Congestive Heart Failure

Chief Compliant: The patient is a 50 year old white male with hypertension who complains of shortness of breath for 1 day.

History of the Present Illness: Duration of dyspnea; rate of onset (gradual, sudden); paroxysmal nocturnal dyspnea (PND), orthopnea; number of pillows needed under back when supine to prevent dyspnea; dyspnea on exertion (DOE); edema of lower extremities. Exercise tolerance (past and present), weight gain. Severity of dyspnea compared with past episodes.

Associated Symptoms: Fatigue, chest pain, pleuritic pain, cough, fever, sputum, diaphoresis, palpitations, syncope, viral illness.

Past Medical History: Past episodes of heart failure; hypertension, excess salt or fluid intake; noncompliance with diuretics, digoxin, antihypertensives; alcoholism, drug use, diabetes, coronary artery disease, myocardial infarction, heart murmur, arrhythmias. Thyroid disease, anemia, pulmonary disease.

Past Testing: Echocardiograms for ejection fraction, cardiac testing, angiograms, ECGs.

Cardiac Risk Factors: Smoking, diabetes, family history of coronary artery disease or heart failure, hypercholesterolemia, hypertension.

Precipitating Factors: Infections, noncompliance with low salt diet; excessive fluid intake; anemia, hyperthyroidism, pulmonary embolism, nonsteroidal anti-inflammatory drugs, renal insufficiency; beta blockers, calcium blockers, antiarrhythmics.

Treatment in Emergency Room: IV Lasix given, volume diuresed. Recent fluid input and output balance.

Diabetes Sustenance

Diabetes Sustenance

Get All The Support And Guidance You Need To Be A Success At Dealing With Diabetes The Healthy Way. This Book Is One Of The Most Valuable Resources In The World When It Comes To Learning How Nutritional Supplements Can Control Sugar Levels.

Get My Free Ebook


Post a comment