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week 6- pharm

by | Feb 9, 2023 | Pharmacology

by | Feb 9, 2023 | Pharmacology

week 6- pharm

Week 6 Discussion
Patient With Polydipsia and Weight Gain
FM is a 52-year-old man complaining of excessive thirst. He was in his usual state of health until about 3 to 4 weeks ago when he experienced a significant weight gain that he blames on the stay-at-home order in response to the COVID-19 pandemic. He has been lonely and depressed and sitting at home eating everything in sight. Over the past week, he has noticed increasing thirst, urinary frequency, and blurred vision. 
Past Medical History 
Hypertension
Hyperlipidemia  
Medications  
Lisinopril, 10 mg daily
Hydrochlorothiazide, 25 mg daily  
Atorvastatin, 10 mg daily  
Physical Examination
Height: 68 inches; weight: 262 lbs.; BMI: 39.8; blood pressure: 158/96; pulse: 82; respiration rate: 16; temperature: 98.2 °F 
Well-developed obese Latino male in no distress  
Lungs: clear 
Heart: regular rate and rhythm  
Extremities: no edema
Neurological: no deficits  
Labs
Hematocrit: 42%
Random capillary blood glucose: 358 mg/dL  
Hemoglobin A1c: 11.4%, Urinalysis: specific gravity 1.010, pH 7.4, 4+ glucose, zero acetone  
Discussion Questions 
1. What nonpharmacologic treatments should be recommended to FM?  
2. What pharmacologic treatments should be recommended or avoided in FM?  
3. What additional laboratory tests should be recommended to FM?

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