What are things you do or do not call for in retail pharmacy
I've seen some rphs call for Ventolin and proair switches. Would you call md if hydrocortisone 2% cream is written? That doesn't even exist so yeah Would you call when trying to fill abilify for a patient taking risperdal or just ask the patient on that? (Source: Student Doctor Network)
Source: Student Doctor Network - October 2, 2017 Category: Universities & Medical Training Authors: Pharmer20201 Source Type: forums
CA generic substitution law?
In CA, it is my understanding that you do NOT need an orange book AB rating when making a substitution. So can you substitute Adrenaclick for an EpiPen? What about Ventolin or Proventil for ProAir? (Source: Student Doctor Network)
Source: Student Doctor Network - July 17, 2017 Category: Universities & Medical Training Authors: Lexington2012 Source Type: forums
Cardio Pharm Question
Mr Green, a 54-year-old banker, had a cardiac transplant 6 months ago. His current blood pressure is 120/70 mm Hg and heart rate is 100 bpm. Which of the following drugs would have the least effect on Mr Green's heart rate? (A)Albuterol (B)Epinephrine (C)Isoproterenol (D)Norepinephrine (E)Phenylephrine Answer : E Could someone please explain why E is correct? Thank you Wouldn't you get reflex bradycardia w/ Phenylephrine? (Source: Student Doctor Network)
Source: Student Doctor Network - February 10, 2017 Category: Universities & Medical Training Authors: DocMiami Source Type: forums
Case from yesterday
Hey all, had a case yesterday that I want to hear from you all about. 75 year old male marine Vet, h/o severe COPD on home oxygen and several meds (albuterol neb 4x/day, symbicort, spiriva, daliresp, a few weeks ago started on prednisone taper down to 5 mg/day), h/o MI and severe PVD, h/o PE on Xarelto (last taken a little less than 2.5 days prior), IDDM, a hint of dementia and anxiety, comes in for a hip fracture after falling. You see him on oxygen, sitting in bed, speaking in somewhat... Case from yesterday (Source: Student Doctor Network)
Source: Student Doctor Network - August 6, 2016 Category: Universities & Medical Training Authors: Urzuz Source Type: forums
Product Substitutions and Other RX Changes Without MD Input
I understand you can substitute ProAir 8.5gm for Ventolin 90mcg/actuation 18gm if the MD specified 8.5gm, the active ingredient being bioequivalent. How far can you take this sort of liberty before insurance or the MD gets upset? What are the limits for the pharmacist to purview these things? Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - June 21, 2016 Category: Universities & Medical Training Authors: clarkbar Source Type: forums
Let's talk technique
Lets see how people approach this case. 3-5 yo pt with history of asthma. Had an episode of RSV one month ago with residual cough up until 2 weeks ago. Currently doing well, afebrile and mild cough but not much different from his usual status. Hasn't used albuterol in over a week. Posted for BMT & adenoids at out-pt surgery center. Parents are well educated non smokers. Pt is not obese and has mild snoring habits but no real OSA. Enlarged tonsils but no symptoms of tonsillitis in the... Let's talk technique (Source: Student Doctor Network)
Source: Student Doctor Network - March 30, 2016 Category: Universities & Medical Training Authors: Noyac Source Type: forums
My 17 month old son has a CRMS dx (df508 + a "varying consequence" mutation and negative sweat). We switched clinics about 4 months ago. Our new clinic felt that my son's health history and culture history warranted a bronchoscopy. Last Wednesday he had the bronch as well as an endoscopy and an Infant PFT. Normally they have you return 2 weeks post procedure but because of the holiday it looks like we may not be getting in until sometime next month. I've asked the nurse to talk to our pulm about getting us results over the phone at least - we'll see if it happens - but in the meantime I have a couple questions ab...
