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Polypharmacy Case Study – Potential Drug Induced Confusion

Polypharmacy Case Study – Potential Drug Induced Confusion

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...
Fentanyl Versus Lidoderm Patches, What’s the Difference?

Fentanyl Versus Lidoderm Patches, What’s the Difference?

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...
Polypharmacy Case Review – Drug Induced B12 Deficiency?

Polypharmacy Case Review – Drug Induced B12 Deficiency?

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...
Should We Label Patients With a Sulfa Allergy?  Lesson Learned the Hard Way

Should We Label Patients With a Sulfa Allergy? Lesson Learned the Hard Way

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...
Drug Induced DVT?

Drug Induced DVT?

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...
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Subscribe to the Blog!

Enjoy the blog?  Over 6,000 pharmacy loving folks follow the blog, why aren't you? Subscribe now and get a free gift as well!

Recent Posts

  • Azathioprine and TPMT Testing
  • SGLT2 Inhibitors and Recurrent Genitourinary Infections: A Clinical Case
  • Medications That Don’t Get Discontinued – 6 Unique Examples From My Experience
  • My Top 5 Reasons Patients Keep Having Asthma Exacerbations
  • Nabumetone Prescribing Cascade – Case Study

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