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Which Medications Should be Discontinued in Hospice Patients?
A 95 year old female has recently entered a hospice program. Whenever a patient is enrolled in hospice, it is very important to assess the medication regimen and identify medications that are no...
Which Medications Can Exacerbate BPH? Medication List Review
BPH is one of the most common causes of urinary retention. Drugs can and do exacerbate this problem. So, looking at this med list, which medications can exacerbate BPH? Here’s the medication review...
Strategies For Writing Elite Medication Recommendations
I'm really excited about this! There is a serious shortage of good content that helps pharmacists become better at writing medication recommendations and becoming an essential component of any...
Classic Case: Medication that can Worsen Gastroparesis?
Gastroparesis can be a serious problem where the GI tract literally "slows down". This issue is common in patients with diabetes. Bloating, abdomnial pain, nausea, vomiting, and a feeling of...
Confusing Orders, Lack of Clinical Thinking = Bad Outcomes
I’ve worked with hundreds of nurses. Most of the nurses I’ve worked with are in long term care. I wanted to touch on an issue that I see happen once in a while. I’ve seen a number of mistakes...
Roflumilast Adverse Effects and the Prescribing Cascade
A 77 year old male has a history of severe COPD. He has been on numerous medications to help treat his COPD. His current regimen Advair 500/50 BID, Spiriva once daily, and Duoneb as needed. His...
Drug Induced Sweating or Opioid Withdrawal
A 52 year old female presents to an appointment with her physician. Her primary complaint is that she is sweating profusely. She also has been more anxious of late and can’t sleep. She states that...
How I Would Study For The NAPLEX If I Was Taking It in 2 Weeks
If I had 2 weeks to study for the NAPLEX, what would I do? First off, I want to congratulate all the inspired pharmacy students who have just graduated from pharmacy school! Give yourself's a pat...
Pharmacist Provider Status – I Pledge
Don’t you hate it when you think about things for days, weeks, sometimes even months and you don’t do anything about it? I’ve been doing this for several months, and I’m sick of it. It is time to...
Start low and go Slow Dosing in the Elderly
Start low and go slow is a great phrase to think about in the elderly. While this mantra shouldn’t always apply, it is very helpful to consider when working with geriatric patients. I want you to...










