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Primary Care: Should we throw away the clonidine?

Primary Care Clonidine

Rachel Beatty, ARNP

Typical Scenario

Let’s discuss a common scenario. You have a 50 year old male who has not been seen by a PCP in two years. His past medical history includes arthritis and hypertension. He does not smoke and has an occasional beer on the weekend. He has been off his medications for his hypertension for over a year. His BP in office is 182/110, HR 70, Temp 97.6, Respirations 16, 02 saturation 98%.  His physical exam is unremarkable and he is asymptomatic. Your medical assistant asks you if you would like her to give him clonidine and do an EKG. She then asks if we will be sending him to the emergency room. The patient is now anxious and is wondering if he is going to have a stroke. What would you do?

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“I’m not putting my license on the line”

putting medical license on the line

How many times have you heard this mentioned in casual conversation amongst healthcare providers?Perhaps during a heated exchange on television, or when talking about doing things we aren’t comfortable doing to our patients. Perhaps you have even mentioned it yourself.

The fact is, it takes a lot – A LOT – to lose a medical license or license to practice. Yes, bumps along the road in our career can happen, but realistically speaking, what licensing board would have a vested interest in removing providers from an already strained healthcare system?

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ED Seizure Management

Seizures are a common complaint seen in the Emergency Room. Some patients are straight forward with an obvious reason or history of seizures but for some, this may be their first seizure. So how do you differ in medical management with a patient that has new onset of seizures? The American College of Emergency Physicians … Read more

COPD Exacerbation – Do they also need antibiotic coverage?

COPD exacerbations are commonly seen in the emergency room, urgent care, and primary care setting. Treatment can usually be managed outpatient with the combination of beta adrenergic agonists ( albuterol ) and or with anticholinergic agents ( ipratropium) with MDI or nebulizer, In addition patients are usually prescribed systemic glucocorticoid therapy. Current guidelines suggest a … Read more

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