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...
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...
