You have a 68-year-old male presents to the clinic with

You have a 68-year-old male presents to the clinic with complaint of chest pain with increasing shortness of breath and worsening bilateral lower extremity edema. HR 100, BP 158/84, Temp 36.7, O2 92% on RA. Medical history significant for HTN, HLD, CAD, DM, GERD, and COPD. He wears one (1) liter via nasal canula at home. His medications include Coreg 6.25mg, Lasix 20mg, atorvastatin 40mg at night, Protonix 40mg, Aspirin 81mg, and Plavix 75mg. What is the BEST treatment plan? You have a 68-year-old male presents to the clinic with complaint of chest pain with increasing shortness of breath and worsening bilateral lower extremity edema. HR 100, BP 158/84, Temp 36.7, O2 92% on RA. Medical history significant for HTN, HLD, CAD, DM, GERD, and COPD. He wears one (1) liter via nasal canula at home. His medications include Coreg 6.25mg, Lasix 20mg, atorvastatin 40mg at night, Protonix 40mg, Aspirin 81mg, and Plavix 75mg. What is the BEST treatment plan? Refer to ED Increase Coreg to improve blood pressure control and reduce pre/afterload Consult to cardiologist for an echo Check BNP for CHF

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