A 56-year-old female patient has a diagnosis of GERD, mild hypertension, hyperthyroidism, hypercholesterolemia, and Type II diabetes of 5 years duration. Medications include metformin, glyburide, propylthiouracil, lansoprazole, atorvastatin, and hydrochlorothiazide. Recent labs report an A₁c of 9.8%, TSH of 2.7, Hgb of 12.2 and total cholesterol of 130mg/dL. A physical exam reveals a blood pressure of 128/76 and a resting heart rate of 98. The patient is complaining of muscle cramps, fatigue, and thirst. Which of the following medications may need adjustment?

Question

Quizplus · Accepted Answer

The patient is showing signs and symptoms of uncontrolled diabetes (A₁c increased thirst) and an adverse effect of statin use (muscle cramps, fatigue). Thyroid tests are within normal limits. The hypoglycemics and statin dosages should be adjusted.

A 56-Year-Old Female Patient Has a Diagnosis of GERD, Mild