Monthly Archives: December 2015
There are definitely a few medications out there that can contribute to drug induced hypercalcemia. Here’s a brief case scenario I came across that demonstrates that! A 79 year old female at a long term care facility was having difficulty with hypercalcemia. Multiple different medical issues were ruled out including potential parathyroid problems as well […]
Read More
A 77 year old male had recently been having troublesome hallucinations. He was envisioning spiders and snakes in his room that were incredibly distressing and a major cause of his severe anxiety. Other causes such as medication and medical conditions were ruled out, and it was felt like the hallucinations were due to his Alzheimer’s […]
Read More
I often struggle with the question, “When can we discontinue a PPI?” It is rarely a black and white issue in the (mostly) geriatric population I work with. Here’s a scenario that might make things a little more black and white. Patient 1: She is 81 years old and has a history of GI bleeding. […]
Read More
I stumbled across this article the other day and was instantly interested. A gal with cerebral palsy desperately wants to get into pharmacy school, but the physical requirements of pharmacy school may prevent her from getting in. From the author, “cerebral palsy interferes with her dexterity and she is bound to a wheelchair.” The article also […]
Read More
Polypharmacy is a big topic in geriatrics. In the case below, I provide an example of diabetes medications and how we can try to minimize medications. Specifically, I look at the use of sulfonylureas with long acting insulin. An 88 year old female with a past medical history of CHF, edema, hypertension, type 2 diabetes, […]
Read More