Discussion Part One (graded)
Cynthia is a 65-year-old African American female who presents to the clinic for a check-up. Her
last examination was ~5 years ago. She has no specific, significant, or urgent complaint. She
explains that her only issues are thirst, fatigue, and leg numbness and tingl...
chamberlain college of nursingnr 508nr508 week 2 part 1
cynthia is a 65 year old african american female who presents to the clinic for a check up her last examination was 5 years ago she has no sp
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Chamberlain College Of Nursing
NR 508 Advanced Pharmacology
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Discussion Part One (graded)
Cynthia is a 65-year-old African American female who presents to the clinic for a check-up. Her
last examination was ~5 years ago. She has no specific, significant, or urgent complaint. She
explains that her only issues are thirst, fatigue, and leg numbness and tingling, which is
beginning to occur more often. You decide to do a physical exam, as well as draw labs and
receive the following results:
Social history: no smoking or alcohol consumption.
Physical examination:
GEN: well nourished, slightly obese female
VS: BP 180/103 HR 73 RR 13 T 98.4 Weight 90 kg, Height 5’6”
HEENT: PERRLA
COR: RRR, NMRG
CHEST: CTA
NEURO: monofilament test shows decreased peripheral sensation
EXT: normal
m
er as
Laboratory (fasting):
co
Na 139 mEq/L
eH w
K 3.8 mEq/L
o.
ALT 34 U/L
Ca 9.1 mg/dL
rs e
ou urc
CL 102 mmol/L
HCO3 22 mEq/L
AST 39 U/L
o
TP 6 g/dL
aC s
BUN 33 mg/dL
vi y re
SCr 2.0 mg/dL
Alb 4.1 g/dL
Cholesterol 254 mg/dL
BG 300 mg/dL
ed d
TSH 0.12 U/mL
ar stu
UA: SG 1.013 mg/24h, pH 6.5, +++ protein
What are the major problems in this patient, and what diagnoses do these values
is
indicate?
Th
Additionally, what is your assessment and pharmacological plan for each of these
problems including the medication, dose, and mechanism of action?
sh
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