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
-
Bleeding risk with anticoagulant and antiplatelet medications is something that we struggle with on a regular basis. Should we fully anti...
-
Let’s start with a patient case. A patient is being treated with methylprednisolone 20 mg IV q6 hours for some inflammatory process and...
-
Since it's the time of year again when Lyme disease is a concern for patients in many parts of the United States, I thought it would b...
-
The American Geriatrics Society recently published their Alternative Treatments to Selected Medications in reference to the most recent upd...
-
Hepatic encephalopathy is a frequent and debilitating complication of liver disease. The mainstay of treatment, lactulose, has been used ...
-
Thiamine is a water-soluble vitamin that is an important coenzyme for various metabolic processes in the body. These include the regulat...
-
Ticagrelor is an antiplatelet medication that is commonly used for a number of cardiovascular conditions. Its mechanism is similar to th...
-
Let’s start with a patient scenario. A patient presents to the emergency room experiencing a heart failure exacerbation. When entering th...
-
Testing urine for the presence of drugs has a variety of uses including assessing poisoning or overdose, pre-employment testing, substanc...
-
Heparin and low molecular weight heparins (LMWH) are some of the many medications that have been identified to cause hyperkalemia. When l...
