In this COPD case study, we outline how to use the GOLD guidelines to guide medication therapy. Here’s the case! KE is a 71-year-old male who has a history of cigarette smoking for 50+ years, COPD, cardiovascular disease, hypertension, peripheral arterial...
If you work in geriatrics to any extent at all, you’re likely familiar with anticholinergic activity. If you’ve learned anything, you know that more is NOT better when it comes to anticholinergic adverse effects. We want to avoid these side effects, but...
KE is a 79 year old female who is complaining of an increase in urinary incontinence. Specifically, frequent urination has been a problem with small amounts of leakage. She is wondering what medications she can take to help alleviate this problem. She has been...
JE is a 71-year-old female with a history of Polymyalgia Rheumatica (PMR), osteoporosis, GERD, hypertension, and hyperlipidemia. Her current medications include: Alendronate 70 mg weeklyPrednisone 15 mg dailyVitamin D 2,000 units dailyOmeprazole 20 mg dailyLosartan 50...
In this case scenario, I discuss gabapentin and renal function. A 77-year-old female has a history of neuropathy, CHF, GERD, OA, and anxiety. She reports that she feels more sedated of late and that she can’t attend her usual BINGO games and has also had a hard...
A 76-year-old female is tired of taking so many medications. She reports to you that “I’d like to stop all my medications”. While she understands that she likely cannot stop all of them, she’d like to at least eliminate some of them. Here is...