Glucose Regulation Case Study o Raymond Ramirez

Glucose Regulation Case Study o Raymond Ramirez is a 66-year-old Latino male who presents to his healthcare provider for a follow-up for diabetes management. He has a 10-year history of type 2 diabetes, hypertension, and hyperlipidemia. o He retired 1 year ago after working as a lab technician for a local hospital for more than 30 years. He lost his wife 2 months ago from cancer and was her primary caregiver for the last 8 months of her life. He lives alone but has two adult children who live a few miles away from him. He has missed some of his checkups with his primary care provider in the past year due to his wife’s illness. o His HgbA1C 1 year ago was 8.1%. His current medications include metformin ER 2000 mg daily, exenatide 10 μg twice daily, Ramipril 10 mg daily, atorvastatin 20 mg daily, and aspirin 81 mg daily. He has no allergies. He has not been checking his glucose levels at home very often, and he reports eating regular meals although he does not like to cook. He has not exercised for months, but he had been walking 3 miles a day prior to his wife’s illness. o Vital signs are as follows: Temperature 98.4oF Pulse 84 bpm/min Respiratory rate 20 breaths/min Blood pressure 140/82 Weight 88 kg Height 70 inches BMI 28.7 o Lab results are as follows: Hgb A1c 10.1% Glucose 234 mg/dL Sodium 135 BUN/Creatinine 22/1.1 Total cholesterol 186 mg/dL Triglycerides 325 mg/dL HDL 53 LDL 69 Questions: 1. What are Mr. Ramirez’s risk factors? 2. What is the nursing assessment for Mr. Ramirez? 3. What are the priority nursing interventions for Mr. Ramirez? 4. Develop a teaching plan for Mr. Ramirez. SCIENCE HEALTH SCIENCE NURSING NUR 3056

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