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Anemia and Iron Supplementation
A patient had some blood loss during a surgery - very common. The patient's hemoglobin dropped from about 12.5 to 9.8 and the prescriber wanted to improve that hemoglobin back to baseline prior to...
Witty Old Man Seeking Viagra
We all know that Viagra (sildenafil) is used for erectile dysfunction (most of the time), but this elderly patient was seeking it for an off label use. This gentleman was frequently asking his...
Statin Induced Myopathy
A patient was admitted for a rehab stay at a long term care facility. They chief complaint was weakness and muscle achiness that would not resolve. While looking back at the patient history and...
Dose and Drug Matter – Anticholinergic Effects
An elderly patient was on Zyrtec (cetirizine) 10 mg at betime for allergies and was also on Ditropan (oxybutynin) 15 mg three times daily for urinary incontinence. Ditropan is one of those classic...
Diagnosis: Polypharmacy – Case study
I can't help but smile when providers dictate that a patient has a diagnosis of polypharmacy. Let's cure that condition! These case studies are kind of challenging because you could go a few...
Pharmacist Provider Status – Where are we Headed?
I played a ton of baseball growing up and I want to use a baseball analogy to help describe where I feel we are at in this process. Tie ballgame, there's two outs in the 9th, runner on third. You've...
Thank You
I'm extremely humbled and excited that I have to write this post tonight - From the early days on Facebook, to all the retweets on Twitter and followers from LinkedIn, the amount of support, kind...
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,...
Study Materials For Pharmacists
