Question Answered step-by-step Identify the possible cause(s) for the sudden, intense increase in… Identify the possible cause(s) for the sudden, intense increase in right foot pain.Given the physical examination data, what initial medication(s) would you expect the physician to prescribe?S.J., a 76-yr-old African American man, is admitted to the hospital with rest pain in both legs and a non healing ulcer of the big toe on the right foot.patient informationSubjective DataHistory of a myocardial infarction, stroke, hypertension, heart failure, and type 1 diabetes mellitusHas a 45 pack-yr history of tobacco useComplains of sudden, intense increase in right foot pain for past 2?hrHas slept in recliner with right leg in dependent position for several months Current Medicationsfurosemide 40?mg/day POaspart (NovoLog) insulin with mealsdiltiazem sustained release 240?mg/day POaspirin 325?mg/day POFish oil daily (self-prescribed) Objective DataBP 148/92?mm Hg; irregular apical HR 90/min, RR 22/min, Temp 97.9°?F (36.6°?C)Alert and oriented but anxiousHas a diminished right femoral pulse, popliteal pulse by Doppler only, posterior tibial pulse by Doppler only, and dorsalis pedis pulse absent (not palpable or present by Doppler); left leg pulses are weakly palpable Has a 2-cm necrotic ulcer on tip of right big toeHas thickened toenails; shiny, thin skin on legs; and hair absent on both lower legsRight foot is very cool, pale, and mottled in color with decreased sensationNo peripheral edema presentBedside glucose measurement: 298?mg/dL (last meal 4?hr before admission) Health Science Science Nursing MED SURGE NUR102 Share QuestionEmailCopy link Comments (0)