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Imagine that you ask the patient questions (some of which yo…

Imagine that you ask the patient questions (some of which you listed above) and they provide the information below. NOTE: This is not an all inclusive list, and you may have come up with other appropriate questions that are not answered below. This is OK. If you are unsure whether one of your questions was appropriate, consider discussing it with a faculty instructor (during lab or via email).   The patient reports: Her past medical history include Type 2 Diabetes and high cholesterol. She denies history of high blood pressure or heart failure. She used to take metformin ER in the past but stopped it due to intolerable side effects, even when taking with food. Jardiance was increased over the summer due to the blood sugar readings the patient reported to PCP. Her PCP told patient that triglycerides were improved in the spring, therefore one medication was stopped at that time (patient cannot remember which one). The patient does not think atorvastatin was intentionally stopped; unsure if she has the bottle at home She called in all of her refills of her maintenance medications on 9/2 based on the bottles she was taking, so she’s unsure if she has been taking her atorvastatin A course of cephalexin was prescribed last spring for a skin infection. The patient completed therapy and the issue resolved. She reports no history of kidney or liver issues. The patient does not know her lab values (A1c, LDL, TG) but she knows that her physician checks these. She checks blood pressure 1-2 times per day at home. Readings have typically been 100-110s / 70s, and heart rate is in the 60-70s.  She checks blood sugar every morning (fasting) and about 2-3 times per week after eating. Fasting readings range from 100-140. Post-meal readings range from 160-240. She had a heart attack in early March 2023. Several new medications were started at that time. A stent was placed, although the patient is unsure what type.  She reports feeling well today with no acute complaints. She specifically denies: dizziness, lightheadedness, cough, GI upset, diarrhea, unusual bruising or bleeding, s/s of UTI, muscle pain. NOTE: these are some of the most important side effects to ask about. Can you match each one up with a medication? She uses pillbox and denies missed doses. She is able to demonstrate proper injection technique for Trulicity.