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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...
What the Heroin Epidemic can Teach Us About Tolerance
I’ve been seeing stories all over the place about the heroin epidemic. It is terribly sad. I watched an episode of 60 minutes recently where they were talking about the epidemic and whether heroin...
Acetylcholinesterace Inhibitors – Clinical Pearls, Common Mistakes
The acetylcholinesterace inhibitors are used almost exclusively for dementia. Here's a few clinical pearls and common mistakes that I've seen with them. GI symptoms - Diarrhea, nausea, and vomiting...
Assessing Disease States Prior to Adding New Medications
It is very important to assess disease states prior to adding new medications. A 73 year old male has terribly dry skin. The dry skin is leading to some itching. His past medication history...
Study Materials For Pharmacists
