Pain management in the elderly is something I deal with on a daily basis. It can be extremely challenging as there are potential negatives of using medications around every corner. Here’s a case that highlights a few challenges: 88 year old male with a history...
An 87-year-old female is having difficulty with tingling and burning in her feet. She is diagnosed with diabetic neuropathy. Her current medications include: Hydrochlorothiazide Metformin Glipizide Tylenol as needed Lisinopril Aspirin The primary provider orders...
78 year old male recently admitted to the hospital with a fall and likely hip fracture. He has had some lethargy and confusion lately as well. Previous falls have been noted as well. Current medication list of: Calcium and Vitmain D twice daily Proscar 5 mg daily...
78 year old patient recently on Dilantin (phenytoin) suspension had a seizure so a total Dilantin level was checked. (A free level probably would’ve been ideal in the case.) The level came back at around 4 which was unusual for this patient. Their normal...
Looking over this medication list, there’s plenty of stuff to pick on, I’m going to limit myself to two things to further investigate and let you all help with the rest. Feel free to speculate on diagnosis, appropriate alternatives, potential causes of...
Possible Acyclovir Neurotoxicity Compounding a Differential Diagnosis of Vascular Dementia with Dementia versus Frontotemporal Dementia Donna M. Lisi, PharmD, BCPS, BCPP, PRS, Drug Information Specialist, St. Barnabas Health Care System, South Plainfield, NJ Connect...
