solved

S – Michael Granger is a 69-year-old African American male who is admitted from his cardiologist office with a heart failure exacerbation.
B – Mr. Granger has a history of coronary artery disease, hyperlipidemia, hypertension, MI three years ago, and recent diagnosis of right sided heart failure last year. Mr. Granger has been noncompliant with his diet (low salt diet 2mg daily and fluid restriction 2L daily), is a current smoker (1 pack per day) with complaints of shortness of breath and an 8-pound weight gain over the past few days. Significant family history for hypertension,
A – A&0X4. Vital signs (Bp 126/78, P 88, RR 23, Temp 98.6, Pox 89% on RA), + SOB, coarse crackles to bilateral lung bases. Pt with labored breathing. S3 noted. +2 pitting edema to bilateral extremities. Elevated BNP 5.1, Cholesterol 210 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL, Triglycerides 150 mg/dL. CXR shows cardiomegaly and interstitial pulmonary edema. Other systems WNL
R – Diet restrictions (low salt 2 gms per day, fluid restriction 2 Liter per day), strict I &O, recommend flu and pneumonia vaccines, continue current medication regimen, monitor daily weights, follow-up with cardiologist, smoking cessation (medication, support groups), decrease cholesterol, respiratory therapy as needed. Clarify dose of Hydralazine. 12 lead EKG, ECHO
Mr. Granger will be discharged to his home soon. Describe two priority teaching topics for Mr. Granger’s discharge plan.
discuss in detail how you would teach this information to Mr. Granger

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