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...
I’ve been asked to discuss the relationship between Digoxin levels and potassium…so I will. Digoxin toxicity was discussed earlier this week, and obviously the kidney plays a big role in both digoxin levels and potassium homeostasis. Individuals with low potassium may...
Elderly patient was on Amiodarone for treatment of chronic arrhythmia. Amiodarone has multiple clinical quirks and unique side effects associated with it. In my mind, it’s definitely a high risk/high reward type drug. The patient had begun to experience some shortness...
