M. K. is a 45-year-old female measuring 5’5″ and weighing 225 lbs. M. K. has a history of smoking about 22 years along with a poor diet. She has a history of type II diabetes mellitus along with primary hypertension. M. K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increased urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the type II diabetes mellitus. The following are lab findings that are pertinent to this case:
158/98 mm Hg
Glycosylated hemoglobin (HbA1c)
Arterial Blood Gas Assessment
52 mm Hg
48 mm Hg
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