0I have a question for ya ... been struggling with this for a bit... While working in a SNF, I have a patient who receives scheduled pain medications as follows: oxycodone 15mg q 4 hrs, gabapentin 300mg QID .. she also has a fentanyl patch 75mcg/hr. She is requesting the following prn meds to be given to her at the same time as the scheduled meds -- morphine sulfate liquid 10mg for chronic pain and fioricet for migraine. She tells me the 'squirt' medicine is to be given with the fioricet so as to give it a 'boost' to help make it work. Any PDR I've referenced advises not to give together as each one can cause respiratory depression. I'm concerned with giving them all together..."do no harm". This pt is also on hospice. I've notified the resident's PCP, asking for parameters and/or recommendations as regards the above.
Have any of you nurses run across this type of issue and/or what are your thoughts? I appreciate your input greatly ... I have talked with my supervisor and she has given me direction as well. Thanks so much!
UPDATE: we received parameters from this patient's PCP ... all is good.