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Mr. S is a 75 year old male patient with diabetes and high blood pressure. He takes the following medications: telmisartan 600mg once daily, hydrochlorothiazide 12.5mg daily, metformin 1000mg twice daily, glyburide 1.25mg once daily. Answer the questions related to Mr. S’s medications. a. What is the functional classification for hydrochlorothiazide? (1 Mark) b. What effect does hydrochlorothiazide have on antidiabetic medications? (1 Mark) c. What is the chemical classification for metformin? (1 Mark) d. List 2 contraindications for metformin? (2 Marks) e. Mr. S is scheduled for surgery and must be NPO from 12am the day of surgery. What do you expect he will need to do for his 8am metformin? (1 Mark) f. You are assessing Mr. S and note that he is showing signs of a hypoglycemic reaction. List 4 signs and symptoms of hypoglycemic reactions. (2 Marks)

 
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