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Pharmacist Provider Status – I Pledge
Don’t you hate it when you think about things for days, weeks, sometimes even months and you don’t do anything about it? I’ve been doing this for several months, and I’m sick of it. It is time to...
Start low and go Slow Dosing in the Elderly
Start low and go slow is a great phrase to think about in the elderly. While this mantra shouldn’t always apply, it is very helpful to consider when working with geriatric patients. I want you to...
What the Heroin Epidemic can Teach Us About Tolerance
I’ve been seeing stories all over the place about the heroin epidemic. It is terribly sad. I watched an episode of 60 minutes recently where they were talking about the epidemic and whether heroin...
Acetylcholinesterace Inhibitors – Clinical Pearls, Common Mistakes
The acetylcholinesterace inhibitors are used almost exclusively for dementia. Here's a few clinical pearls and common mistakes that I've seen with them. GI symptoms - Diarrhea, nausea, and vomiting...
Assessing Disease States Prior to Adding New Medications
It is very important to assess disease states prior to adding new medications. A 73 year old male has terribly dry skin. The dry skin is leading to some itching. His past medication history...
Medication Induced Fatigue – Medication List Review
Fatigue is a common complaint from patients. It can certainly be due to a variety of reasons, but never underestimate the possibility of medication induced fatigue especially when it comes to...
Clonidine Use in the Elderly
There is a reason why clonidine is not routinely used in the elderly. It has a high incidence of adverse effects in the elderly and can contribute to CNS changes, orthostasis, dry mouth etc. An 88...
Opioid Withdrawal – Case Scenario
JS is a 76 year old female who was having an increase in sleepiness. Her neighbor recently stopped by and found very sedated and difficult to arouse. She was almost "passed out". An ambulance was...
Identifying Chronic Kidney Disease – Medication List Review
In this medication list review, I going to show you to keep an eye out for trigger medications that may be important in identifying chronic kidney disease. The med list: Aspirin 325 mg daily...
Another Life Claimed – Morphine Errors
I've educated about morphine numerous times and how fatal mistakes can be. This is especially true of morphine due to the availability of so many different doses, dosage forms, concentrations etc....
Study Materials For Pharmacists
