by Eric Christianson | May 4, 2014 | BCPS Exam
I had a doctor a year or two ago ask for my input (off the record) on a patient that she was struggling with. Coumadin and INR management was the issue. I think I recall the term “roller coaster” when the doc described the case to me. So we sat and chatted...
by Eric Christianson | Apr 30, 2014 | Cardiovascular Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
An 81 year old gentleman was struggling with CHF symtpoms. Fluid overload was the problem with difficulty breathing secondary to increased edema/CHF symptoms. His Lasix was increased from 20 mg daily up to 40 mg daily to help promote the loss of fluid. Three days...
by Eric Christianson | Apr 27, 2014 | Polypharmacy Cases And The Prescribing Cascade
I work with patients, nurses, doctors, pharmacists and other healthcare professionals everyday who struggle with medication management. One of the biggest problems I run into is polypharmacy. Ten, twenty, even sometimes up to 30+ medications is something I come across...
by Eric Christianson | Apr 23, 2014 | Career Advice for Pharmacy Students, Residents and New Pharmacists, Medication Errors, Personal Stories From The Front Lines of Clinical Pharmacy
Ever made a mistake? I have. I will never forget that feeling – it’s awful. I was reviewing a patient’s medication list and noted that the patient was struggling with the costs of their medications. I was a fairly recent new graduate at the time and...
by Eric Christianson | Apr 20, 2014 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies
A patient had some blood loss during a surgery – very common. The patient’s hemoglobin dropped from about 12.5 to 9.8 and the prescriber wanted to improve that hemoglobin back to baseline prior to the blood loss. Iron is a necessary component in the...