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?