by Eric Christianson | Feb 12, 2014 | Drug Interaction Case Studies and Education For Pharmacists
A 32 year old female has been struggling with fatigue, sadness, and overall symptoms of depression. Rather than utilizing traditional antidepressants as recommended by her primary care provider, the patient had heard from a friend that the herbal supplement St....
by Eric Christianson | Feb 9, 2014 | Endocrine Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists
A patient’s A1C was chronically high at around 9.0 with poor diet compliance. They were already reciving a fairly high dose of a sulfonylurea (glipizide) – remember that sulfonylureas stimulate the release of insulin. They were also on metformin 1000 mg...
by Eric Christianson | Feb 5, 2014 | Medication Errors, Personal Stories From The Front Lines of Clinical Pharmacy
I can remember doing a home visit with a patient who had recently been discharged from the hospital. This particular individual had a recent CHF exacerbation as well as pneumonia. I will never forget the experience that made me reflect upon how I try to educate...
by Eric Christianson | Feb 2, 2014 | Cardiovascular Case Studies, Educational Case Studies For Pharmacists
Often in CHF you may see spironolactone used in combination with loops and other diuretics to try to help treat edema. There are certainly other indications for spironolactone, but I’ll leave that for another day. My patient was having difficulty with edema and...
by Eric Christianson | Jan 29, 2014 | Medication and Disease State Clinical Pearls For Pharmacists, Pharmacogenomics and Pharmacokinetics Medication and Disease State Clinical Pearls, Renal, Urology, and Electrolytes Medication and Disease State Clinical Pearls
This elderly patient had been on a dose of (Neurontin) gabapentin 600 mg three times daily for peripheral neuropathy. Over time, the patient’s kidney function had been declining and was diagnosed with chronic kidney disease. Family had begun to notice that the...
