85 year old male with a recent operation for a knee replacement was discharged on hydrocodone/APAP 5/325 1-2 every four hours as needed as well as Vistaril (hydroxyzine) 25-50 mg every six hours as needed for pain management. Within a couple days of significant prn...
88 y/o female who’s had some difficulty with pain management. She was on scheduled Tylenol (acetaminophen) 1,000 mg twice daily as well as Ultram (tramadol) 50 mg every 6 hours as needed. She had brought up the complaint about her osteoarthritis to her...
Many patients and healthcare professionals may not realize that different formulations of a product can have very different pharmacokinetics. Why does pharmacokinetics matter? An 88 year old patient was receiving Namenda (memantine) 5 mg in the morning and 10 mg in...
Let’s do a med list review, it’s been a while… Remember with these cases, I really try to highlight the most important things I want you to think about. There are multiple things to monitor in these case reviews, as well as multiple patient...
Subjective: Middle aged, fragile and small female, presents to our out-patient pharmacy, dressed in a thick sweater and furry hat, even though the ambient temperature is in the low 70’s. The furry hat appears to not only be keeping her warm, but also covering...
A patient had some blood loss during a surgery – very common. The patient’s hemoglobin dropped from about 12.5 to 9.8 and the prescriber wanted to improve that hemoglobin back to baseline prior to the blood loss. Iron is a necessary component in the...