The 2025 Hypertension guidelines are out! The alphabet soup of groups that contributed to the guidelines are as follows: AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM – I didn’t make that up! I made my way through the guidelines and wanted to...
Mrs. H is an 82-year-old resident in a long-term care facility with a history of generalized anxiety disorder, COPD, osteoarthritis, hypertension, insomnia, GERD, and mild cognitive impairment. She is taking duplicate PRN anxiety medications. Her full medication list...
Every so often, you see a medication order that just makes you tilt your head and think, “Huh?” One order that I recently encountered that made me scratch my head was (ferrous sulfate) iron 2 tablets once daily. On the surface, it’s straightforward – take two tablets...
Mrs. M is an 87-year-old female residing in a skilled nursing facility. Her medication list includes: Apixaban 5 mg BID (for atrial fibrillation) Docusate 100 mg BID Senna 8.6 mg BID PEG 17 g daily Calcium carbonate 500 mg TID Lisinopril 10 mg daily Metoprolol...
Here’s a question that comes up in hospice more than you’d think: Why would a hospice patient be on two antipsychotics at the same time? To the average clinician, this raises immediate concerns—duplication, unnecessary side effects, and polypharmacy in a population...
