An 81 year old gentleman was struggling with CHF symtpoms. Fluid overload was the problem with difficulty breathing secondary to increased edema/CHF symptoms. His Lasix was increased from 20 mg daily up to 40 mg daily to help promote the loss of fluid. Three days...
I work with patients, nurses, doctors, pharmacists and other healthcare professionals everyday who struggle with medication management. One of the biggest problems I run into is polypharmacy. Ten, twenty, even sometimes up to 30+ medications is something I come across...
Ever made a mistake? I have. I will never forget that feeling – it’s awful. I was reviewing a patient’s medication list and noted that the patient was struggling with the costs of their medications. I was a fairly recent new graduate at the time and...
A patient had some blood loss during a surgery – very common. The patient’s hemoglobin dropped from about 12.5 to 9.8 and the prescriber wanted to improve that hemoglobin back to baseline prior to the blood loss. Iron is a necessary component in the...
We all know that Viagra (sildenafil) is used for erectile dysfunction (most of the time), but this elderly patient was seeking it for an off label use. This gentleman was frequently asking his doctor and the nurses that worked with him if he could get “a little...