(please use this case to answer the following four (4) quest…
(please use this case to answer the following four (4) questions) After coming back from a week-long vacation in Florida, LM (a 73 yo male with HFpEF) presents to the ED with SOB at rest (sitting as well as lying down) and can’t fit his feet into his shoes due to swelling. Physical exam: 3+ pitting edema, a distended and tender abdomen, JVP 12cm, hepatomegaly VS: BP 120/62 mmHg, HR 102 bpm, RR 28, Pox 86%; Wt 132 kg (dry weight 122 kg) Labs: N-terminal pro-BNP= 2100 pg/mL Current medications: furosemide 80mg BID, sacubitril/valsartan, dapagliflozin, carvedilol, and spironolactone After being admitted to the cardiac ICU, a pulmonary artery catheter is placed and reveals a PCWP of 28 mmHg and CI of 2.3 L/min/m2.
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