LTC Pharmacy

KaraDayDemo Rx

A single LTC pharmacy serving SNF + AL + IL residents across the operator's portfolio. Every order runs through deterministic checks: Beers list (AGS 2023), drug-drug interaction pairs, renal-dose adjustments. Major alerts ping the prescribing physician AND the facility DON within minutes.

Active orders

52

12 residents

Major alerts

11

immediate review

Moderate alerts

4

next-shift review

Controlled subs

3

C-II / C-IV reconciliation

Resident regimens (sorted by alert severity)

SNFRuth BerkowitzKaraDayDemo Houston SNF

4 active medications · 4 alerts

3 major
DrugClassDoseFreqRouteeGFRCSAlerts
amiodaroneClass III antiarrhythmic200 mgDailyPO50
Drug-drug interaction: Interacts with warfarin: Amiodarone potentiates warfarin → markedly increased INR + bleeding risk. Reduce warfarin ~30-50% and monitor INR weekly.
Drug-drug interaction: Interacts with digoxin: Amiodarone doubles digoxin level → toxicity. Reduce digoxin ~50% and check level.
digoxinCardiac glycoside0.125 mgDailyPO50
Drug-drug interaction: Interacts with amiodarone: Amiodarone doubles digoxin level → toxicity. Reduce digoxin ~50% and check level.
warfarinAnticoagulant5 mgDailyPO50
Drug-drug interaction: Interacts with amiodarone: Amiodarone potentiates warfarin → markedly increased INR + bleeding risk. Reduce warfarin ~30-50% and monitor INR weekly.
furosemideLoop diuretic40 mgDailyPO50
ILDorothy WashingtonKaraDayDemo Galleria IL

4 active medications · 4 alerts

2 major1 mod
DrugClassDoseFreqRouteeGFRCSAlerts
spironolactoneK-sparing diuretic25 mgDailyPO28
Drug-drug interaction: Interacts with lisinopril: Both K-sparing → hyperkalemia. Monitor potassium weekly initially.
Renal dose: Avoid spironolactone if eGFR < 30 (hyperkalemia risk).
metforminBiguanide500 mgBIDPO28
Renal dose: Avoid metformin if eGFR < 30 (lactic acidosis risk).
lisinoprilACE inhibitor10 mgDailyPO28
Drug-drug interaction: Interacts with spironolactone: Both K-sparing → hyperkalemia. Monitor potassium weekly initially.
atorvastatinStatin40 mgQHSPO28
ALJames PruittKaraDayDemo Senior Living

3 active medications · 2 alerts

2 major
DrugClassDoseFreqRouteeGFRCSAlerts
trimethoprim-sulfamethoxazoleAntibioticDSBIDPO60
Drug-drug interaction: Interacts with warfarin: Bactrim displaces warfarin → INR rise + bleeding risk. Avoid; substitute alternative antibiotic.
warfarinAnticoagulant5 mgDailyPO60
Drug-drug interaction: Interacts with trimethoprim-sulfamethoxazole: Bactrim displaces warfarin → INR rise + bleeding risk. Avoid; substitute alternative antibiotic.
lisinoprilACE inhibitor10 mgDailyPO60
ALBarbara TilleryKaraDayDemo Senior Living

4 active medications · 2 alerts

2 major
DrugClassDoseFreqRouteeGFRCSAlerts
tramadolOpioid analgesic50 mgQ6H PRNPO65C-IV
Drug-drug interaction: Interacts with sertraline: Serotonin syndrome risk. Avoid combination; substitute analgesic.
sertralineSSRI50 mgDailyPO65
Drug-drug interaction: Interacts with tramadol: Serotonin syndrome risk. Avoid combination; substitute analgesic.
lisinoprilACE inhibitor10 mgDailyPO65
atorvastatinStatin40 mgQHSPO65
ALNancy WexfordKaraDayDemo Senior Living

4 active medications · 2 alerts

2 major
DrugClassDoseFreqRouteeGFRCSAlerts
warfarinAnticoagulant5 mgDailyPO65
Drug-drug interaction: Interacts with amiodarone: Amiodarone potentiates warfarin → markedly increased INR + bleeding risk. Reduce warfarin ~30-50% and monitor INR weekly.
amiodaroneClass III antiarrhythmic200 mgDailyPO65
Drug-drug interaction: Interacts with warfarin: Amiodarone potentiates warfarin → markedly increased INR + bleeding risk. Reduce warfarin ~30-50% and monitor INR weekly.
metoprololBeta blocker25 mgBIDPO65
lisinoprilACE inhibitor10 mgDailyPO65
SNFMei-Ling TsutsumiKaraDayDemo Houston SNF

