by Eric Christianson | Nov 29, 2015 | Educational Case Studies For Pharmacists, Neurology, Pain, and Musculoskeletal Case Studies
A 74 year old female is diagnosed with new onset seizures. She is initiated on Depakote 250 mg twice daily and titrated up to a dose of 1,000 mg twice daily. About 1-2 months following titration, she begins to experience increasing confusion and family begin to be...
by Eric Christianson | Nov 25, 2015 | Educational Case Studies For Pharmacists, Hematology and Immunology Case Studies
Anemia can get pretty complicated, especially in the elderly. A few common causes of anemia include; blood loss, CKD, B12 deficiency, folate deficiency, and iron deficiency. A 78 year old female was concerned with fatigue, stating that she felt like she could sleep...
by Eric Christianson | Nov 18, 2015 | Educational Case Studies For Pharmacists, Respiratory Case Studies
A 68 year male reports that he “can’t breathe” very well. Past medical history includes: COPD Asthma Migraines CHF Edema Hypertension Afib Medication list includes: Tiotropium daily Mometasone inhaler 110 mcg 1 puff twice daily Propranolol 20 mg BID...
by Eric Christianson | Nov 15, 2015 | Educational Case Studies For Pharmacists, Endocrine Case Studies
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...
by Eric Christianson | Oct 25, 2015 | Educational Case Studies For Pharmacists, Gastrointestinal Case Studies
PPI’s for NSAID prophylaxis is a common practice I’ve seen by numerous clinicians. In the geriatric population especially, there is significant GI ulcer risk from NSAIDs. The problem of polypharmacy is a big one, make sure you are paying attention to the...
by Eric Christianson | Oct 21, 2015 | Educational Case Studies For Pharmacists, Psychiatry and Addiction Medicine Case Studies, Renal, Urology, and Electrolytes Case Studies
A 78 year old patient with a past medical history of bipolar disorder, dementia with aggressive behaviors, hypertension, and neuropathy was being evaluated and was initiated on Trileptal (oxcarbazepine) to try to help with neuropathy. He had been tried on numerous...
