An 89-year-old female has a history of frequent UTIs. She has been taking ciprofloxacin for UTI prophylaxis at 250 mg once daily for about 1 year. She has not had a UTI since starting on the ciprofloxacin. She takes it in the morning with her breakfast. She has a...
GF is a 77 year old male with a past medical history of BPH, COPD, hypertension, constipation, Barrett’s esophagus, and anemia. Of late, he has had recurrent pneumonia episodes requiring frequent antibiotic use. He has had 3 courses of antibiotics within the...
Vancomycin has complex pharmacokinetics. I can recall a case where I saw oral vancomycin for cellulitis. The likely causative organism of the cellulitis was MRSA. This patient was fairly complex and hospitalized for a few days. Upon hospitalization, the patient was...
A 77 year old male is receiving the following medications: aspirin omeprazole metronidazole thiamine ibuprofen tramadol lamotrigine So, based on this limited information, what would I investigate? Without diagnosis listed, there are a few things that I’m going...
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 is going on? Her current medications which have been consistent...
A 69 year old male has a past medical history of hypertension, heartburn, CHF, CAD and osteoarthritis. This gentleman had been in and out of the hospital several times over the previous year for a variety of reasons including CHF, femur fracture, and pneumonia....
