by Eric Christianson | May 11, 2016 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
The acetylcholinesterace inhibitors are used almost exclusively for dementia. Here’s a few clinical pearls and common mistakes that I’ve seen with them. GI symptoms – Diarrhea, nausea, and vomiting are common adverse effects. Be on the lookout for...
by Eric Christianson | May 4, 2016 | Polypharmacy Cases And The Prescribing Cascade
It is very important to assess disease states prior to adding new medications. A 73 year old male has terribly dry skin. The dry skin is leading to some itching. His past medication history includes A-Fib, hypothyroidism, BPH, constipation and osteoarthritis. His...
by Eric Christianson | May 1, 2016 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies
Fatigue is a common complaint from patients. It can certainly be due to a variety of reasons, but never underestimate the possibility of medication induced fatigue especially when it comes to polypharmacy. Here’s the medication list, and factors I would...
by Eric Christianson | Apr 27, 2016 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
There is a reason why clonidine is not routinely used in the elderly. It has a high incidence of adverse effects in the elderly and can contribute to CNS changes, orthostasis, dry mouth etc. An 88 year old gentleman was started on clonidine for hypertension. His...
by Eric Christianson | Apr 24, 2016 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies, Psychiatry and Addiction Medicine Case Studies
JS is a 76 year old female who was having an increase in sleepiness. Her neighbor recently stopped by and found very sedated and difficult to arouse. She was almost “passed out”. An ambulance was called and she was taken to the ER. Her current...