Pain management in the elderly is something I deal with on a daily basis. It can be extremely challenging as there are potential negatives of using medications around every corner. Here’s a case that highlights a few challenges: 88 year old male with a history...
A 21 year old African American male patient with no pertinent medical history presented to the ED by EMS in pulseless electrical activity (PEA) cardiac arrest. As per family at bedside, patient had been having cough with no sputum, headache, fatigue, bloody diarrhea,...
75 year old African American female with history of chronic heart failure (CHF), hypertension, atrial fibrillation with an implantable cardioverter-defibrillator (ICD), diabetes mellitus, asthma with chronic obstructive pulmonary disease (COPD), came to the ED with a...
61 year old male with a history of diabetes, neuropathy, BPH presents complaining of not being able to sleep well at night. He states that he has been diagnosed with BPH and hasn’t wanted to be treated because it hasn’t been that bad. His current meds...
When I’ve had students with me, they will often ask about multiple serotonin related drugs and risk of serotonin syndrome. A classic example of this is a patient on an SSRI and Tramadol. This combination is used frequently in practice. Serotonin syndrome is...
An 87-year-old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin Glipizide Tylenol as needed Lisinopril Aspirin The primary provider orders...