Passage / Scenario

Medical History
Type 2 Diabetes Mellitus
Hypertension: Controlled by diuretic and ACE-inhibitor therapy
Osteoarthritis

Diagnostic Results
Preoperative Laboratory Results:

Basic Metabolic Profile (BMP):
Glucose: 190 mg/dL (Normal: 74 to 106 mg/dL)
BUN: 16 mg/dL (Normal: 10 to 20 mg/dL)
Creatinine: 0.8 mg/dL (Normal: 0.5 to 1 mg/dL)
Hemoglobin A1C: 9.5% (Poor diabetic control: >9%)
Current Laboratory Results:

Basic Metabolic Profile (BMP):
Glucose: 280 mg/dL (Normal: 74 to 106 mg/dL)
BUN: 15 mg/dL (Normal: 10 to 20 mg/dL)
Creatinine: 0.7 mg/dL (Normal: 0.5 to 1 mg/dL)

Medication Administration Record
Home Medications:
Metformin: 1,000 mg PO BID
Lisinopril: 20 mg PO daily
Celecoxib: 100 mg PO BID

Vital Signs
Preoperative:

Temperature: 36.4┬░C (97.6┬░F)
Heart Rate: 82/min
Respiratory Rate: 20/min
Blood Pressure: 126/74 mm Hg
Oxygen Saturation: 95% on room air
Current:

Temperature: 37.2┬░C (99┬░F)
Heart Rate: 92/min
Respiratory Rate: 22/min
Blood Pressure: 136/85 mm Hg
Oxygen Saturation: 98% on 2 L/min nasal cannula