I get a little nervous when I see high-dose potassium. Here’s a case scenario where a patient is on a higher dose. WL is a 77 year old male in an assisted living facility. He has a history of CHF, anxiety, pain, GERD, BPH, and constipation. His current...
A 75-year-old female has a history of mild cognitive impairment, GERD, hypertension, osteoarthritis, and overactive bladder. Recognizing the relationship of oxybutynin and cognitive impairment is incredibly important in geriatrics and in the case scenario, we outline...
In this post, I will share some questions that I would investigate from this medication list. I have many questions surrounding renal concerns given the use of sevelamer. Metformin (Glucophage): 500 mg twice daily Glipizide (Glucotrol): 5 mg once daily Insulin...
Magnesium is an essential mineral used for many bodily functions. There are a few drugs that deplete magnesium and below is a case scenario where we have medications that should be ruled out as contributing factors. MW is a 67-year-old male with a history of...
Topiramate is classified as a seizure medication most commonly used in the management of migraines and weight loss. This medication has carbonic anhydrase activity and here I will outline a case of topiramate-causing renal stones. JE is a 66-year-old female with a...
KE is an 87-year-old female with a history of CKD. The most recent GFR was 21 mls/min which has remained stable from the most previous lab checks. Other diagnoses include atrial fibrillation, hypertension, GERD, back pain, muscle spasms, neuropathy, pruritus, and...