Basic Metabolic Panel (BMP): Current: High/Low/WNL? Sodium (135-145 mEq/L) 133 low CHF and fluid on his lungs Potassium (3.5-5.0 mEq/L) 5.5 high Heart ischemia / possible acute renal failure Chloride (95-105 mEq/L)
...
Basic Metabolic Panel (BMP): Current: High/Low/WNL? Sodium (135-145 mEq/L) 133 low CHF and fluid on his lungs Potassium (3.5-5.0 mEq/L) 5.5 high Heart ischemia / possible acute renal failure Chloride (95-105 mEq/L) 98 normal CO2 (Bicarb) (21-31 mmol/L) 22 Normal Anion Gap (AG) (7-16 mEq/l) 10 Normal Glucose (70-110 mg/dL) 122 high Renal failure Calcium (8.4-10.2 mg/dL) 8.8 Normal BUN (7 - 25 mg/dl) 48 high CHF Creatinine (0.6-1.2 mg/dL) 2.7 high CHF Magnesium (1.6-2.0 mEq/L) 1.9
Cardiac Labs: Current: High/Low/WNL? Most Recent: Troponin (<0.4 ng/mL) 0.01 Normal 0.00 CPK total (26-140 U/l ) 40 Normal 38 CPK-MB (<5%) 0 Normal 0 BNP (B-natriuretic Peptide) (<100 ng/L) 1855 high Cardiomyopathy 155
What data is important & RELEVANT?
RELEVANT Data from Present Problem:
Clinical Significance:
1. EF of 15%
2. sleeping in chair to rest comfortably
3. edema in lower legs and 6lb weight gain in 3 days
4. SOB for last 3 days and now with activity
1.End- stage of heart failure
2. left sided heart failure exacerbation
3. right sided heart failure
4. Pulmonary edema is present and becoming worst
What is the RELATIONSHIP of your patient’s past medical history (PMH) and current meds? (Match medication to condition)
PMH: Home Meds: Pharm. Classification: Expected Therapeutic Outcome of Medication
TB/2018
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