ES is a 61-year-old female who is a resident in a long-term care facility. She has a history of drug abuse, early-onset dementia, GERD, chronic pain, and osteoarthritis. Her current medications include gabapentin 100 mg TID, donepezil 10 mg HS, omeprazole 20 mg in the...
KE is an 87-year-old female with a history of CKD. The most recent GFR was 21 mls/min which has remained stable from the most previous lab checks. Other diagnoses include atrial fibrillation, hypertension, GERD, back pain, muscle spasms, neuropathy, pruritus, and...
In the case study below, I discuss the risks of tamsulosin and cataract surgery as well as other potential issues that should be investigated. JS is a 68-year-old male who plans to undergo cataract surgery in 3 weeks. His other relevant past medical history includes...
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...
