Ms. Blythe is a 72-year-old female who has no past medical history and no family history of heart disease. She was in your clinic last year for a routine physical and had a blood pressure of 150/72. You educated her regarding diet and exercise. She has been keeping track of her blood pressures since her last visit and they average high 140s systolic over low 70s diastolic. What is her blood pressure classification?
Read DetailsAn 83-year-old male with a known history of heart failure presents to the ED by EMS for complaints of extreme shortness of air and respiratory distress. His initial O2 sat is 88% on room air and it improves to 94% when he is placed on oxygen at 2L per nasal cannula. On exam, he is mildly confused, has elevated JVP, hepatomegaly, 3+ pitting edema up to his knees and rales heard through all lung fields. His initial vital signs are:BP 88/65 HR 88 RR 32 Temp 98.4F Lab work: BNP 1545 (normal < 125) What best describes your initial plan of care?
Read DetailsMrs. Kemp is a 56-year-old female that presents to your emergency department complaining of chest pain and shortness of air that started while she was exercising at the YMCA. She stopped exercising immediately upon feeling the “chest pressure” and called 911. EMS arrived within 4 minutes and administered 162 mg ASA (aspirin) and 0.4 mg nitroglycerin sublingual. The discomfort subsided. Her current vital signs are: BP: 168/90 P: 110 RR: 24 O2 sat: 97% RA (room air). Your lab reveals: troponin: 0.022 ng/mL (normal
Read Details