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Out-Patient Pain Control
Subjective: Middle aged, fragile and small female, presents to our out-patient pharmacy, dressed in a thick sweater and furry hat, even though the ambient temperature is in the low 70's. The furry...
Wellbutrin (bupropion) and Seizure Risk
69 year old male with significant respiratory issues including COPD - This patient was challenging, but did have the intent to quit smoking which was most certainly complicating his respiratory...
Insurance Company Causes Negative Patient Outcome
Many patients get medication management suggestions from their insurance companies addressed to their primary physician. A patient who had diabetes and CHF was not on an ACE Inhibitor or an ARB...
Inappropriate use of Fentanyl Patches
76 year old male had recently had a hip fracture with surgery and was in a substantial amount of pain. Upon discharge from the hospital, he was admitted to a long term care facility for rehab. ...
Guest Post – A Lesson on Patient Adherence
Guest Post via - Luka Tehovnik, who is a final year pharmacy student from Slovenia! You can find his blog here: http://thoughtsbecamewords.wordpress.com/ 59 y/o female had a history of recurrent...
Discontinuing Medications in the Elderly
You're probably aware I'm an advocate for simple, rationale use of medications. This means that at times we might consider reducing or discontinuing medications that may not be appropriate...
Treating Delirium
I frequently have the challenge of sifting through hospital records to try to identify what's going on with a new admission to a long term care facility. It can be a struggle to find pertinent...
Colchicine May Cause Significant Diarrhea
88 year old gentleman was having a difficult time with management of gout. He was on chronic allopurinol therapy and had to use frequent as needed NSAIDs for repeat flares. Steroid bursts also had...
Controlled Substance Accountability
I've had the opportunity to work at over 50+ different healthcare facilities. I've had the unfortunate opportunity to deal with my fair share of diversion and potential diversion cases. It's not...
Does Credentialing Really Matter?
I had a doctor a year or two ago ask for my input (off the record) on a patient that she was struggling with. Coumadin and INR management was the issue. I think I recall the term "roller coaster"...
Study Materials For Pharmacists