6 active medications · 3 alerts

1 mod2 low
DrugClassDoseFreqRouteeGFRCSAlerts
gabapentinAnticonvulsant300 mgTIDPO45
Renal dose: Reduce gabapentin if eGFR < 60 (CNS toxicity risk).
amitriptylineTCA25 mgQHSPO45
Beers list: amitriptyline is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
cyclobenzaprineMuscle relaxant5 mgTID PRNPO45
Beers list: cyclobenzaprine is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
oxycodoneOpioid5 mgQ6H PRNPO45C-II
lorazepamBenzodiazepine0.5 mgQHS PRNPO45C-IV
omeprazolePPI20 mgDailyPO45
SNFSylvia BeaumontKaraDayDemo Houston SNF

4 active medications · 2 alerts

2 mod
DrugClassDoseFreqRouteeGFRCSAlerts
lisinoprilACE inhibitor10 mgDailyPO55
Drug-drug interaction: Interacts with spironolactone: Both K-sparing → hyperkalemia. Monitor potassium weekly initially.
spironolactoneK-sparing diuretic25 mgDailyPO55
Drug-drug interaction: Interacts with lisinopril: Both K-sparing → hyperkalemia. Monitor potassium weekly initially.
potassium chlorideElectrolyte20 mEqDailyPO55
metoprololBeta blocker25 mgBIDPO55
SNFLinda BergstromKaraDayDemo Houston SNF

4 active medications · 1 alert

1 low
DrugClassDoseFreqRouteeGFRCSAlerts
glyburideSulfonylurea5 mgDailyPO55
Beers list: glyburide is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
atorvastatinStatin40 mgQHSPO55
lisinoprilACE inhibitor10 mgDailyPO55
metoprololBeta blocker25 mgBIDPO55
SNFMargaret HolcombKaraDayDemo Houston SNF

4 active medications · 1 alert

1 low
DrugClassDoseFreqRouteeGFRCSAlerts
diphenhydramine1st-gen antihistamine25 mgQHS PRNPO70
Beers list: diphenhydramine is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
lisinoprilACE inhibitor10 mgDailyPO70
atorvastatinStatin40 mgQHSPO70
omeprazolePPI20 mgDailyPO70
SNFCarlos FuentesKaraDayDemo Houston SNF

3 active medications · no alerts

Clear
DrugClassDoseFreqRouteeGFRCSAlerts
metoprololBeta blocker25 mgBIDPO50
atorvastatinStatin40 mgQHSPO50
apixabanDOAC5 mgBIDPO50
SNFRobert TyndallKaraDayDemo Houston SNF

8 active medications · no alerts

Clear
DrugClassDoseFreqRouteeGFRCSAlerts
apixabanDOAC5 mgBIDPO65
tamsulosinAlpha-1 blocker0.4 mgDailyPO65
lisinoprilACE inhibitor10 mgDailyPO65
amlodipineCCB5 mgDailyPO65
atorvastatinStatin40 mgQHSPO65
metoprololBeta blocker25 mgBIDPO65
levothyroxineThyroid hormone50 mcgDailyPO65
omeprazolePPI20 mgDailyPO65
SNFDarnell WashingtonKaraDayDemo Houston SNF

4 active medications · no alerts

Clear
DrugClassDoseFreqRouteeGFRCSAlerts
amlodipineCCB5 mgDailyPO75
lisinoprilACE inhibitor10 mgDailyPO75
metoprololBeta blocker25 mgBIDPO75
atorvastatinStatin40 mgQHSPO75

Alert detection is deterministic via lib/verticals/ltc-pharmacy/{detectDrugInteractions, detectRenalDoseIssues, isBeersListItem}. v0.1 covers ~20 high-impact Beers items, 10 major drug-drug pairs, and 6 renal-dose rules; production plugs in commercial DUR engines (Medi-Span / First Databank) for the full ~thousands-of-rules surface.