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

12 residents

Major alerts

immediate review

Moderate alerts

next-shift review

Controlled subs

C-II / C-IV reconciliation

Resident regimens (sorted by alert severity)

SNFRuth BerkowitzKaraDayDemo Houston SNF

4 active medications · 4 alerts

3 major

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
amiodarone	Class III antiarrhythmic	200 mg	Daily	PO	50	—	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.
digoxin	Cardiac glycoside	0.125 mg	Daily	PO	50	—	Drug-drug interaction: Interacts with amiodarone: Amiodarone doubles digoxin level → toxicity. Reduce digoxin ~50% and check level.
warfarin	Anticoagulant	5 mg	Daily	PO	50	—	Drug-drug interaction: Interacts with amiodarone: Amiodarone potentiates warfarin → markedly increased INR + bleeding risk. Reduce warfarin ~30-50% and monitor INR weekly.
furosemide	Loop diuretic	40 mg	Daily	PO	50	—	—

ILDorothy WashingtonKaraDayDemo Galleria IL

4 active medications · 4 alerts

2 major1 mod

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
spironolactone	K-sparing diuretic	25 mg	Daily	PO	28	—	Drug-drug interaction: Interacts with lisinopril: Both K-sparing → hyperkalemia. Monitor potassium weekly initially. Renal dose: Avoid spironolactone if eGFR < 30 (hyperkalemia risk).
metformin	Biguanide	500 mg	BID	PO	28	—	Renal dose: Avoid metformin if eGFR < 30 (lactic acidosis risk).
lisinopril	ACE inhibitor	10 mg	Daily	PO	28	—	Drug-drug interaction: Interacts with spironolactone: Both K-sparing → hyperkalemia. Monitor potassium weekly initially.
atorvastatin	Statin	40 mg	QHS	PO	28	—	—

ALJames PruittKaraDayDemo Senior Living

3 active medications · 2 alerts

2 major

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
trimethoprim-sulfamethoxazole	Antibiotic	DS	BID	PO	60	—	Drug-drug interaction: Interacts with warfarin: Bactrim displaces warfarin → INR rise + bleeding risk. Avoid; substitute alternative antibiotic.
warfarin	Anticoagulant	5 mg	Daily	PO	60	—	Drug-drug interaction: Interacts with trimethoprim-sulfamethoxazole: Bactrim displaces warfarin → INR rise + bleeding risk. Avoid; substitute alternative antibiotic.
lisinopril	ACE inhibitor	10 mg	Daily	PO	60	—	—

ALBarbara TilleryKaraDayDemo Senior Living

4 active medications · 2 alerts

2 major

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
tramadol	Opioid analgesic	50 mg	Q6H PRN	PO	65	C-IV	Drug-drug interaction: Interacts with sertraline: Serotonin syndrome risk. Avoid combination; substitute analgesic.
sertraline	SSRI	50 mg	Daily	PO	65	—	Drug-drug interaction: Interacts with tramadol: Serotonin syndrome risk. Avoid combination; substitute analgesic.
lisinopril	ACE inhibitor	10 mg	Daily	PO	65	—	—
atorvastatin	Statin	40 mg	QHS	PO	65	—	—

ALNancy WexfordKaraDayDemo Senior Living

4 active medications · 2 alerts

2 major

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
warfarin	Anticoagulant	5 mg	Daily	PO	65	—	Drug-drug interaction: Interacts with amiodarone: Amiodarone potentiates warfarin → markedly increased INR + bleeding risk. Reduce warfarin ~30-50% and monitor INR weekly.
amiodarone	Class III antiarrhythmic	200 mg	Daily	PO	65	—	Drug-drug interaction: Interacts with warfarin: Amiodarone potentiates warfarin → markedly increased INR + bleeding risk. Reduce warfarin ~30-50% and monitor INR weekly.
metoprolol	Beta blocker	25 mg	BID	PO	65	—	—
lisinopril	ACE inhibitor	10 mg	Daily	PO	65	—	—

