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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...
Cimetidine and Drug Interactions
There was an 85 year old female with an extensive seizure history on Dilantin 300 mg daily. Previous Dilantin level was 14 and the patient was not displaying any signs or symptoms of toxicity. They...
Polypharmacy – What Does it Look Like?
Polypharmacy is a horrible problem in geriatrics. I came across this medication list, and just wanted to give you a brief idea of some of the thoughts that go through a clinical pharmacist's head....
Trazodone use for Insomnia
A 68 year old female was having difficulty with some anxiety throughout the day but more problematic to the patient was that she could not sleep at night. Multiple different non-drug interventions...
Drug Induced Hypertension Case
This 76 year old patient was on a laundry list of blood pressure medications. Hydrochlorothiazide, losartan, metoprolol, terazosin, amlodipine, and recently had clonidine added to their regimen with...
Drug Interaction Causing Pregnancy
A 32 year old female has been struggling with fatigue, sadness, and overall symptoms of depression. Rather than utilizing traditional antidepressants as recommended by her primary care provider, the...
Actos (pioglitazone) and CHF
A patient's A1C was chronically high at around 9.0 with poor diet compliance. They were already reciving a fairly high dose of a sulfonylurea (glipizide) - remember that sulfonylureas stimulate the...
Study Materials For Pharmacists
