Answer: 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.