/p>\n<\/div>\n<h2 class=\"wp-block-heading\">Kdo by nem\u011bl dostat p\u0159\u00edpravek Ketanov Injection?<\/h2>\n<ul>\n<li>Zn\u00e1m\u00e1 p\u0159ecitliv\u011blost na ketorolak nebo jak\u00e9koli NSAID<\/li>\n<li>Aktivn\u00ed nebo opakuj\u00edc\u00ed se peptick\u00fd v\u0159ed, krv\u00e1cen\u00ed nebo perforace tr\u00e1vic\u00edho traktu<\/li>\n<li>Astma, kop\u0159ivka nebo rinitida vyvolan\u00e1 aspirinem nebo jin\u00fdm NSAID (\u201caspirinem exacerbovan\u00e9 respira\u010dn\u00ed onemocn\u011bn\u00ed\u201d)<\/li>\n<li>T\u011b\u017ek\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed (NYHA t\u0159\u00edda IV)<\/li>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed jater (Child\u2013Pugh C)<\/li>\n<li>T\u011b\u017ek\u00e9 po\u0161kozen\u00ed ledvin (CrCl &lt; 30 ml\/min)<\/li>\n<li>T\u0159et\u00ed trimestr t\u011bhotenstv\u00ed (riziko p\u0159ed\u010dasn\u00e9ho uzav\u0159en\u00ed ductus arteriosus a oligohydramnionu)<\/li>\n<li>Ned\u00e1vn\u00e1 operace koron\u00e1rn\u00edho bypassu (CABG) \u2014 absolutn\u00ed kontraindikace pro v\u0161echna NSAID<\/li>\n<\/ul>\n<p><strong>Specifick\u00e9 pro parenter\u00e1ln\u00ed ketorolak:<\/strong><\/p>\n<ul>\n<li>Podez\u0159en\u00ed nebo skute\u010dn\u00e9 krv\u00e1cen\u00ed do mozku, nitrolebn\u00ed chirurgick\u00fd z\u00e1krok nebo krv\u00e1civ\u00e1 diat\u00e9za<\/li>\n<li>Nedostate\u010dn\u00e1 hemost\u00e1za nebo vysok\u00e9 riziko krv\u00e1cen\u00ed (nap\u0159. p\u0159i u\u017e\u00edv\u00e1n\u00ed antikoagulanci\u00ed)<\/li>\n<li>Neuraxi\u00e1ln\u00ed (spin\u00e1ln\u00ed\/epidur\u00e1ln\u00ed) pod\u00e1n\u00ed \u2014 p\u0159\u00edpravek nen\u00ed ur\u010den pro tuto cestu<\/li>\n<li>Porod a porodn\u00ed proces<\/li>\n<li>T\u011b\u017ek\u00e1 dehydratace \u2014 nejprve rehydratovat<\/li>\n<li>D\u011bti &lt; 16 let ve v\u011bt\u0161in\u011b jurisdikc\u00ed<\/li>\n<li>Profylaxe p\u0159ed v\u011bt\u0161\u00edmi chirurgick\u00fdmi z\u00e1kroky s vysok\u00fdm rizikem krv\u00e1cen\u00ed<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Kardiovaskul\u00e1rn\u00ed riziko<\/h3>\n<p>V\u0161echna NSAID (krom\u011b n\u00edzk\u00fdch d\u00e1vek aspirinu) nesou ur\u010dit\u00e9 zv\u00fd\u0161en\u00ed rizika infarktu a mrtvice a mohou zhor\u0161it srde\u010dn\u00ed selh\u00e1n\u00ed. Riziko je z\u00e1visl\u00e9 na d\u00e1vce a d\u00e9lce u\u017e\u00edv\u00e1n\u00ed a je obecn\u011b nejvy\u0161\u0161\u00ed u COX-2 selektivn\u00edch l\u00e1tek a u diklofenaku. Pacienti s prok\u00e1zan\u00fdm ischemick\u00fdm onemocn\u011bn\u00edm srdce, perifern\u00edm arteri\u00e1ln\u00edm onemocn\u011bn\u00edm, mrtvic\u00ed nebo nekontrolovanou hypertenz\u00ed by m\u011bli pou\u017e\u00edvat neselektivn\u00ed NSAID (ibuprofen nebo naproxen) v nejni\u017e\u0161\u00ed \u00fa\u010dinn\u00e9 d\u00e1vce, nebo pokud mo\u017eno m\u00edsto nich paracetamol.