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TCA’s in the Elderly – Which One Should We Use and When?
TCA's in the elderly are generally discouraged especially for symptoms of sleep and depression. There are a lot of other options to consider for treatment of both of these issues before TCA's. ...
Restarting ACE Inhibitors in CHF – Speaking From Experience
I think most of you who follow the blog know I spend most of my time dealing with polypharmacy and geriatrics. I'm going to use the example of ACE Inhibitors in CHF to demonstrate my point. Every...
Goodpasture’s Syndrome
A 21 year old African American male patient with no pertinent medical history presented to the ED by EMS in pulseless electrical activity (PEA) cardiac arrest. As per family at bedside, patient had...
5 Dangerous Mistakes With Fentanyl Patches
In my practice as a clinical pharmacist, I see the use of fentanyl patches on pretty much a daily basis. I've seen numerous mistakes with fentanyl patches and wanted to put together a list of 5...
Difficulty Breathing: What could be contributing?
75 year old African American female with history of chronic heart failure (CHF), hypertension, atrial fibrillation with an implantable cardioverter-defibrillator (ICD), diabetes mellitus, asthma...
Flomax for BPH – The Prescribing Cascade
61 year old male with a history of diabetes, neuropathy, BPH presents complaining of not being able to sleep well at night. He states that he has been diagnosed with BPH and hasn't wanted to be...
Serotonin Syndrome Risk – A Case Example
When I've had students with me, they will often ask about multiple serotonin related drugs and risk of serotonin syndrome. A classic example of this is a patient on an SSRI and Tramadol. This...
What Would my Wife Say?
Some humor today, because we can't take life too seriously all the time! It was a beautiful, quiet afternoon at a LTC facility. Everything was going smoothly without many issues that day and I was...
Gabapentin Induced Edema
An 87-year-old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin...
What Could Be Causing My Persistent Angioedema?
A 47 year old African American female came into the emergency room with a chief complaint stating that “my throat was closing.” The patient had also been coughing with multiple episodes of vomiting...
Study Materials For Pharmacists
