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E.A age:78 - Coggle Diagram
E.A age:78
diagnostics and labs
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triglycerides= 345
indicating metabolic syndrome, poor diabetes management, and increased risk of heart disease
pH= 7.32
serum is slightly acidotic, metabolic acidosis due to decreased kidney excretion of acid
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complications
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nephropathy, neuropathy, and retinopathy due to poor diabetes management evidenced by increased creatinine decreased GFR, increased HbA1c, and hyperglycemia
risk for coronary artery disease, MI, or HF because of increased triglycerides and LDL
hyperkalemia because of decreased renal clearance. leading to cardiac dysrhythmias, and muscular changes
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home medication
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Metformin 1,000mg BID EXR PO for diabetes mellites type 2
evaluation of outcomes
EA will:
teach back proper medication administration of hydrochlorothiazide/valsartan, atorvastatin, metformin, and insulin
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decrease serum potassium levels by use of diuretic and diet, this will be evidenced by lab work at the one month check up
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patient will decrease peripheral edema by medication adherence and diet changes this will be evidenced by a decrease to +2 pitting at one month check up
nursing diagnosis
fluid and electrolyte imbalance R/T Chronic renal failure A.E.B potassium level of 6.2, glucose of 242, and creatinine of 4.2
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