Journal Club - 2007-09-27

1. Case 1: Statin prescribing at UHS

60 yo male with s/p MI with LDL=150. The patient just got Carelink

Go to http://clinical.uthscsa.edu

1. Use clinical.uthscsa.edu to get to the UHS formulary: What is subsidized and is first choice drug?

2. Case 2: Cellulitis at UHS:

60 yo male has cellulitis of lower leg. No other medical problems. The lower leg is red and his mild edema and warmth.

Go to http://clinical.uthscsa.edu

1. Check sensitivities with antibiogram
2. Which drugs are effective and subsidized?
3. Are these 4 dollar meds at Walmart (hint: use clinical.uthscsa.edu or Google)?

3. Case 3: Cellulitis at VA

(Click here to learn about CPRS tools

65 yo male has progression of his cellulitis on oral dicloxicillen. He has nephrosclerosis from resistent hypertension. His creatinine today is at his baseline of 3.0 mg/dl

1. Choose an oral drug using VA antibiogram.
2. Is LINEZOLID on our formulary?

4. Case 1 returns with GI bleed

The patient had GI bleed with positive CLO test. Needs PPI plus two abys (usually amoxicillin, 1 g, bid, and clarithromycin). Which ones will not interact pravastatin?