Source: Cystic Fibrosis Families Forum - December 16, 2015 Category: Respiratory Medicine Authors: emason Tags: Families Source Type: forums
eRapid and Bubbles
Ok, I know I recently posted about this, but I'm confused, so I'm trying again since I'm not getting much help from clinic. I asked them for a new mask for my son's eRapid (he uses it for albuterol.) He has been using the Pari Smartmask Kids Mask (he's 2 years old) and we had a few left over from our last pulmonologist (but he definitely needs a new mask.) So, I went to pick up the masks, and they gave me two Bubbles the Fish masks. I don't think I can use these. Pretty sure I read somewhere the Bubbles mask is not compatible with eRapid...So, I guess my questions are, can I use the Bubbles the Fish mask with the eRapid fo...
Source: Cystic Fibrosis Families Forum - December 14, 2015 Category: Respiratory Medicine Authors: martatv75 Tags: Families Source Type: forums
Diagnosed at 36
Hi everybody, I joined the forum when i was diagnosed with cystic fibrosis this summer, but for some reason I couldn't post under my old screen name. I was diagnosed in July after my pulmonologist did a full panel of bloodwork. I had previously passed 2 sweat tests. I have moderate bronchiectasis and am culturing m. absessus. I spent 4 weeks on iv antibiotics this summer and got pancreatitus as a side effect. This was my drs big hint. As i said in the title i am 36yo. I had no idea anything was wrong with my lungs till i got pregnant with my now 4yo son(carrier-d1125h). At 5 weeks pregnant i had my first and only real...
Source: Cystic Fibrosis Newly Diagnosed Forum - December 2, 2015 Category: Respiratory Medicine Authors: alikat0079 Tags: Newly Diagnosed Source Type: forums
Qvar 1 or 2 a day?
So DS doctor wants to up his qvar or rather has. She gave us the choice of a higher dose 1 a day or same dose 2 a day. I asked adv and disadvantages and whether better to do 2 a day which seems intuitively like t would be better but she said it s no different. Bu what I wonder is is that a clinical test no different like the albuterol inhaler versus nebulizers which studies show no different but cfers in practice will say the nebulized version works better? Or is it truly no different? We've been doing 2 a day because I have the meds left but in the evening DS is already exhausted and bouncing off the walls as am I so I'm ...
Source: Cystic Fibrosis Adults Forum - October 20, 2015 Category: Respiratory Medicine Authors: Aboveallislove Tags: Adults Source Type: forums
So confused....no diagnosis...stop looking?
Looking for confirmation my 8 year old daughter doesn't have cf. Wondering what is going on. Has environmental allergies (as shown on skin tests 2x). Diagnosed with asthma 2 yrs ago due to cough...no wheeze ever. Last school year had bacterial pneumonia in Sept (x-ray at er) and bacterial pneumonia in May (2 night hosp stay). Possible pneumonia in mid June...treated but no x-ray. In past has seen GI for possible reflux and genetics b/c she didn't sweat. Sweating has slowly started and they think possible connective tissue disorder. Recurrent pneumonias have lead to numerous tests. She's been doing really well since increa...
Source: Cystic Fibrosis Newly Diagnosed Forum - September 24, 2015 Category: Respiratory Medicine Authors: mom2girls Tags: Newly Diagnosed Source Type: forums
Hypertonic saline mixed with other medications in the same neb session
Is it ok to mix hypertonic saline with other medications in the same neb session? My DD is on Combivent (Ipratropium bromide + albuterol sulphate) and pulmicort (Budesonide) and I was wondering if we can mix the HS with them or should we do it seperately? (Source: Cystic Fibrosis Families Forum)
Source: Cystic Fibrosis Families Forum - July 25, 2015 Category: Respiratory Medicine Authors: MyBabyCeline Tags: Families Source Type: forums
Gene f508 and r117h ~7t
Im hoping someone can help me understand all this, my sons mutations were found at his new born screening he had a sweat test as a newborn and everything was in normal range they repeated the sweat test at age 6 months his chloride levels went up a bit so we went for another test at age 1 then his chloride levels were up even more and he was diagnosed with cf he is now almost 4 and has had no real issues with cf he has check ups every 3 months but nothing has ever really changed i have two other kids and he doesn't seem to really get any sicker then them. Im frustrated because he is on a vest twice daily with albuterol in ...