<\/p>\n<h3 class=\"wp-block-heading\">Ren\u00e1ln\u00ed (ledvinov\u00e1) bezpe\u010dnost<\/h3>\n<p>NSAID sni\u017euj\u00ed produkci ren\u00e1ln\u00edch prostaglandin\u016f, co\u017e m\u016f\u017ee zp\u016fsobit zadr\u017eov\u00e1n\u00ed sol\u00ed a vody, zv\u00fd\u0161en\u00ed krevn\u00edho tlaku a \u2013 u zraniteln\u00fdch pacient\u016f \u2013 akutn\u00ed po\u0161kozen\u00ed ledvin. Mezi vysoce rizikov\u00e9 skupiny pat\u0159\u00ed star\u0161\u00ed pacienti, pacienti u\u017e\u00edvaj\u00edc\u00ed ACE inhibitory\/ARB spolu s diuretiky (tzv. \u201ctrojit\u00fd z\u00e1sah\u201d), dehydratovan\u00ed jedinci (zvracen\u00ed, pr\u016fjem, horko, intenzivn\u00ed cvi\u010den\u00ed) a pacienti s ji\u017e existuj\u00edc\u00edm CKD. P\u0159esta\u0148te u\u017e\u00edvat NSAID a vyhledejte l\u00e9ka\u0159skou kontrolu, pokud se u v\u00e1s objev\u00ed sn\u00ed\u017een\u00fd v\u00fddej mo\u010di, otoky nebo nevysv\u011btlen\u00fd p\u0159\u00edr\u016fstek hmotnosti.<\/p>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky injekce Ketanov<\/h2>\n<ul>\n<li><strong>\u010cast\u00e9:<\/strong> bolest v m\u00edst\u011b intramuskul\u00e1rn\u00ed injekce, nevolnost, dyspepsie, ospalost, z\u00e1vrat\u011b, pocen\u00ed, bolest hlavy<\/li>\n<li><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong> peptick\u00fd v\u0159ed a gastrointestin\u00e1ln\u00ed krv\u00e1cen\u00ed, akutn\u00ed po\u0161kozen\u00ed ledvin (zejm\u00e9na u dehydratovan\u00fdch nebo star\u0161\u00edch pacient\u016f), hypertenze, poopera\u010dn\u00ed krv\u00e1cen\u00ed z r\u00e1ny, zv\u00fd\u0161en\u00e9 jatern\u00ed enzymy<\/li>\n<li><strong>Vz\u00e1cn\u00e9:<\/strong> anafylaxe, t\u011b\u017ek\u00e1 hepatotoxicita, Stevens-Johnson\u016fv syndrom, bronchospasmus, aseptick\u00e1 meningitida<\/li>\n<\/ul>\n<p>Okam\u017eit\u011b vyhledejte l\u00e9ka\u0159skou pomoc p\u0159i: zn\u00e1mk\u00e1ch gastrointestin\u00e1ln\u00edho krv\u00e1cen\u00ed, obt\u00ed\u017en\u00e9m d\u00fdch\u00e1n\u00ed, otoku obli\u010deje, siln\u00e9m krv\u00e1cen\u00ed z r\u00e1ny po operaci, sn\u00ed\u017een\u00e9m v\u00fddeji mo\u010di nebo rozs\u00e1hl\u00e9 vyr\u00e1\u017ece.<\/p>\n<h2 class=\"wp-block-heading\">Objedn\u00e1vky a dod\u00e1n\u00ed<\/h2>\n<p>MedsBase nab\u00edz\u00ed celosv\u011btovou dopravu pro ka\u017edou objedn\u00e1vku. Objedn\u00e1vky jsou odes\u00edl\u00e1ny v diskr\u00e9tn\u00edch obalech a dod\u00e1v\u00e1ny v origin\u00e1ln\u00edch v\u00fdrobn\u00edch balen\u00edch. Pokud je po\u017eadovan\u00e1 s\u00edla nebo velikost balen\u00ed nedostupn\u00e1, kontaktujte z\u00e1kaznickou podporu pro odhad dodac\u00ed lh\u016fty.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:20px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>Zdravotn\u00ed prohl\u00e1\u0161en\u00ed.<\/strong> Informace na t\u00e9to str\u00e1nce slou\u017e\u00ed pouze pro obecn\u00e9 vzd\u011bl\u00e1v\u00e1n\u00ed. Nejsou n\u00e1hradou za rady va\u0161eho l\u00e9ka\u0159e nebo l\u00e9k\u00e1rn\u00edka. NSAID maj\u00ed dob\u0159e zdokumentovan\u00e1 gastrointestin\u00e1ln\u00ed, kardiovaskul\u00e1rn\u00ed a ren\u00e1ln\u00ed rizika \u2013 p\u0159ed zah\u00e1jen\u00edm, ukon\u010den\u00edm nebo zm\u011bnou l\u00e9\u010dby se pora\u010fte s kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem, zejm\u00e9na pokud m\u00e1te v anamn\u00e9ze peptick\u00fd v\u0159ed, srde\u010dn\u00ed onemocn\u011bn\u00ed, onemocn\u011bn\u00ed ledvin, astma nebo jste t\u011bhotn\u00e1.