by Eric Christianson | Jun 25, 2014 | Educational Case Studies For Pharmacists, Renal, Urology, and Electrolytes Case Studies
85 year old male with a recent operation for a knee replacement was discharged on hydrocodone/APAP 5/325 1-2 every four hours as needed as well as Vistaril (hydroxyzine) 25-50 mg every six hours as needed for pain management. Within a couple days of significant prn...
by Eric Christianson | Jun 22, 2014 | Educational Case Studies For Pharmacists, Psychiatry and Addiction Medicine Case Studies
88 y/o female who’s had some difficulty with pain management. She was on scheduled Tylenol (acetaminophen) 1,000 mg twice daily as well as Ultram (tramadol) 50 mg every 6 hours as needed. She had brought up the complaint about her osteoarthritis to her...
by Eric Christianson | Jun 18, 2014 | Polypharmacy Cases And The Prescribing Cascade
Inevitably, several times a year, while reviewing a patient’s medications, notes, labs, etc. I will come across a lab that was drawn on an individual that is totally puzzling to me. You may see Coumadin discontinued due to various reasons, but many times it is...
by Eric Christianson | Jun 15, 2014 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies
Many patients and healthcare professionals may not realize that different formulations of a product can have very different pharmacokinetics. Why does pharmacokinetics matter? An 88 year old patient was receiving Namenda (memantine) 5 mg in the morning and 10 mg in...
by Eric Christianson | Jun 11, 2014 | Medication and Disease State Clinical Pearls For Pharmacists, Neurology, Pain, and Musculoskeletal Medication and Disease State Clinical Pearls
Dilantin (phenytoin) is probably one of the dirtiest drugs, but is necessary as it treats an obviously serious condition (seizures). It has many clinical quirks that you need to be aware of. 72 year old female with a long history of seizures was on a maintainence dose...
