I'm a new nurse working on a mother/baby floor. Our standard orders for post partum patients include Ibuprofen 800mg Q6H and also Percocet 5/325 Q4H prn for pain >/= 5/10.
During my orientation, I've seen that some nurses will hold the Ibuprofen dose, if the pt recently (for example, within 30 minutes) got Percocet, and the pain is controlled, or give the Percocet instead of the Ibuprofen, if the pt is complaining of pain 8/10 at the time of the scheduled Ibuprofen dose.
My understanding is that the Ibuprofen is more to reduce inflammation (in addition to pain relief) and it should be kept "on board" around the clock to be most beneficial.
So, my question to all of you more experienced nurses...would you hold the Ibuprofen? Is there a clinical reason not to give them together? Or is it better to have a pt c/o 8/10 pain try the Ibuprofen at the scheduled time, and reassess in 30-60 min, and then give the Percocet, if the pain is still not controlled?
Thanks for your input. You all are such a wealth of knowledge!!