Monthly Archives: May 2014
Many patients get medication management suggestions from their insurance companies addressed to their primary physician. A patient who had diabetes and CHF was not on an ACE Inhibitor or an ARB which are commonly recommended as standard of care for hypertension and these coexisting conditions. In following this patient, there were records that an ACE […]
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76 year old male had recently had a hip fracture with surgery and was in a substantial amount of pain. Upon discharge from the hospital, he was admitted to a long term care facility for rehab. Acute pain management was the highest on the priority list and the provider started Fentanyl patch 25 mcg as […]
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Guest Post via – Luka Tehovnik, who is a final year pharmacy student from Slovenia! You can find his blog here: http://thoughtsbecamewords.wordpress.com/ 59 y/o female had a history of recurrent spontaneous hematoma, non-ST elevation myocardial infarction, and recent DVT. She was on Lovenox (enoxaparin) with planned transition to Coumadin (warfarin) when INR was therapeutic for […]
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You’re probably aware I’m an advocate for simple, rationale use of medications. This means that at times we might consider reducing or discontinuing medications that may not be appropriate anymore for various reasons. There is a right way to discontinue medications and when you hear the geriatric mantra of “start low go slow”, the “go slow” […]
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I frequently have the challenge of sifting through hospital records to try to identify what’s going on with a new admission to a long term care facility. It can be a struggle to find pertinent information. Delirium frequently happens in the elderly due to infection, pain, medications, etc. 79 year old male was admitted to […]
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