In this case study, I outline the use of desmopressin for urinary incontinence. It isn’t an order I see very often, but it is critical to remember the concerns of hyponatremia with this medication. Here’s the case; ES is an 82-year-old female living in an...
In this hyperkalemia case study, I outline the importance of paying attention when medications are discontinued. EN is a 78-year-old female with chronic kidney disease stage 4, hypertension, heart failure with preserved ejection fraction, and type 2 diabetes. She had...
MS is a 78-year-old female with a history of overactive bladder with urinary frequency and urge incontinence. Her current medications include: Oxybutynin 5 mg twice daily, Hydrochlorothiazide 25 mg daily, Lisinopril 10 mg daily, Sertraline 25 mg daily, Lorazepam 0.25...
I get a little nervous when I see high-dose potassium. Here’s a case scenario where a patient is on a higher dose. WL is a 77 year old male in an assisted living facility. He has a history of CHF, anxiety, pain, GERD, BPH, and constipation. His current...
A 75-year-old female has a history of mild cognitive impairment, GERD, hypertension, osteoarthritis, and overactive bladder. Recognizing the relationship of oxybutynin and cognitive impairment is incredibly important in geriatrics and in the case scenario, we outline...
In this post, I will share some questions that I would investigate from this medication list. I have many questions surrounding renal concerns given the use of sevelamer. Metformin (Glucophage): 500 mg twice daily Glipizide (Glucotrol): 5 mg once daily Insulin...
