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Nitrofurantoin Lung – Drug Induced Pulmonary Toxicity
A 73 year old female has a history of GERD, MI, chronic UTI's, and osteoarthritis. She presents with cough and increasing difficulty catching her breath. She is questioning her provider as to what...
Critical Medication Error: Bridging Enoxaparin to Warfarin
Anticoagulants like enoxaprain and warfarin should always be treated with the utmost care. They can cause life-threatening bleeding that can put our patients at serious risk. On the flip side,...
Duloxetine and Ciprofloxacin Drug Interaction
A 77 year old female has been taking chronic duloxetine 60 mg daily for neuropathy and depression. She has been experiencing increasing confusion, lower back pain, and painful urination. A...
3 Classic Examples of the Prescribing Cascade
My extensive work in geriatrics has led to a great understanding of the prescribing cascade. The prescribing cascade is simply defined as using medications to treat the side effects of other...
Diltiazem and Colchicine Interaction
A 77 year old male has a past medical history of gout, atrial fibrillation, hypertension, GI ulcer, chronic kidney disease, and anemia. He presents at this visit with worsening gout symptoms and...
4 BCPS Exam Tips
I get asked quite a few questions nowadays on the BCPS exam, so I put together a quick list of 4 common questions I frequently get asked and give you a few BCPS exam tips. Question 1: How hard is...
Pharmacy Education is Changing – Pharmacy Joe Podcast
My style of learning isn't always conducive to sitting down and reading book chapters. I also don't feel like I accomplish everything I want to when I read in that it takes a long time for stuff to...
4 Clinical Pearls About Spironolactone
Spironolactone (Aldactone) is a potassium sparing diuretic. Based upon my experience, I put together 4 clinical pearls that you have to know! A commonly known fact with spironolactone is that it is...
High Risk Insulin Errors – Case Scenario
As many of you well know, I work closely with a lot of folks in the long term care business. Insulin errors can be one of the scariest errors that can happen. Here's a case scenario I don't like...
5 Common Mistakes – Iron Supplementation
I've seen a fair number of mistakes with iron supplementation. Here's a list of a few common clinical pearls about iron supplementation that you need to know! Iron supplements can cause black...