Meds

• Enalapril 10 mg twice daily

• Metoprolol XL 25 mg daily

• Furosemide 40 mg daily

• Insulin glargine (Lantus) 30 units SC at bedtime

• Glipizide 10 mg daily

• Atorvastatin 20 mg daily

What information in the history supports an infectious etiology? Is this patient at risk for resistant pathogens? Why?

Table 69-1 WBC and Differential

Type of Normal

Cell Value (%) Function

Abnormalities

Neutrophil

Segs

40-60 Bands 3-5

Lymphocyte 20-40

Monocyte 2-8

Eosinophil 1-4

Phagocytic

T cells (cell-mediated immunity) B cells (humoral antibody response)

Phagocytic Precursor to macrophage

Antigen-antibody reactions

Leukocytosis

• Bacterial infections

• Fungal infections

• Physiologic stress

• Tissue Injury (e.g., myocardial Infarction)

• Medications (e.g., corticosteroids)

Leukopenia

• Long-standing infection

Lymphocytosis

• Viral infections (e.g., mononucleosis)

• Tuberculosis

• Fungal infections Lymphopenia

Monocytosis

• Tuberculosis

• Protozoal infections

Eosinophils

• Hypersensitivity reactions, including

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