Clinical Medication Review 2

Clinical Med Review

By popular demand, another med review tonight, where I pick out a couple of points to investigate and I let you all have your crack at the list!

Both Prilosec and Zantac (ranitidine) being utilized here, would like to look into the GI history and assess if both are necessary.  By the other meds, they are not very high risk for GI bleed as only on low dose aspirin, but again need to investigate history further.

Plenty of BP meds and would suspect edema or CHF history.  I would like to dig into Lasix/Maxzide history to assess if both are necessary.  Remember that Maxzide is a combo of diuretics and does work differently from Lasix, but when trying to tackle polypharmacy, this might be a place to look into further.  Also remember that Maxzide contains triamterene a potassium sparing diuretic which might be helping stabilizing potassium levels as both the Lasix and hydrochlorothiazide (in Maxzide) can bring potassium down.

Ultram (tramadol) and Percocet needs some investigating as well!

Have at it all!

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Written By Eric Christianson

July 2, 2014

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