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An Elderly Gentleman Owns the Punch Line – How Slow Am I?
I was recently at a nursing home where a gentleman was going to "sign out" so he could leave the facility for the afternoon. He asked me where the clipboard was that he normally uses. I had no...
Bugs and Drugs Chart, Lessons Learned from the Front Lines
Hi! My name is Tim (@IDstewardship, http://bit.ly/TimothyGauthier) and I am a pharmacist with advanced training in the field of infectious diseases & antimicrobial stewardship. Eric...
Tremor with SSRI
62 year old male who has been struggling with depression and anxiety is place on an SSRI, sertraline (Zoloft) 50 mg daily. No response is noted within a few weeks, so it was planned to titrate up...
A Mother, Wife, Classmate, Friend, and a Life Changing Cancer Diagnosis
I'm taking a break tonight from the usual case studies, because I have a friend who has had a mountain placed in front of her that no one should have to climb. Shortly following the birth of their...
Mineral Oil for Constipation – Med List Review
78 year old female is receiving the following medications: Aspirin 81 mg daily Tramadol 50 mg twice daily Lisinopril 10 mg once daily Amlodipine 5 mg daily Losartan 25 mg daily Omeprazole 20 mg...
NSAIDs and CHF – The Prescribing Cascade
88 year old male has a history of osteoarthritis. He has tried self treatment with acetaminophen 325 mg twice daily with no benefit. Upon a recent evaluation with his primary provider, he was...
Digoxin Toxicity – The Highest Level I’ve Ever Seen
A 78 year old male was found driving around in his car making abnormal turns and proceeded to drive to a parking lot where he was driving in circles. He presents to the ER with primary symptoms of...
Iron Supplements for Anemia – Med List Review
77 year old female has a past medical history including but not limited to: GERD, PMR, Hypertension, Iron Deficiency Anemia, Osteoporosis. Her current medication list includes: Ferrous Sulfate 325...
Case Study: GI Side Effects and Polypharmacy
A patient was on 30+ medications. I always kind of wonder what it would be like to be on that many medications, but hope I never find out. I simply think of the sheer volume of that many pills and...
Managing Short Term Constipation and Avoiding Polypharmacy
59 year old female who is rehabbing from a knee replacement. On day 3 following the procedure, the patient is still experiencing a significant amount of pain. She has been discharged from the...