A 77 year old black patient is admitted to the hospital for a gastrointestinal bleed. He has a past medical history of CAD (MI 15 years ago), CKD (stage 4), atrial fibrillation, PUD, and hyperlipidemia for which he is taking ASA 81 mg daily, metoprolol tartrate 50 mg twice a day, atorvastatin 20 mg daily, lisinopril 20 mg daily, omeprazole 20 mg daily, and dabigatran 75 mg orally twice a day. Initial labs indicate an aPTT of 95 seconds, hemoglobin of 6.8 g/dL, and serum creatinine 2.3 mg/dL.
HughesMedicine - Pharmacotherapy Pearls from the Internal Medicine Clinical Pharmacist
Sunday, October 25, 2015
Recommended for you
-
Let’s start with a patient case. A patient is being treated with methylprednisolone 20 mg IV q6 hours for some inflammatory process and...
-
There are many different insulin preparations and supplies available in order to create individualized regimens for patients. Here are s...
-
Ticagrelor is an antiplatelet medication that is commonly used for a number of cardiovascular conditions. Its mechanism is similar to th...
-
A 55 year old business executive is being discharged from the hospital after a brief admission for cellulitis. His only PMH is HTN and o...
-
Daptomycin (Cubicin) is the first antibiotic in a class known as lipopeptides and has a unique mechanism of action. Daptomycin is a large...
-
Let’s start with a patient case. A patient is admitted to the hospital with a CHF exacerbation. They are taking warfarin for atrial fi...
-
Hepatic encephalopathy is a frequent and debilitating complication of liver disease. The mainstay of treatment, lactulose, has been used ...
-
A 65 year old male is being treated for an infection on his forearm that developed purulent drainage within the last few days. He denies ...
-
Let’s start with a patient case. A 45 year old woman is referred to the hospital after seeing her primary care physician for unusual bru...
-
Several previous discussions have dealt with the concept of the minimum inhibitory concentration (MIC) such as extended-infusion piperacil...