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3 Clinical Pearls: Elderly Case Study
An 89 year old male has a history of hypertension, diabetes, BPH, Advanced dementia, glaucoma, constipation, neuropathy, and osteoarthritis. Current medications include: Aspirin 81 mg daily...
How to Become a Certified Geriatric Pharmacist (CGP)
Certified Geriatric Pharmacist (CGP) is a certification that has been around a while. I was actually looking for more information on this certification, and it seems kind of difficult to find good...
The Top 5 High Risk Medications in Geriatrics and Long Term Care
It is really hard to narrow down a list of thousands of drugs to 5. Right or wrong, I did it. I based my subjective list upon frequency of use, highest risk for medication errors, significance...
Citalopram and SIADH – Case Study
Citalopram is a very commonly used antidepressant and is part of the Selective Serotonin Reuptake Inhibitor (SSRI) class. SSRI's do have the potential to contribute to SIADH (basically a reduction...
Advice for New Pharmacists
You are likely in a state of relief and excitement right now. By this time, you have recently had graduation, taken board exams (or will be very soon), and hopefully found a pharmacist position...
Polypharmacy Case Study – Potential Drug Induced Confusion
Confusion is one of those vague symptoms in the elderly that can be due to nearly anything. Polypharmacy is hard to ignore and here I breakdown a medication list of a 79 year old female with...
Fentanyl Versus Lidoderm Patches, What’s the Difference?
I've seen numerous mistakes involving these two pain medications that come in a patch formulation. Between drug diversion (fentanyl - Duragesic), inappropriate time intervals for changing...
Polypharmacy Case Review – Drug Induced B12 Deficiency?
A 67 year old female is on the following medications: Aspirin 81 mg daily Lisinopril 5 mg daily Carafate 1 gm four times daily Omeprazole 40 mg daily Metformin 1000 mg twice daily Actos 15 mg daily...
Should We Label Patients With a Sulfa Allergy? Lesson Learned the Hard Way
A 79 year old female living in a long term care facility was diagnosed with a UTI. Past medical history includes but not limited to urinary incontinence, hypertension, GERD, and osteoarthritis. ...
Drug Induced DVT?
A 93 year old female was diagnosed with a new onset DVT. Her past medical history includes hypertension, hyperlipidemia, osteoarthritis, osteoporosis, constipation, GERD, erosive esophagitis,...











