A 78-year-old white male was brought to

A 78-year-old white male was brought to your clinic by his daughter for increasing confusion. At your clinic, the patient is not oriented to place or situation but does not voice any complaints. These symptoms have increased over the past couple of days. Allergies NKDA Past Medical History HTN CHF DM – Type II Peripheral neuropathy Social History no EtOH, no tobacco, widowed Medications Furosemide 40 mg daily Potassium chloride 8 mEq daily Aspirin 81 mg daily Lisinopril 10 mg daily Glyburide 5 mg two times daily Amitriptyline 25 mg two times daily for neuropathy (started 4 years ago; no previous problems; no other medications have been as effective for his neuropathic pain) Diphenhydramine 50 mg at bedtime prn for insomnia. This medication was started one week ago. The patient’s daughter believes he has been taking this consistently at night. Vital signs and physical examination: T 98.3 BP 114/78 P 76 RR 16 HT 5’10” WT 155lb HEENT PERRLA, EOMI Neck no lymphadenopathy, supple; no carotid bruits Chest CTA CV RRR, no murmurs Abd Normal BS, soft, nontender Ext no CCE Neuro A&0 X 2, CN II-XII grossly intact Labs: Sodium 135 Potassium 4.3 Chloride 101 CO2 24 BUN 15 Creatinine 1.1 Glucose 120 WBC 7.0, H/H 14.1/42, platelets 230 UA clear, sp gr 1.015, pH 6.5, prot -, glu -, ket -, (-) nitrite, (-) leukocyte esterase As the primary care provider, how would yo manage the patient? Complete one prescription for one of this patient’s medications.

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