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...
by Eric Christianson | Dec 6, 2015 | Medication Errors, Personal Stories From The Front Lines of Clinical Pharmacy
In geriatrics, I see a lot of patches being used. There is definitely some convenience associated with the use of patches as we can avoid the GI tract. I have seen my fair share of mistakes as well. Here’s a breakdown: Fentanyl patches get into systemic...
by Eric Christianson | Nov 29, 2015 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies
A 74 year old female is diagnosed with new onset seizures. She is initiated on Depakote 250 mg twice daily and titrated up to a dose of 1,000 mg twice daily. About 1-2 months following titration, she begins to experience increasing confusion and family begin to be...
by Eric Christianson | Nov 25, 2015 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies
Anemia can get pretty complicated, especially in the elderly. A few common causes of anemia include; blood loss, CKD, B12 deficiency, folate deficiency, and iron deficiency. A 78 year old female was concerned with fatigue, stating that she felt like she could sleep...
by Eric Christianson | Nov 22, 2015 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
Statins (atorvastatin, simvastatin, etc.) are one of the most commonly prescribed classes of medications. Let me share a few common clinical pearls on statins. If you like some more pearls in audio format, be sure to check out the podcast! Statins should also be...