57 year old patient diagnosed with depression and was initiated on Zoloft (sertraline) 50 mg daily. The physician in this case felt the patient was very depressed, and wanted to titrate the dose up fairly quickly. Zoloft was increased to 100 mg daily after two...
Dilantin (phenytoin) is probably one of the dirtiest drugs, but is necessary as it treats an obviously serious condition (seizures). It has many clinical quirks that you need to be aware of. 72 year old female with a long history of seizures was on a maintainence dose...
69 year old male with significant respiratory issues including COPD – This patient was challenging, but did have the intent to quit smoking which was most certainly complicating his respiratory status. Other chronic conditions included: Coronary Artery Disease,...
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...
