A 39-year-old patient is being seen in the clinic for evalua…
A 39-year-old patient is being seen in the clinic for evaluation of osteoarthritis. The patient is 281 lbs and 5’9″. The patient has a past medical history of hypertension, sleep apnea, and hyperlipidemia. Vital signs: Blood pressure 140/92 mmHg Heart rate: 88 bpm Respiratory rate: 18 breaths per minute Oxygen saturation: 94% on room air Medications include: Lisinopril 20mg every evening Atorvastatin 40 mg daily Ibuprofen 400 mg PRN pain Labs are drawn which include the following: Test Result Normal Range Total cholesterol 230 mg/dL < 200 mg/dL HDL 40 mg/dL > 50 mg/dL LDL 150 mg/dL < 100 mg/dL Triglycerides 180 mg/dL < 150 mg/dL Fasting blood glucose 145 mg/dL 80 - 100 mg/dL HgA1c 8.5% < 5.7 % ALT 45 U/L 4 -36 U/L Based on the history and recent labs, the nurse anticipates that be added due to and that be adjusted due to .