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TCA’s in the Elderly – Which One Should We Use and When?

TCA’s in the Elderly – Which One Should We Use and When?

by Eric Christianson | Apr 19, 2015 | Medication and Disease State Clinical Pearls For Pharmacists, Psychiatry and Addiction Medication and Disease State Clinical Pearls

TCA’s in the elderly are generally discouraged especially for symptoms of sleep and depression.  There are a lot of other options to consider for treatment of both of these issues before TCA’s.  While I’m not going to tell you what is ALWAYS right or...
Restarting ACE Inhibitors in CHF – Speaking From Experience

Restarting ACE Inhibitors in CHF – Speaking From Experience

by Eric Christianson | Apr 15, 2015 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists

I think most of you who follow the blog know I spend most of my time dealing with polypharmacy and geriatrics.  I’m going to use the example of ACE Inhibitors in CHF to demonstrate my point.  Every now and then, I will see patients who have a history of CHF and...
Goodpasture’s Syndrome

Goodpasture’s Syndrome

by Eric Christianson | Apr 12, 2015 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies

A 21 year old African American male patient with no pertinent medical history presented to the ED by EMS in pulseless electrical activity (PEA) cardiac arrest. As per family at bedside, patient had been having cough with no sputum, headache, fatigue, bloody diarrhea,...
5 Dangerous Mistakes With Fentanyl Patches

5 Dangerous Mistakes With Fentanyl Patches

by Eric Christianson | Apr 12, 2015 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls

In my practice as a clinical pharmacist, I see the use of fentanyl patches on pretty much a daily basis.  I’ve seen numerous mistakes with fentanyl patches and wanted to put together a list of 5 dangerous mistakes.  In no particular order: 1. Fentanyl patches...
Difficulty Breathing: What could be contributing?

Difficulty Breathing: What could be contributing?

by Eric Christianson | Apr 5, 2015 | Educational Case Studies For Pharmacists, Respiratory Case Studies

75 year old African American female with history of chronic heart failure (CHF), hypertension, atrial fibrillation with an implantable cardioverter-defibrillator (ICD), diabetes mellitus, asthma with chronic obstructive pulmonary disease (COPD), came to the ED with a...
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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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