Subjective: Middle aged, fragile and small female, presents to our out-patient pharmacy, dressed in a thick sweater and furry hat, even though the ambient temperature is in the low 70’s. The furry hat appears to not only be keeping her warm, but also covering...
A patient had some blood loss during a surgery – very common. The patient’s hemoglobin dropped from about 12.5 to 9.8 and the prescriber wanted to improve that hemoglobin back to baseline prior to the blood loss. Iron is a necessary component in the...
A patient was admitted for a rehab stay at a long term care facility. They chief complaint was weakness and muscle achiness that would not resolve. While looking back at the patient history and medication list, it was clear that nothing was helping this patient. ...
I can’t help but smile when providers dictate that a patient has a diagnosis of polypharmacy. Let’s cure that condition! These case studies are kind of challenging because you could go a few different directions, but they do certainly provide some...
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...
