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What Does too Much Synthroid Look Like?
Thyroid case tonight... I had a resident one time that was experiencing anxiety, tachycardia (increased pulse), weight loss, and was a nightmare as far as trying to manage behavioral issues. I had...
Prednisone and Diabetes Management
In the case where an individual must be on a prednisone burst (or any other corticosteroid) diabetes management can often become very difficult. I had a 78 year old patient with diabetes who was...
What can a Clinical Pharmacist Bring to the Table?
I feel like I’m always trying to educate folks what a clinical pharmacist can provide to patients, nurses, physicians, a healthcare team, institution etc. Since I was accepted into pharmacy school,...
NSAIDs and GI Bleeding
A patient was having difficulty with symptoms of gout. They were on Allopurinol 300 mg daily for their hyperuricemia (elevated uric acid happens in gout). This particular patient would have flares...
Luvox and Zyprexa Interaction
I had a resident in a nursing home who had an extensive psych history including episodes of physical aggression and schizophrenia. They also would be extremely obsessive over various different...
Clinical Case Review
There's nothing better than a case study: This is a very simple case, and I just wanted to highlight a few things that come to my attention as I'm reviewing this list. We will see how this goes,...
New Incontinence Medication Case (Myrbetriq – mirabegron)
An 88 year old female was struggling with incontinence. Upon a nursing assessment, this patient was frequently incontinent throughout the day and night. For her Congestive Heart Failure, the patient...
Amiodarone and Thyroid Function
88 y/o with a history of depressive type symptoms was placed on an antidepressant to manage symptoms shortly after admission to a long term care facility. This particular patient was trialed on...
What is it Like in a Long Term Care Facility?
I can't say thank you enough to all the aids, nurses and others who help take care of those who cannot care for themselves. This has really been in and out my mind the last few weeks and I can't...
Medication error
I had a case a while back where a patient had an elevated TSH at around 13. The patient was on a dose of 112 mcg 2 tablets daily. If you put yourself in the shoes of the provider, you can imagine...
Study Materials For Pharmacists
