In this hyperkalemia case study, I outline the importance of paying attention when medications are discontinued. EN is a 78-year-old female with chronic kidney disease stage 4, hypertension, heart failure with preserved ejection fraction, and type 2 diabetes. She had...
KE is a 72-year-old female residing in a long-term care facility. She was recently started on ciprofloxacin 500 mg PO BID for a complicated urinary tract infection caused by E. coli. Over the past week, nursing staff noticed she continued to spike fevers, complain of...
The 2025 Hypertension guidelines are out! The alphabet soup of groups that contributed to the guidelines are as follows: AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM – I didn’t make that up! I made my way through the guidelines and wanted to...
Mrs. H is an 82-year-old resident in a long-term care facility with a history of generalized anxiety disorder, COPD, osteoarthritis, hypertension, insomnia, GERD, and mild cognitive impairment. She is taking duplicate PRN anxiety medications. Her full medication list...
Every so often, you see a medication order that just makes you tilt your head and think, “Huh?” One order that I recently encountered that made me scratch my head was (ferrous sulfate) iron 2 tablets once daily. On the surface, it’s straightforward – take two tablets...
