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Should We Discontinue a PPI in Hospice?
I was asked a question the other day about trying to reduce medications in a patient on hospice. More specifically, how to address the use of PPIs. Proton pump inhibitors (PPIs) are some of the most...
Midodrine Prescribing Cascade and Complications – Case Study
In this case study, we will outline an adverse effect of midodrine that can lead to the prescribing cascade. SK is a 79-year-old male nursing home resident with a history of Parkinson’s disease,...
Top 10 Meds That Induce Seizures
When working with patients who have a seizure disorder, it’s critical for pharmacists to remember which medications can lower the seizure threshold. Even in patients without epilepsy, some drugs can...
Why Isn’t Iron Replacement Working? My Top 4 Reasons
Oral iron replacement is one of the most common ways to manage iron deficiency anemia. While it seems straightforward—take a pill, replace the iron—patients often struggle to reach therapeutic...
Can You Identify Two Important Drug Interactions? Case Study
SK is a 77-year-old male who presents to the primary care clinic for a routine follow-up. His past medical history is significant for atrial fibrillation, hypertension, GERD, and depression. Can you...
A Rundown of Vitamin D Dosing
What is Vitamin D? Vitamin D is a fat-soluble vitamin that our body makes when the skin is exposed to sunlight. It is also found in certain foods like fish, dairy, and eggs. Vitamin D helps the body...
Gabapentin and Metolazone – Prescribing Cascade
In this case scenario with gabapentin and metolazone, I lay out how the prescribing cascade can rear its ugly head. SK is a 74-year-old male with a past medical history significant for chronic...
Desmopressin for Urinary Incontinence – Case Study
In this case study, I outline the use of desmopressin for urinary incontinence. It isn't an order I see very often, but it is critical to remember the concerns of hyponatremia with this medication....
Neuropathy Case Study – A Medication Adverse Effect
RS is a 62-year-old male with a history of type 2 diabetes, hypertension, atrial fibrillation, and metastatic colorectal cancer. He presents to the clinic with complaints of numbness, tingling, and...
Hyperkalemia Case Study
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...
Study Materials For Pharmacists