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">K \u010demu se pou\u017e\u00edv\u00e1 injekce Ketanov?<\/h3>\n<p>Injekce Ketanov (ketorolak 30 mg\/ml) se pou\u017e\u00edv\u00e1 pro kr\u00e1tkodobou l\u00e9\u010dbu st\u0159edn\u011b siln\u00e9 a\u017e siln\u00e9 akutn\u00ed bolesti \u2013 poopera\u010dn\u00ed, ren\u00e1ln\u00ed koliky, bili\u00e1rn\u00ed koliky, akutn\u00edho traumatu, t\u011b\u017ek\u00e9 migr\u00e9ny a t\u011b\u017ek\u00e9 dysmenorey.<\/p>\n<h3 class=\"wp-block-heading\">Jak se li\u0161\u00ed injekce Ketanov od Ketorol DT?<\/h3>\n<p>Stejn\u00e1 molekula (ketorolak). Ketanov je 30 mg\/ml injekce pro intramuskul\u00e1rn\u00ed (IM) nebo intraven\u00f3zn\u00ed (IV) pod\u00e1n\u00ed, pou\u017e\u00edvan\u00e1 na pohotovostech a po operac\u00edch; Ketorol DT je 10 mg or\u00e1ln\u011b dispergovateln\u00e1 tableta pro postupnou redukci l\u00e9\u010dby nebo dom\u00e1c\u00ed pou\u017eit\u00ed. Celkov\u00e1 kombinovan\u00e1 terapie nesm\u00ed p\u0159es\u00e1hnout 5 dn\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Jak rychle p\u016fsob\u00ed injekce Ketanovu?<\/h3>\n<p>N\u00e1stup \u00fa\u010dinku je za 10\u201330 minut p\u0159i IM pod\u00e1n\u00ed a b\u011bhem minut p\u0159i IV pod\u00e1n\u00ed. Vrchol \u00fa\u010dinku nast\u00e1v\u00e1 za 45\u201360 minut p\u0159i IM pod\u00e1n\u00ed; d\u00e9lka \u00fa\u010dinku je 4\u20136 hodin na d\u00e1vku.<\/p>\n<h3 class=\"wp-block-heading\">Je injekce Ketanovu stejn\u011b siln\u00e1 jako morfin?<\/h3>\n<p>P\u0159i st\u0159edn\u011b siln\u00e9 poopera\u010dn\u00ed bolesti je 30 mg IM ketorolaku ve v\u011bt\u0161in\u011b studi\u00ed srovnateln\u00e9 s 6\u201312 mg IM morfinu, bez sedace, deprese d\u00fdch\u00e1n\u00ed nebo rizika vzniku z\u00e1vislosti. Mnoho nemocnic pou\u017e\u00edv\u00e1 ketorolak jako sou\u010d\u00e1st re\u017eimu \u0161et\u0159\u00edc\u00edho opioidy.<\/p>\n<h3 class=\"wp-block-heading\">Mohu podat injekci Ketanovu doma?<\/h3>\n<p>Ne. Ketanov je IM\/IV injekce, kterou by m\u011bl pod\u00e1vat pro\u0161kolen\u00fd zdravotnick\u00fd pracovn\u00edk. Samopod\u00e1n\u00ed nen\u00ed vhodn\u00e9 kv\u016fli riziku krv\u00e1cen\u00ed, mo\u017en\u00fdm probl\u00e9m\u016fm v m\u00edst\u011b vpichu a nutnosti klinick\u00e9ho monitorov\u00e1n\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Pro\u010d nemohu u\u017e\u00edvat ketorolak d\u00e9le ne\u017e 5 dn\u00ed?<\/h3>\n<p>Riziko vzniku \u017ealude\u010dn\u00edho v\u0159edu, gastrointestin\u00e1ln\u00edho krv\u00e1cen\u00ed a akutn\u00edho po\u0161kozen\u00ed ledvin prudce stoup\u00e1 po 5 dnech kontinu\u00e1ln\u00ed terapie ketorolakem. Toto je regula\u010dn\u00ed i klinick\u00fd limit. Po 5 dnech by m\u011bla b\u00fdt bolest \u0159e\u0161ena jin\u00fdmi NSAID, paracetamolem nebo \u2013 pokud je to skute\u010dn\u011b nutn\u00e9 \u2013 opioidy pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee se injekce Ketanovu kombinovat s paracetamolem?