In this case study, I outline the use of desmopressin for urinary incontinence. It isn’t an order I see very often, but it is critical to remember the concerns of hyponatremia with this medication. Here’s the case; ES is an 82-year-old female living in an...
RS is a 62-year-old male with a history of type 2 diabetes, hypertension, atrial fibrillation, and metastatic colorectal cancer. He presents to the clinic with complaints of numbness, tingling, and burning pain in both feet that have been gradually worsening over the...
In this hyperkalemia case study, I outline the importance of paying attention when medications are discontinued. EN is a 78-year-old female with chronic kidney disease stage 4, hypertension, heart failure with preserved ejection fraction, and type 2 diabetes. She had...
KE is a 72-year-old female residing in a long-term care facility. She was recently started on ciprofloxacin 500 mg PO BID for a complicated urinary tract infection caused by E. coli. Over the past week, nursing staff noticed she continued to spike fevers, complain of...
I think I’ve seen this scenario play out more times than I would like. A patient is prescribed both a laxative, Senna, and Questran (cholestyramine), a medication used to manage diarrhea symptoms. This example of the prescribing cascade often presents slowly...
One of my biggest pet peeves is the use of sulfonylureas with insulin. Recall that sulfonylureas stimulate the release of insulin and in many patients with Type 2 diabetes we may not be getting much out of the sulfonylurea or in some cases, the extra boost in insulin...
