I think most of you who follow the blog know I spend most of my time dealing with polypharmacy and geriatrics. I’m going to use the example of ACE Inhibitors in CHF to demonstrate my point. Every now and then, I will see patients who have a history of CHF and...
Thiazide Diuretics are most frequently used for hypertension, edema, and CHF. The video below gives some clinical pearls you should remember about thiazide diuretics. In addition to the thiazide diuretics, I’ve also created other YouTube Videos with more in the...
An 81 year old gentleman was struggling with CHF symtpoms. Fluid overload was the problem with difficulty breathing secondary to increased edema/CHF symptoms. His Lasix was increased from 20 mg daily up to 40 mg daily to help promote the loss of fluid. Three days...
88 y/o with a history of depressive type symptoms was placed on an antidepressant to manage symptoms shortly after admission to a long term care facility. This particular patient was trialed on Zoloft (sertraline) and then transitioned to Cymbalta (duloxetine),...
A patient was being treated for hypertension, with significantly elevated systolic blood pressure. Systolic blood pressures(BP) were running in the 150-160 range. Hydrochlorothiazide was the drug that was chosen to help treat the elevated BP. The dosing was 25 mg...
The longer I live, the more I realize how important the simple things in life are. Communication whether in your personal life or in your work is so important. Here’s a great example of a missed opportunity due to ineffective or inadequate communication. Some...
