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“I can’t breathe!” – Case Study
A 68 year male reports that he "can't breathe" very well. Past medical history includes: COPD Asthma Migraines CHF Edema Hypertension Afib Medication list includes: Tiotropium daily Mometasone...
Her Diabetes is Out of Control – Case Study
A primary provider approaches you to figure out why one of his patient's diabetes is out of control. Nothing seems to work. The case: A 59 year old female has a past medical history of: COPD Type...
5 Clinical Pearls on Alpha Blockers
Alpha blockers are indicated for both hypertension and BPH. Here's a few clinical pearls on alpha blockers that you need to know! Alpha blockers in females: I remember a urologist getting...
How Much Money Does the US Spend on Prescription Drugs?
As a healthcare professional, I try my best to reduce the cost and maximize benefit of pharmaceuticals. Here's a classic case where we were able to save a patient some money without negatively...
5 Pearls on How to Impress Your Preceptor on Clinical Rotations
I've had a lot of students come with me on rotation. I've had some future rock stars work with me as well as some students that have left a little more to be desired. How do you avoid striking out...
The #1 Key to Unleashing Clinical Pharmacy Services
I was asked this question the other day. How would you begin to develop clinical pharmacy services? No matter what brand of pharmacy you practice, there are a lot of good answers to that question....
Weight for it…Remeron Side Effects
When using antidepressants, one of the major reasons why we select a medication is the side effects that medication has. In geriatrics where weight loss can be problematic, you may see Remeron...
PPI’s for NSAID Prophylaxis – Case Study
PPI's for NSAID prophylaxis is a common practice I've seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of...
Trileptal and Hyponatremia – How Low Can Sodium Go?
A 78 year old patient with a past medical history of bipolar disorder, dementia with aggressive behaviors, hypertension, and neuropathy was being evaluated and was initiated on Trileptal...
Cilostazol Pearl – Med List Review
We always need diagnosis and more information, but I like to analyze a medication list as an educational tool. The med list review with some possible concerns to investigate: Cilostazol 100 mg...











