Assignment:
A 68-year-old patient, Mr. Michael James, has a history of diabetes. He presents with weakness and fatigue. The patient`s husband, David James, reports that the patient has been acting confused for the last two days. The MA completed vital signs per protocol. Vital Signs
• Temp: 99.3
• Respiratory Rate: 22
• Blood Pressures / Heart Rate: 94/62 105
• Pain: 4/10 Medications
• Metformin XR 1000mg BID
• Trulicity 1.5mg Qweek
• Lisinopril 20mg QD
• Atorvastatin 40mg QD
1. After reviewing Mr. James` history and medication list, what findings are you concerned about as his provider?
2. Please provide a list of three of differential diagnoses with rationale for the altered mental status for the 68-year-old patient.
3. Please provide a list of three of differential diagnoses with rationale for complications of diabetes for the 68-year-old patient.
4 What patient education should be provided?