SOLVED291

Magnesium 1.3 (1.3-2.1 mg/dL) Calcium 8.0 (8.5-10.5 mEq/L) Phosphorus 2.7 (2.7-4.5 mg/dL) Serum osmolality 250 (275-295 mOsm/kg) Albumin 2.6 (3.5-5.0 g/dL) Total cholesterol 233 (Desirable <200 mg/dL) Low-density lipoprotein 41 (Desirable <100 mg/dL) High-density lipoprotein 52 (Desirable ≥40 mg/dL) Triglycerides 40 (Desirable <150 mg/dL) Hemoglobin 11.1 (13.5-17.5 mg/dL) Hematocrit 36.4 (42%-52%) White blood cells 6 × 109 (5-10 × 109/L) Mean corpuscular volume 89 (80-99 fL) Mean corpuscular hemoglobin concentration 32 (32-36 g/dL) Red cell distribution width 50 (39-36 fL) Clinical Data: Past Medical History: Hypertension, hypercholesterolemia, hypertriglyceridemia, gastroesophageal reflux disease Medications: Lipitor, Captopril, aspirin, imodium, omeprazole Vital Signs: Blood pressure 110/50 mm Hg, Temperature 99.6° F, Heart rate 115 beats/min, tachycardic Nutrition-focused Physical Exam: Patient noted to be pale with dry skin and poor skin turgor. Temporal muscles mildly wasted. Upper arm and lower extremity fat loss evident. Abdomen appears slightly distended. Oral exam notable for a dry tongue and good dentition. No wounds observed and no edema noted. No shortness of breath evident. Dietary Data: Dietary History: Normal appetite. Adam reveals he has avoided high-fat foods for the past year, and limits his sodium intake. He reports that he has had minimal intake for 3 to 4 SCIENCE HEALTH SCIENCE NURSING

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