solved

What are some key elements to focus on here? Just need a little direction.
Mr. Henry Navarro, a 62 y.o. Hispanic male patient, is coming in to establish care with you today. He states that he has been feeling well, but he has noticed some tingling in his feet and rashes in his private area. In obtaining his history, he revealed that he had a cardiac stent placed about 6 months ago and weas given some medications from his previous primary care provider and cardiologist. He has run out of medications and does not remember what they were. He remembers he was taking something for high sugar, high blood pressure, cholesterol, and blood thinner. He also has been feeling depressed since he is not able to do the things he used to do. He does not have energy and lost interest in things he used to do. He also noticed some productive coughing and shortness of breath after exertion. He states that he has been smoking since he was 16 y.o. and continues to smoke one pack a day.
After thorough physical assessment and reviewing some documents you could gather, you decide that he has the following conditions:
DM Type II – His last A1c is 7.2 and has been on Metformin 500mg two tabs bid
Hyperlipidemia – not on any med now and last LDL was 102
HTN – not on any med and his BP is running in 150’s /100’s
Depression – Not on any meds; he is feeling very depressed and wants meds to help him feel better; denies of any SI/HI
CAD – he was told to take a low dose ASA once a day but not taking it. He is wondering if he should
S/P Cardiac Stent placement x 1 – last seen by his cardiologist over 6 months ago. He was on a blood thinner but does not remember a name.
COPD – never been diagnosed until hospitalized. He has a albuterol inhaler but still feeling SOB. He is asking if you can give him something to help with his cough and SOB.
Peripheral Neuropathy due to DM – He would like some medication to help with tingling sensation and pain.
Medication Treatment Options: What are the most appropriate medication treatment options for this patient? Provide rationales for why you selected the medications (please cite appropriate resources for your rationales).
Potential Side Effects: Discuss the potential SEs of the medication.
Patient Education: Explain the patient education you would provide to Mr. Navarro. What are some health promotions, prevention interventions, and holistic care education you would provide to this patient? Take into consideration factors of culture, language, health literacy, and socioeconomic factors in your explanation.
Prescriptions: Write prescriptions for the medications you chose. Use the prescription template for this part of the assessment.

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