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HTN 165/95, creatinine clearance 45.2mL/hr, HTN nephropathy, BUN 29, pt…

- - - - cells hold onto more lipids instead of insulin
        
        DLD
        
        high HDL low LDL
        
        atherosclerosis
        
        lipids stick to tears in the vascular walls, leaving fat deposits
        
        lipids build up over time and narrow vasculature
        
        6 more items...
        
        high blood sugar causes plaque to build up in blood vessels
        
        artorvastatin
        
        (+) St. John's Wort = decreases the effectiveness of drug
        
        cholesterol production in the liver decreases
      - the body's insulin resistant cells take up less blood sugar
        
        Hyperglycemia
        
        HgA1C of 8 (avg 180mg/dL)
        
        metformin
        
        (+) SSRI (Prozac) increases hypoglycemic effects
        
        Monitor for signs and symptoms of hypoglycemia
        
        check glucose levels throughout the day
        
        (+) hydrochlorothiazide = decreased effectiveness of drug
        
        Monitor for signs and symptoms of hyperglycemia
        
        check glucose levels throughout the day
        
        glucose 148mg/dL
        
        constant high levels of glucose increases blood viscosity
        
        increased pressure on and damage to vascular system
        
        1 more item...
        
        stimulates renal cells to release inflammatory cells
        
        cells damage glomerulus
  - - - poor wound healing
- - - - body retains H2O and Na+
        
        BP increases
- - - - works on distal convoluted tubule of nephrons
        
        increases excretion of water
        
        decreases blood pressure by decreasing blood volume
        
        increases the excretion of potassium
- - - - anemia
      - low platelets 120,000 (normal range 150,000 to 400,000
        platelets/mcL)
        
        thrombocytopenia
        
        Platelets clump together at the site of a damaged blood vessel to act as a plug and stop the bleeding
        
        decreased ability to stop bleeding
        
        bleeding risk!!
        
        check for bleeding gums
        
        check skin for bruising and petichiae