Mr. b is a 70-year-old man who developed sub sternal chest pains radiating down his left arm while at home. he was taken to the er via ambulance. his breathing was labored, pulses rapid and weak, and his skin was cold and clammy. an ecg was done which revealed significant "q" waves in most leads. troponin level was elevated. arterial blood was draw with the following results: ph 7.22 pco2 30 mm hg po2 70 mm hg o2 sat 88% hco3 22 meq/liter 1. aside from the obvious diagnosis of mi, what is mr. b’s acid base status and what caused this disturbance? post your initial response by wednesday at midnight. respond to one student by sunday at midnight. both responses must be a minimum of 150 words, scholarly written, apa formatted, and referenced. a minimum of 2 references are required (other than text). refer to grading rubric for online discussion.

Cj is a 53 year old african american female presenting to pharmacy for first-time certification and cmr so that she may start getting her medications at no cost. cj states that her main concern about her health is her diabetes. pmh: t2dm, htn, hyperlipidemia sh: denies tobacco and illicit drug use, occasional alcohol use (1-2 drinks/month) fh: unknown allergies: penicillin (unknown reaction; had reaction when young). medications: lisinopril 5 mg daily aspirin 81 mg daily simvastatin 20 mg daily wt 231 lbs (105 kg), ht 5’6”, bmi 37.3 (obese), ibw 59.3 kg, bp 145/80, hr 98, random blood glucose 395, a1c 11.2%, estimated 10-year ascvd risk 9.5% drug-related problems: 1. uncontrolled t2dm 2. uncontrolled htn 3. suboptimal statin intensity 1) identify two pieces of objective data included in this case: 2) what kind of monitoring needs performed for the new prescription for this patient? 3) based on your case how would you counsel the patient on the new prescription medication? provide examples of specific aspects you would include in your patient education. 4) review your patient case. identify any medications that do not have a corresponding disease state. 5) review your patient case. identify any disease states are not treated by current medications. 6) what otc (over the counter) product would you recommend for this patient (based on the patient request for an otc product? include dose, frequency of administration, route of administration, and critical counseling points.