A 59 year old female is on the following medications: Alprazolam 1 mg four times daily as needed Norvasc 10 mg daily Simvastatin 40 mg at bedtime Cyclobenzaprine 10 mg hs prn Tylenol PM as needed Lasix 20 mg daily Glucagon kit as needed Glipizide 5 mg daily Lantus 18...
A primary provider approaches you to figure out why one of his patient’s diabetes is out of control. Nothing seems to work. The case: A 59 year old female has a past medical history of: COPD Type 2 Diabetes Hypertension GERD Chronic back pain A1C= 10.2 Current...
Tonight I’m going to cover a seemingly innocent order/condition that should trigger in your mind as potential cause of medication related side effects. While in much of the population, controlled, planned weight loss can be a good thing, it can not be a good thing...
Pretty extensive med list, and I’m going to pick out three points that need to be investigated – It’s really hard to limit it to three, but that gives you all an opportunity to identify other potential problems! 1. They have orders for management of...
Thyroid case tonight… I had a resident one time that was experiencing anxiety, tachycardia (increased pulse), weight loss, and was a nightmare as far as trying to manage behavioral issues. I had discussed the resident’s situation with the nursing staff,...
In the case where an individual must be on a prednisone burst (or any other corticosteroid) diabetes management can often become very difficult. I had a 78 year old patient with diabetes who was fairly well managed. The A1C was hovering in the 7 range or lower and was...
