Question: Student Name: Mr. Jones, A 60-year Old Malo, Presents To The Emergency Department (ED) After Visiting His Primary Physician Complaining Of General Fatigue For 4 Days, Shortness Of Breath, And Abdominal Discomfort. Mr. Jones’s Medical History Includes Hypertension And Coronary Artery Disease. He Had A Previous 90% LAD Blockage And 50% RCA Blockage With …

Student Name: Mr. Jones, a 60-year old malo, presents to the Emergency Department (ED) after visiting his primary physician complaining of general fatigue for 4 days, shortness of breath, and abdominal discomfort. Mr. Jones’s medical history includes hypertension and coronary artery disease. He had a previous 90% LAD blockage and 50% RCA blockage with stent placements in both. Upon further assessment, the patient has crackles bilaterally and tachycardia. A chest X-ray shows cardiomegaly and bilateral pulmonary edema. An ECG revealed atrial fibrillation. His vital signs were as follows: BP 150/72 mmHg Urine Yellow and Cloudy HR 102-123 bpm and irregular BUN 17 mg/dL RR 24-32 bpm Cr 1.2 mg/dL I Temp 37.3’C H/H 11.8 g/dL/36.2%. H 175 cm LDH 705 U/L W1 79 kg “BNP 843 pg/mL Mr. Jones was admitted to the cardiac telemetry unit. Mr. Jones states that this weight is approximately 3 kg more than it was 3 days ago, you note bilateral +3 pitting edema d evaluation!