52yo female EKG with an L-VAD | Figure 1

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52yo female EKG with an L-VAD

Hello I’ve been a APRN for over 1. Primary care is still new to me. Patient is 72 year old complaints of leg swelling. He was due to follow up with cardiologist last week but failed to make appointment. He denies shortness of breath. Past medical history includes CHF, CABG x4, ICD placement 2023, HLD, decreased GFR 70, BPH, Parkinson’s. I wanted to make sure I was headed in the right direction when it comes to his care. I planned on doing EKG in office, ordering BMP and pro BNP, wanted to get him in cardio ASAP. Currently on Lasix 20, Entresto 24-26mg, Tamsulosin, Metoprolol succinate 25, Spironolactone 25. Debating if increasing Lasix from 20 to 40 mg would be effective. Any thoughts or suggestions would be greatly appreciated.

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