[Answered]: Ahmad is a 55-year-old male who was brought to the…

Ahmad is a 55-year-old male who was brought to the emergency room by his wife around 8:00 am complaining of severe abdominal pain. He has a history of hypertension and takes furosemide (Lasix) pills for it, hypercholesterolemia, and type 2 diabetes controlled with insulin and diet, and he takes baby aspirin over the counter. He is allergic to penicillin. He is status post right total knee replacement 1 year ago. He does not smoke, drink alcohol, or use drugs. Upon examination, Ahmad stated that pain is in the RUQ and radiates to the right shoulder. His review of systems is positive for abdominal pain 8/10 started after having a heavy meal last night and associated with nausea one episode of vomiting, and a subjective fever. Physical exam revealed positive Murphys sign. Blood work revealed WBC: 11,000 cells/mcL; Hgb: 15 mg/dL; Platelet: 140,000- cells/mcL; ESR: 35 mm/h; CRP: 90 mg/L; Cr: 0.8 mg/dL; BUN: 16 mg/dL; Na: 140 mEq/L; K: 4.9 mEq/L; Bilirubin: 2.4 mg/dL, alkaline phosphatase: 160 IU/L; AST: 45 IU/L; AlT: 60 IU/L. Fasting Blood sugar: 230 mg/dL. Bedside ultrasound is done; results confirmed severe acute cholecystitis with cholelithiasis. Ahmad was admitted directly to the pre-operative area for immediate laparoscopic cholecystectomy. CASE STUDY QUESTIONS: The patient is brought to the pre-operative area. On physical examination, the pre-operative nurse found the following: Ahmad stated his pain now is 7/10, and he was anxious about his status. He has contact lenses on. He hadnt eaten or drunk anything since 8 pm last night. Ahmad is full conscious. His VS are BP 155/90, HR 120 pbm, RR 24 bpm regular shallow, T 38.9 C, SpO2 90% on room air. His physical exam reveals overweight with generalized jaundice. His abdominal exam is significant for tenderness to palpation to his epigastric and right upper quadrants. His extremities are pale and cold.1. Identify the top priority; four actual health problems and two potential health problems for Mr. Ahmad as he is being prepared to go to the operating room.