Exam 4 — High-Stakes Clinical Judgment (Pharmacology)

52F with Type 1 Diabetes, CAD, Hypertension. 0730 Morning Rounds. Vitals: BP 118/76, HR 62, Temp 98.4°F, RR 16, SpO2 98% RA. Labs: Fasting Glucose 48 mg/dL, Na+ 138, K+ 4.2, HbA1c 7.1%. Subjective: 1. "I feel fine, maybe a little sweaty." 2. "When is breakfast?" Objective: Patient is diaphoretic but alert. Heart rate is normal. No tremors observed.. Medications: Insulin glargine, Metoprolol 100mg PO BID, Aspirin, Atorvastatin. Change: Missed dinner last night. Select the 3 priority actions.