The Consultant Pharmacist is published by the
American Society of Consultant Pharmacists.

About the artist: Miriam Rothchild, a resident of Leisure World in Silver Spring, Maryland, painted this month’s cover art, “The Wharf”, in watercolor.


FEATURES

Coping with Renal Insufficiency in the Elderly
Heidi M. Appel
Altered renal function due to aging or disease frequently complicates geriatric pharmacotherapy. By understanding the varying degrees of renal insufficiency and their impact on drug therapy, consultant pharmacists can play a key role in slowing renal decline.

Anemia in Long-Term Care: Diagnosis and Treatment
Heidi M. Appel
Diagnosis and treatment of anemia remains a major challenge in the long-term care setting. Here we’ll explore basic principles of anemia assessment and management-an area ripe for increased consultant pharmacist involvement.

When Disaster Strikes: North Carolina Pharmacists Weather the Storm
Caren McHenry Martin
Last fall, eastern North Carolina was pummeled by two major hurricanes in rapid succession. Two long-term care pharmacy providers tell how they coped with the most devastating floods in state history.

C O N T E N T S


February 2000/Vo. 15, No. 2
America's Senior Care PharmacistsTM


Research and Reports
Pharmacoeconomic Assessment of Enoxaparin in the Skilled Ward of a Long-Term Care Facility versus Unfractionated Heparin in the Hospital for Treatment of Proximal Deep Vein Thrombosis
Morgan D. Witter, Gireesh V. Gupchup, Ernest J. Dole, Puneet Singhal, Amanda Black
Results of this ambitious decision-tree analysis suggest that on-site treatment of deep vein thrombosis with low molecular weight heparin may offer a cost-effective alternative to hospital admission for heparin therapy.

Clinical Review
Hyponatremia Associated with Selective Serotonin Reuptake Inhibitors
David R. P. Guay
As use of selective serotonin reuptake inhibitors has increased in recent years, so has the incidence of low-frequency SSRI-associated adverse events. This literature review explores the rare but potentially serious problem of SSRI-associated hyponatremia, including clinical manifestations, case reports, and management strategies.


D E P A R T M E N T S

Bylines
Medication-Related Problems: Stepping Up the Attack
David K. Buerger

Health Trends
Acetaminophen May Confer Anti-Atherosclerotic Benefit; Potential New Uses for Existing Cancer Drugs; New Synthetic Cancer Vaccine; Pharmacists Help Curb Nursing Facility Influenza Outbreak; Space Flight, Aging May Produce Similar Effects; more

Calendar

Instructions for Authors

Uniform Requirements for Manuscripts Submitted to Biomedical Journals

Consultant Pharmacist Forum
All Those Inhalers: Drug Selection in COPD

Policy Currents
Pros and Cons of the Pending Pain Treatment Bill; FDA Moves to Limit Citizen Petitions; California Pharmacists Formally Recognized as Health Care Providers; JCAHO Hikes Survey Fees; more

Helpful Ideas
Encouraging Careers in Consultant Pharmacy
Paula M. Baker

Late Additions
ASCP Criticizes OIG Report on Medicare Infusion Therapy


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The Consultant Pharmacist is published by the
American Society of Consultant Pharmacists.