by Eric Christianson | Feb 28, 2018 | Educational Case Studies For Pharmacists, Polypharmacy Cases And The Prescribing Cascade
A 63 year old female presents with complaints of taking too many medications and that her “my medications are making me sick”. In addition, she reports that she feels nauseated every morning after breakfast and associates it with her morning pills. She...
by Eric Christianson | Dec 10, 2017 | Long Term Care Consultant Pharmacist Education and Information, Polypharmacy Cases And The Prescribing Cascade
There are a lot of examples that fit this criteria and I suspect a lot of heavy opinions on this topic. I’ve certainly made suggestions to switch to a likely “safer” medication, but have had instances where I disagree with this practice as well in...
by Eric Christianson | Nov 26, 2017 | Polypharmacy Cases And The Prescribing Cascade
Here’s a case scenario with a primary focus on the NSAID prescribing cascade. A 76 year old male has a past medical history of: COPD CHF Hypertension GERD Osteoarthritis Current medications include: Metoprolol 25 mg BID Lisinopril 10 mg daily Symbicort 160/4.5...
by Eric Christianson | Sep 17, 2017 | Gastrointestinal Medication and Disease State Clinical Pearls, Medication and Disease State Clinical Pearls For Pharmacists, Polypharmacy Cases And The Prescribing Cascade
Figuring out how and when to taper a PPI is a difficult question sometimes. Here’s a scenario and some of the items that I would look at. A 45 year old female has a past medical history of: GERD Hypertension Constipation Anemia Osteoarthritis With this minimal...
by Eric Christianson | Jun 18, 2017 | Polypharmacy Cases And The Prescribing Cascade
A 64 year old male has a current medication regimen of: Garlic 200 mg daily Chromium 500 mg daily Omega 3 fish oil 1,000 mg daily Magnesium 500 mg daily Cinnamon 500 mg daily Red Yeast rice 1 table daily Aspirin 81 mg daily HCTZ 25 mg daily Diagnosis/Problem List...
by Eric Christianson | Jun 11, 2017 | Educational Case Studies For Pharmacists, Polypharmacy Cases And The Prescribing Cascade
Often we intentionally contribute to the prescribing cascade. Potassium supplements with a diuretic is one of those scenarios, but I want to teach you about what to think about when you see potassium supplements without a diuretic. What’s the potassium level?...