Source: Cystic Fibrosis DNA and Mutations Forum - July 14, 2015 Category: Respiratory Medicine Authors: Tiffany Kruit Tags: DNA and Mutations Source Type: forums
Possible CF (input please)
Hello all. I am a 20 year old male, and was recently tested via sweat test for CF. I received the call five days ago that I did not have CF due to the results, but I am not fully confident (as online research has led me to discover that in some, albeit very few, cases, the sweat test may produce normal results despite the patient having CF). Here's why I am not fully confident: 1) I was diagnosed with asthma at a young age--however, this asthma is so mild that it has a negligible impact on my life as of now. I need to take two puffs of my albuterol inhaler MAYBE once a week, if not less than that. I do not usually need i...
Source: Cystic Fibrosis Newly Diagnosed Forum - June 11, 2015 Category: Respiratory Medicine Authors: alex852 Tags: Newly Diagnosed Source Type: forums
new need opinions
Let me start from the beginning.Last December my daughter was diagnosed with malabsorpation. She was 10lbs at 7 months old. We seen a gastric specialist. Changed diet etc. She gained weight and doctors were happy. When she turned a year old in may we discovered she is lactose intolerant. It progressively got worse until 3 months ago. The middle of October my daughter formed a nasty cough and runny nose. Doctors told me it was viral.for a month my daughter would cough so bad at night it would make her sick, keep her awake. She would scream in her sleep. (Not night terrors) finally I got fed up. My daughter was suffering. I ...
Source: Cystic Fibrosis Newly Diagnosed Forum - January 21, 2015 Category: Respiratory Medicine Authors: jabug8 Tags: Newly Diagnosed Source Type: forums
False negative sputum culture?
How often are sputum cultures false negative? My son is currently recovering from a month of sickness including sinusitis that then settled into his chest. His sputum culture was taken 3 days after he finished 10 days of amox and had just started 3 days of augmentin. His sputum was thick yellow good sample and came back normal. I suppose he could have viral pneumonia but I almost wish it was something so we could do something besides empiric therapy. He is being treated with oral antibiotic for one month now and getting better along with albuterol/pulmicort. Any insights? (Source: Cystic Fibrosis Newly Diagnosed Forum)
Source: Cystic Fibrosis Newly Diagnosed Forum - December 30, 2014 Category: Respiratory Medicine Authors: Julie7 Tags: Newly Diagnosed Source Type: forums
Drugs During Pregnancy
I'm sure this answer is here somewhere but what drugs are allowed and not allowed during pregnancy. I am currently on TOBI Podhaler and alternating that with cayston. I also take Pulmozyme, albuterol and hypertonic saline, as well as azithromycin (500 mg 3x/week), symbicort, flonase. Any info would be appreciated. (Source: Cystic Fibrosis Pregnancy Forum)
Source: Cystic Fibrosis Pregnancy Forum - August 3, 2014 Category: Respiratory Medicine Authors: KEC1984 Tags: Pregnancy Source Type: forums
mom of a 16 yr old daughter
Junior Member Join DateFeb 2014Posts1 Hi I am also new to this site. I am a mom of a 16 yr old daughter. She has ddf508, mostly weight issues. She is 5'2, 94 lbs. She has a g tube and takes 2-3k calories at night. She also does hyper tonic, pulmozyme, albuterol and the vest. Her dr says she has very mild chrons, but she never has any symptoms and hasn't taken the pentasa for a while. She has maintained her weight and height and fev of 72-4 for the past yr without any hospitalizations. They want her to be at 100lbs. I feel like her GI dr always wants to do unnessecary tests. Now he is saying her lack of weigh...
Source: Cystic Fibrosis Teenagers and Young People Forum - February 19, 2014 Category: Respiratory Medicine Authors: heathercrittendon Tags: Teenagers and Young People Source Type: forums
St Johns Wort
Could this natural herb interfere with Creon, Pulmozyme and Albuterol? Is this safe for CFers? (Source: Cystic Fibrosis Teenagers and Young People Forum)
Source: Cystic Fibrosis Teenagers and Young People Forum - July 31, 2013 Category: Respiratory Medicine Authors: Enzo2311 Tags: Teenagers and Young People Source Type: forums