The Patient with Type II Diabetes Mellitus with Hyperglycemic Hyperosmolar Syndrome (HHS)Patient’s Name: Mr. GreggAbstract: Mr. Gregg is a 65-year-old African-American male who was admitted with complaints of increased fatigue, shortness of breath, and headache. He states that he retired 9 months ago after 45 years as a construction worker. He now leads a sedentary lifestyle, and doesn’t have as much energy as he used to have. He has gained 50 pounds since retirement. Upon assessment, Mr. Gregg weighs 255 pounds and is 5′ 11″ tall. Vital signs are temperature 98.8°F, pulse 88 beats per minute, respirations 20 breaths per minute, and blood pressure 150/90. Assessment findings are documented in the patient’s record and reported to the physician. The following laboratory studies are ordered to determine the diagnosis of HHS. Serum electrolytes, Na+ 128, K+ 5.8, chloride 98, glucose 940, BUN 62, CREAT 2.4, and HCO3 21. Hemoglobin A1C 12.2.
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