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NSAIDs and CHF – The Prescribing Cascade
88 year old male has a history of osteoarthritis. He has tried self treatment with acetaminophen 325 mg twice daily with no benefit. Upon a recent evaluation with his primary provider, he was...
Digoxin Toxicity – The Highest Level I’ve Ever Seen
A 78 year old male was found driving around in his car making abnormal turns and proceeded to drive to a parking lot where he was driving in circles. He presents to the ER with primary symptoms of...
Iron Supplements for Anemia – Med List Review
77 year old female has a past medical history including but not limited to: GERD, PMR, Hypertension, Iron Deficiency Anemia, Osteoporosis. Her current medication list includes: Ferrous Sulfate 325...
Case Study: GI Side Effects and Polypharmacy
A patient was on 30+ medications. I always kind of wonder what it would be like to be on that many medications, but hope I never find out. I simply think of the sheer volume of that many pills and...
Managing Short Term Constipation and Avoiding Polypharmacy
59 year old female who is rehabbing from a knee replacement. On day 3 following the procedure, the patient is still experiencing a significant amount of pain. She has been discharged from the...
Gabapentin Dose Dependent Absorption – Treating Neuropathy
A huge challenge in clinical pharmacy is determining what information is actually relevant. By relevant, I mean what information actually impacts patient care. I see gabapentin most frequently used...
Too much of a good thing – a Case of Potential Overanticoagulation
An 81 year old male was diagnosed with a right knee deep venous thrombosis (DVT) during a several week stay in the Dominican Republic. He was started on warfarin, dose and duration unknown, and...
Free NAPLEX Practice Questions – Can You Pass the Test?
Here's the 10 free NAPLEX practice questions that I created: BE SURE TO SCROLL TO THE BOTTOM TO SEE THE ANSWERS! Answer the following 3 questions based on the case presented: 38 year old female is...
BCPS Pharmacotherapy Exam – Sample Question
I'm trying to expand my horizons 🙂 I created a short Youtube video, that I hope will help educate you about the BCPS Exam. For those of you seeking a few clinical pearls, you'll find it inside...
Pain Management in the Elderly Stinks!
Pain management in the elderly is something I deal with on a daily basis. It can be extremely challenging as there are potential negatives of using medications around every corner. Here's a case...









