by Eric Christianson | Jul 19, 2015 | Polypharmacy Cases And The Prescribing Cascade
Confusion is one of those vague symptoms in the elderly that can be due to nearly anything. Polypharmacy is hard to ignore and here I breakdown a medication list of a 79 year old female with increasing confusion: Enalapril 5 mg daily Aspirin 325 mg daily Simvastatin...
by Eric Christianson | Jul 12, 2015 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
I’ve seen numerous mistakes involving these two pain medications that come in a patch formulation. Between drug diversion (fentanyl – Duragesic), inappropriate time intervals for changing (lidocaine – Lidoderm), as needed use (fentanyl), and lost...
by Eric Christianson | Jul 8, 2015 | Educational Case Studies For Pharmacists
A 67 year old female is on the following medications: Aspirin 81 mg daily Lisinopril 5 mg daily Carafate 1 gm four times daily Omeprazole 40 mg daily Metformin 1000 mg twice daily Actos 15 mg daily Paroxetine 20 mg daily Valproic acid 250 mg twice daily Percocet 5/325...
by Eric Christianson | Jul 5, 2015 | Medication Errors, Personal Stories From The Front Lines of Clinical Pharmacy
A 79 year old female living in a long term care facility was diagnosed with a UTI. Past medical history includes but not limited to urinary incontinence, hypertension, GERD, and osteoarthritis. She has a past history of nitrofurantoin and sulfa allergy. This...
by Eric Christianson | Jul 1, 2015 | Cardiovascular Case Studies, Educational Case Studies For Pharmacists
A 93 year old female was diagnosed with a new onset DVT. Her past medical history includes hypertension, hyperlipidemia, osteoarthritis, osteoporosis, constipation, GERD, erosive esophagitis, peptic ulcer disease, and hypothyroidism. Her current medication list...