by Eric Christianson | Dec 27, 2015 | Educational Case Studies For Pharmacists, Polypharmacy Cases And The Prescribing Cascade, Psychiatry and Addiction Medicine Case Studies
A 77 year old male had recently been having troublesome hallucinations. He was envisioning spiders and snakes in his room that were incredibly distressing and a major cause of his severe anxiety. Other causes such as medication and medical conditions were ruled out,...
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...
