Archives
66 year old female was newly diagnosed with atrial fibrillation. Her other diagnoses included hypertension, diabetes, hyperlipidemia, and GERD. Current medication list included: Aspirin 81 mg daily Simvastatin (Zocor) 40 mg at bedtime Tylenol as needed Protonix 40 mg daily Lisinopril 10 mg daily Metformin 500 mg twice daily With the new diagnosis of atrial fibrillation, […]
Read More
I had a doctor a year or two ago ask for my input (off the record) on a patient that she was struggling with. Coumadin and INR management was the issue. I think I recall the term “roller coaster” when the doc described the case to me. So we sat and chatted for a few […]
Read More
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 Zoloft (sertraline) and then transitioned to Cymbalta (duloxetine), neither of which made a significant difference in symptoms. This patient continued to have ongoing […]
Read More
I’ve been asked to discuss the relationship between Digoxin levels and potassium…so I will. Digoxin toxicity was discussed earlier this week, and obviously the kidney plays a big role in both digoxin levels and potassium homeostasis. Individuals with low potassium may be more susceptible to possible digoxin toxicity i.e. they may experience toxicity at digoxin […]
Read More
Elderly patient was on Amiodarone for treatment of chronic arrhythmia. Amiodarone has multiple clinical quirks and unique side effects associated with it. In my mind, it’s definitely a high risk/high reward type drug. The patient had begun to experience some shortness of breath at times especially with walking/activity. They were diagnosed with COPD and placed […]
Read More