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Group 17: Emma Skubic, Katie Drake, Emmalee Williams, and Lily Stidham,…

- - - - Triggers metabolic signaling pathways
        
        Leads to inflammation, cyotkines secretion, and cell death
        
        Microvascular changes #
        
        Macrovascular changes
        
        Cardiovascular disease #
        
        Vitamins/supplements for heart health
        
        CoQ10
        
        1 more item...
      - Once glucose enters the cells, it has a direct effect on cellular metabolism. It causes abnormal endothelial cell formation.
      - Glucose at a fasting state is 126mg/dL or higher on two separate occasions
      - A1C level is 7% or higher
      - Metformin
        
        Low CO2 Levels (23)
      - B-cells respond
  - - - Oxidative Vascular Damage from Hyperinsulinemia
        
        Impaired vasodilation and loss of arterial elasticity
        
        Hypertension
        
        Hydrochlorothiazide
        
        Hypokalemia (3.3)
        
        Elevated Glucose (148)
        
        Furosemide
        
        Low Platelet (120)
        
        Elevated Glucose (148)
        
        Hypokalemia (3.3)
        
        Blood pressure 165/95
        
        Insulin Resistant Cells
        
        Free fatty-acid release
        
        Higher triglyceride production
        
        Secretion of apolipoprotein B and LDL cholesterol
        
        Dyslipidemia
        
        2 more items...
        
        Peripheral Artery Disease
        
        5 more items...
      - Osmotic Diuresis
        
        Dry mouth, extreme thirst #
        
        High blood sugar (148)
        
        Side effect of Diphenhydramine
        
        Frequent urination
        
        Renal Insufficiency
        
        Creatinine (1.3) - upper end of normal limits
        
        High BUN (29)
        
        Increase in water retention
        
        Blurred vision
        
        Increased nightime urination
        
        Low Albumin (2.4)
        
        Hazy Urine
        
        Low Urine Specific Gravity (1.002)
        
        Loss of electrolytes
        
        Dehydration
        
        Dark Yellow Urine
        
        Sodium (136) - on the low side of normal limits
    - - Positive glucose urine test
      - Positive ketones in urine
- - - - Paroxetine
    - - Malnutrition
        
        Multivitamin
        
        Electrolyte imbalances
        
        Slow wound healing
        
        Low Albumin (2.4)
        
        Dark Yellow Urine
        
        Sodium (136)
        
        Low Potassium (3.3)
        
        Anemia (3.9)
        
        Dry mucous membranes
        
        Stomach upset
        
        Loss of appetite
        
        Weight loss (20-45 lbs)
        
        Loose skin
        
        Height
        (187cm)
        
        Weight (160.5lbs)
        
        Poor fitting dentures
      - Lawton-Brody IADL (2/5)
      - SF-12 (25/100)
    - - Moved into nursing home
      - Separation from church community
      - Limited access to friends and family
    - - Stated "If it’s my time
        to go, then it’s my time”,
    - - Loss of wife
  - - - MoCA Test (25)