SNFMei-Ling TsutsumiKaraDayDemo Houston SNF

6 active medications · 3 alerts

1 mod2 low

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
gabapentin	Anticonvulsant	300 mg	TID	PO	45	—	Renal dose: Reduce gabapentin if eGFR < 60 (CNS toxicity risk).
amitriptyline	TCA	25 mg	QHS	PO	45	—	Beers list: amitriptyline is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
cyclobenzaprine	Muscle relaxant	5 mg	TID PRN	PO	45	—	Beers list: cyclobenzaprine is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
oxycodone	Opioid	5 mg	Q6H PRN	PO	45	C-II	—
lorazepam	Benzodiazepine	0.5 mg	QHS PRN	PO	45	C-IV	—
omeprazole	PPI	20 mg	Daily	PO	45	—	—

SNFSylvia BeaumontKaraDayDemo Houston SNF

4 active medications · 2 alerts

2 mod

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
lisinopril	ACE inhibitor	10 mg	Daily	PO	55	—	Drug-drug interaction: Interacts with spironolactone: Both K-sparing → hyperkalemia. Monitor potassium weekly initially.
spironolactone	K-sparing diuretic	25 mg	Daily	PO	55	—	Drug-drug interaction: Interacts with lisinopril: Both K-sparing → hyperkalemia. Monitor potassium weekly initially.
potassium chloride	Electrolyte	20 mEq	Daily	PO	55	—	—
metoprolol	Beta blocker	25 mg	BID	PO	55	—	—

SNFLinda BergstromKaraDayDemo Houston SNF

4 active medications · 1 alert

1 low

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
glyburide	Sulfonylurea	5 mg	Daily	PO	55	—	Beers list: glyburide is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
atorvastatin	Statin	40 mg	QHS	PO	55	—	—
lisinopril	ACE inhibitor	10 mg	Daily	PO	55	—	—
metoprolol	Beta blocker	25 mg	BID	PO	55	—	—

SNFMargaret HolcombKaraDayDemo Houston SNF

4 active medications · 1 alert

1 low

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
diphenhydramine	1st-gen antihistamine	25 mg	QHS PRN	PO	70	—	Beers list: diphenhydramine is a Beers list item — avoid in adults ≥65 unless benefits clearly outweigh risks.
lisinopril	ACE inhibitor	10 mg	Daily	PO	70	—	—
atorvastatin	Statin	40 mg	QHS	PO	70	—	—
omeprazole	PPI	20 mg	Daily	PO	70	—	—

SNFCarlos FuentesKaraDayDemo Houston SNF

3 active medications · no alerts

Clear

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
metoprolol	Beta blocker	25 mg	BID	PO	50	—	—
atorvastatin	Statin	40 mg	QHS	PO	50	—	—
apixaban	DOAC	5 mg	BID	PO	50	—	—

SNFRobert TyndallKaraDayDemo Houston SNF

8 active medications · no alerts

Clear

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
apixaban	DOAC	5 mg	BID	PO	65	—	—
tamsulosin	Alpha-1 blocker	0.4 mg	Daily	PO	65	—	—
lisinopril	ACE inhibitor	10 mg	Daily	PO	65	—	—
amlodipine	CCB	5 mg	Daily	PO	65	—	—
atorvastatin	Statin	40 mg	QHS	PO	65	—	—
metoprolol	Beta blocker	25 mg	BID	PO	65	—	—
levothyroxine	Thyroid hormone	50 mcg	Daily	PO	65	—	—
omeprazole	PPI	20 mg	Daily	PO	65	—	—

SNFDarnell WashingtonKaraDayDemo Houston SNF

4 active medications · no alerts

Clear

Drug	Class	Dose	Freq	Route	eGFR	CS	Alerts
amlodipine	CCB	5 mg	Daily	PO	75	—	—
lisinopril	ACE inhibitor	10 mg	Daily	PO	75	—	—
metoprolol	Beta blocker	25 mg	BID	PO	75	—	—
atorvastatin	Statin	40 mg	QHS	PO	75	—	—

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.