Vascular assessment: no carotid bruits; femoral, popliteal, and dorsalis pedis pulses 2+ bilaterally

Physical Exam

A physical examination reveals the following:

  • Weight: 178 lb; height: 5′2″; body mass index (BMI): 32.6 kg/m2
  • Fasting capillary glucose: 166 mg/dl
  • Blood pressure: lying, right arm 154/96 mmHg; sitting, right arm 140/90 mmHg
  • Pulse: 88 bpm; respirations 20 per minute
  • Eyes: corrective lenses, pupils equal and reactive to light and accommodation, Fundi-clear, no arteriolovenous nicking, no retinopathy
  • Thyroid: nonpalpable
  • Lungs: clear to auscultation
  • Heart: Rate and rhythm regular, no murmurs or gallops
  • Vascular assessment: no carotid bruits; femoral, popliteal, and dorsalis pedis pulses 2+ bilaterally
  • Neurological assessment: diminished vibratory sense to the forefoot, absent ankle reflexes, monofilament (5.07 Semmes-Weinstein) felt only above the ankle

Lab Results

Results of laboratory tests (drawn 5 days before the office visit) are as follows:

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  • Glucose (fasting): 178 mg/dl (normal range: 65–109 mg/dl)
  • Creatinine: 1.0 mg/dl (normal range: 0.5–1.4 mg/dl)
  • Blood urea nitrogen: 18 mg/dl (normal range: 7–30 mg/dl)
  • Sodium: 141 mg/dl (normal range: 135–146 mg/dl)
  • Potassium: 4.3 mg/dl (normal range: 3.5–5.3 mg/dl)
  • Lipid panel
    • Total cholesterol: 162 mg/dl (normal: <200 mg/dl)
    • HDL cholesterol: 43 mg/dl (normal: ≥40 mg/dl)
    • LDL cholesterol (calculated): 84 mg/dl (normal: <100 mg/dl)
    • Triglycerides: 177 mg/dl (normal: <150 mg/dl)
    • Cholesterol-to-HDL ratio: 3.8 (normal: <5.0)
  • AST: 14 IU/l (normal: 0–40 IU/l)
  • ALT: 19 IU/l (normal: 5–40 IU/l)
  • Alkaline phosphotase: 56 IU/l (normal: 35–125 IU/l)
  • A1C: 8.1% (normal: 4–6%)
  • Urine microalbumin: 45 mg (normal: <30 mg)

Please use the attached Care Plan outline for this assignment and post in the “Drop Box” under “Instructional”.

Credit of care study toGeralyn Spollett, MSN, C-ANP, CDE

Reference:

American Diabetes Association. (2003, January 1). Case Study: A Patient With Uncontrolled Type 2 Diabetes and Complex Comorbidities Whose Diabetes Care Is Managed by an Advanced Practice Nurse. Retrieved from http://spectrum.diabetesjournals.org/content/16/1/32

 

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