Monthly Archives: June 2014
A significant clinical medication review for everyone today, where I pick out a couple areas of concern to me and you can help do the rest by adding any comments/thoughts/questions below! There’s plenty to pick on in this one, so I may need a little help to cover everything! – Also reminder that new subscribers can […]
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85 year old male with a recent operation for a knee replacement was discharged on hydrocodone/APAP 5/325 1-2 every four hours as needed as well as Vistaril (hydroxyzine) 25-50 mg every six hours as needed for pain management. Within a couple days of significant prn use for the pain, the patient was understandably dealing with […]
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88 y/o female who’s had some difficulty with pain management. She was on scheduled Tylenol (acetaminophen) 1,000 mg twice daily as well as Ultram (tramadol) 50 mg every 6 hours as needed. She had brought up the complaint about her osteoarthritis to her physician. She was prescribed Ultram 100 mg four times daily scheduled. When I […]
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Inevitably, several times a year, while reviewing a patient’s medications, notes, labs, etc. I will come across a lab that was drawn on an individual that is totally puzzling to me. You may see Coumadin discontinued due to various reasons, but many times it is due to high risk of bleeding or something similar to […]
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Many patients and healthcare professionals may not realize that different formulations of a product can have very different pharmacokinetics. Why does pharmacokinetics matter? An 88 year old patient was receiving Namenda (memantine) 5 mg in the morning and 10 mg in the evening for dementia. The physician noted this and was going to transition them to […]
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