by Eric Christianson | Dec 23, 2015 | Gastrointestinal Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists, Polypharmacy Cases And The Prescribing Cascade
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...
by Eric Christianson | Dec 20, 2015 | Personal Stories From The Front Lines of Clinical Pharmacy
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...
by Eric Christianson | Dec 16, 2015 | Endocrine Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
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...
by Eric Christianson | Dec 13, 2015 | Drug Interaction Case Studies and Education For Pharmacists
A 74 year old female was recently discharged from the hospital with pneumonia. The latest INR was 2.1. Current Meds: Aspirin 81 mg daily Warfarin 2.5 mg daily Lamotrigine 25 mg BID Ranitidine 150 mg daily Carafate 1 gram twice daily Loperamide as needed (just...
by Eric Christianson | Dec 9, 2015 | Polypharmacy Cases And The Prescribing Cascade
A 64 year old female presents with the following medications: Her primary complaints are GI upset (feels like she is going to throw up) and dizziness. Atorvastatin 10 mg daily Aspirin 81 mg daily Lisinopril 20 mg daily Hydralazine 5 mg three times daily Metformin...