Fentanyl patches are easy to use…just slap it on right? I definitely see nurses ask for these patches fairly frequently, and they are much easier for administration and less time consuming than oral dosage forms that you might have to give one, two or three times a...
Happy Veteran’s day! Narcweek begins now, thanks for all the support! I’m still seeing problems and questions on Duragesic (fentanyl) patches out there, so hopefully I can bring some examples over the next few nights that really emphasize some of the mistakes I see...
I’m going to finish off the week with some random things I’ve come across over the previous few months. I occasionally see some capsaicin(creams, gels etc.) products used from time to time for the treatment of pain. I also frequently see as needed orders for this...
I could continue on Coumadin for quite a while longer with other cases and stories, but there is too much other cool stuff to cover. I’m going to finish up on “bridging” of anticoagulants. I wrote a little bit the other night about the unique pharmacokinetics (what...
Vitamin K (or Mephyton or phytonadione for you A+ healthcare providers) is the reason why someone on Coumadin should try to keep a consistent diet. Big changes in intake of vitamin K can cause an INR to fluctuate. The more vitamin K intake someone has the more INR...
Coumadin is a high risk medication as I mentioned in one of the previous night’s posts. I have the opportunity to frequently review medication errors at dozens of healthcare facilities. Coumadin is a tricky drug to dose and because of this, can sometimes require odd...
