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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,...
BCPS Exam Tips – 2 Types of Statistical Data you Need to Know
Need a few BCPS Exam Tips? You've come to the right place. Everyone knows you need to understand statistics to pass the BCPS Exam. I'm going to cover 2 basic types of statistical data that are...
Don’t Quit Too Soon – Maximizing Analgesia
Pain management is often very challenging. Patients differ from one another. One medication may totally take away the pain for one patient, while that same medication might not even touch the next...











