Elevated blood glucose level

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Reference no: EM133850483

Question

Marcus Jeffries is a 65-year-old electrician with a history of heart failure and diabetes mellitus type 2, who has been in the hospital for two days due to an exacerbation of COPD. The patient stopped smoking two years ago and has good blood glucose control on metformin/glipizide 500 mg/5mg PO BID. In the hospital, Mr. Jeffries has been taking prednisone 20 mg PO every morning and using an albuterol inhaler, two puffs every four hours.

Upon assessment, you note that the patient has developed 2+ edema around his ankles and his weight has increased by three pounds since yesterday. No pulmonary crackles are auscultated. You call the physician and receive an order for HCTZ 25 mg PO mg IV STAT and then daily q AM.

The nursing assistant measures the patient's blood glucose level at 236 mg/dL. Mr. Jeffries is surprised at the results, since his blood glucose levels are usually within the normal range.

Considering Mr. Jeffries' medications, what could be contributing to this elevated blood glucose level?

What other laboratory values should be monitored closely at this time?

Reference no: EM133850483

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