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Search results for "Electronic Health Records"

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Cases & Commentaries

Dual Therapy Debacle

  • Web M&M

Steven R. Kayser, PharmD; September 2015

Following a myocardial infarction, an elderly man underwent percutaneous coronary intervention and had two drug-eluting stents placed. He was given triple anticoagulation therapy for 6 months, with a plan to continue dual anticoagulation therapy for another 6 months. Although the primary care provider saw the patient periodically over the next few years, the medications were not reconciled and the patient remained on the dual therapy for 3 years.

Cases & Commentaries

One ACE Too Many

  • Web M&M

David N. Juurlink, BPhm, MD, PhD; July 2006

A patient presenting to the ED with chest pain was ruled out for MI, and discharged on an ACE inhibitor. Two weeks later, he returns with a critically elevated potassium level, has a cardiac arrest, and dies.

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