A 56-year-old male patient has diagnoses of essential hypertension, hypothyroidism, and Type II diabetes of 5 years duration. Medications include metformin, glyburide, levothyroxine, and atenolol. Recent labs report an A₁c of 5.8%, TSH of 31.7, Hgb of 6.3. A physical exam reveals a blood pressure of 128/76 and a resting heart rate of 58. Which of the following medications may need adjustment?
I. Levothyroxine
II. Atenolol
III. Metformin

Question

Quizplus · Accepted Answer

The patient is showing signs of hypothyroidism as evidenced by the high TSH and low resting heart rate. A₁c is within acceptable range as is the blood pressure. The dose of levothyroxine should be adjusted.

A 56-Year-Old Male Patient Has Diagnoses of Essential Hypertension, Hypothyroidism