Question: I have a few questions regarding the new analgesia and moderate to severe pain medical directives.

1. Could you be more specific on what you mean with “current active bleed”? Would this include the possible bleeding attributed with fractures? Blood in urine from damage caused by known kidney stones? Menstrual bleeding?

2. Could you elaborate on the condition of “patient must remain NPO or is unable to take oral medications” for Ketorolac? Does this mean it is only to be given if Tylenol/Ibuprofen cannot be given orally, or they should remain NPO after medication administration?

3. Should we avoid giving Tylenol/Ibuprofen/Ketorolac if patient has already self-medicated with other pain medications? i.e. Percocet, Demerol, etc.

Thank you in advance for your clarification.