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Digital PharmD

Informatics in Pharmacy

Women's Health

Menopause

August 13, 2018 By Dr. G, PharmD

Menopause is the cessation of menstrual periods for 1 year.  The average age for menopause is 52. Estrogen: Estrogen relieves genitourinary atrophy, vasomotor instability, reduces hip and vertebral fractures, relieves hot flashes which decreases insomnia and fatigue, stabilizes mood changes, improves sexual function. Risks: cancer, especially when unopposed, CHD, bloating, headache, breast tenderness, increased blood clotting Women […]

Osteoporosis

August 13, 2018 By Dr. G, PharmD

All women over 65 and men over 70 should have bone mineral density (BMD) testing.  If fractures or risks, test sooner. Initiate therapy if: Hip or spine fracture and BMD T-score -2.5 or below at hip, spine or femoral neck T-score is between -1.0 and -2.5 at femoral neck or spine and the 10-year probability of […]

Contraception and Fertility

August 13, 2018 By Dr. G, PharmD

Contraception: Management of adverse effects: Bleeding: if early in the cycle, you need higher estrogen component.  If late bleeding, you need more progesterone. Nausea: Usually related to estrogen, take at night with food Acne: Usually related to progestin Severe effects: Abdominal pain Chest pain Headaches: could be a stroke or blood clot Eye problems, blurred […]

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acid base acidosis acute coronary syndrome alkalosis analgesics anaphylaxis aortic dissection arrhythmia Beta-Blockers biostatistics blood pressure cardiac markers CHA2DS2-VasC cocaine COVID-19 diabetes diabetes inspidius Guidelines heart failure Heparin hypersensitivity hypertension hypovolemic shock intubation ionotropes journal club lipids LMWH medication safety morphine conversions myocardial infarction needs work NOAC NSTEMI obstructive shock pharmacoeconomics pheochromocytoma pressors reference materials right mi sedation septic shock shock STEMI Updated 2020