<\/h3>\n<p>Ano \u2013 tato kombinace je standardem v periopera\u010dn\u00ed p\u00e9\u010di. Paracetamol 1 g IV nebo peror\u00e1ln\u011b plus ketorolak 30 mg IM poskytuje aditivn\u00ed, multimod\u00e1ln\u00ed \u00falevu od bolesti.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017ee se injekce Ketanovu podat p\u0159ed operac\u00ed?<\/h3>\n<p>Obvykle ne jako preemptivn\u00ed analgetikum u v\u00fdkon\u016f s vysok\u00fdm rizikem krv\u00e1cen\u00ed. U operac\u00ed s ni\u017e\u0161\u00edm rizikem krv\u00e1cen\u00ed m\u016f\u017ee b\u00fdt pod\u00e1na intraopera\u010dn\u00ed d\u00e1vka podle rozhodnut\u00ed chirurga.<\/p>\n<h3 class=\"wp-block-heading\">Je injekce Ketanovu bezpe\u010dn\u00e1 pro star\u0161\u00ed pacienty?<\/h3>\n<p>Pou\u017eijte sn\u00ed\u017eenou d\u00e1vku (15 mg ka\u017ed\u00fdch 6 hodin, maxim\u00e1ln\u011b 60 mg\/den) a co nejkrat\u0161\u00ed mo\u017enou dobu l\u00e9\u010dby. Star\u0161\u00ed pacienti jsou obzvl\u00e1\u0161t\u011b ohro\u017eeni gastrointestin\u00e1ln\u00edmi a ren\u00e1ln\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje injekce Ketanov ospalost nebo sedaci?<\/h3>\n<p>M\u00edrn\u00e1 ospalost je mo\u017en\u00e1, ale ketorolak nezp\u016fsobuje silnou sedaci jako opioidy.<\/p>\n<h3 class=\"wp-block-heading\">Je injekce Ketanov bezpe\u010dn\u00e1 v t\u011bhotenstv\u00ed?<\/h3>\n<p>Ne \u2014 ketorolak je kontraindikov\u00e1n b\u011bhem porodu a porodn\u00edch cest a m\u011bl by se vyhnout od 20. t\u00fddne t\u011bhotenstv\u00ed. Preferuje se paracetamol nebo analgezie ekvivalentn\u00ed morfinu.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cort-s-injection\/\">Cort-S Injection<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/syndopa\/\">Syndopa<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/glinil-m\/\">Glinil M<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/azoran\/\">Azoran<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/efavir\/\">Efavir<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Rychl\u00e1 \u00faleva od bolesti<br \/>\n\u2705 Siln\u00fd protiz\u00e1n\u011btliv\u00fd \u00fa\u010dinek<br \/>\n\u2705 Pohodln\u00e1 injek\u010dn\u00ed forma<br \/>\n\u2705 Efektivn\u00ed po operaci<br \/>\n\u2705 Analgetick\u00fd \u00fa\u010dinek<\/p>\n<p>Injekce Ketanov obsahuje ketorolak.<\/p>","protected":false},"featured_media":57855,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4371,4370],"class_list":{"0":"post-57854","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-pain-relief-medication","9":"product_tag-ketanov-injection","10":"product_tag-ketorolac","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/57854","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=57854"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/57855"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=57854"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=57854"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=57854"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=57854"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}