76 year old male had recently had a hip fracture with surgery and was in a substantial amount of pain. Upon discharge from the hospital, he was admitted to a long term care facility for rehab. Acute pain management was the highest on the priority list and the...
I frequently have the challenge of sifting through hospital records to try to identify what’s going on with a new admission to a long term care facility. It can be a struggle to find pertinent information. Delirium frequently happens in the elderly due to...
88 year old gentleman was having a difficult time with management of gout. He was on chronic allopurinol therapy and had to use frequent as needed NSAIDs for repeat flares. Steroid bursts also had to be used at times to treat acute flares. Remember that there are...
An 81 year old gentleman was struggling with CHF symtpoms. Fluid overload was the problem with difficulty breathing secondary to increased edema/CHF symptoms. His Lasix was increased from 20 mg daily up to 40 mg daily to help promote the loss of fluid. Three days...
An elderly patient was on Zyrtec (cetirizine) 10 mg at betime for allergies and was also on Ditropan (oxybutynin) 15 mg three times daily for urinary incontinence. Ditropan is one of those classic older anticholinergic medications that isn’t so great in the...
A patient was having difficulty with symptoms of gout. They were on Allopurinol 300 mg daily for their hyperuricemia (elevated uric acid happens in gout). This particular patient would have flares periodically and had about 3 over the last year requiring the use of...
