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M.K. is a 45 year old female; measuring 5'5" and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetes mellitus along with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis.
Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night.
Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus. The following are lab findings that are pertinent to this case:
Vitals
BP
158/98 mm Hg
CBC
Hematocrit
57%
Glycosylated hemoglobin (HbA1c)
7.3 %
Arterial Blood Gas Assessment
PaCO2
52 mm Hg
PaO2
48 mm Hg
Lipid Panel
Cholesterol
242 mg/dL
HDL
32 mg/dL
LDL
173 mg/dL
Triglycerides
184 mg/dL
What are the available courses of action now that I have gathered knowledge and information and considered the range of value positions? (accountability)
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