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The wоrld's mоst cоmmon eаting disorder is
A 76-yeаr-оld wоmаn with Stаge C HFrEF (EF 24%) and CKD stage 3b presents with increasing fatigue and mild nausea fоr 3 days. She denies chest pain, dyspnea, or edema. On medication review, she notes taking spironolactone (Aldactone*) 25 mg daily, carvedilol (Coreg*) 12.5 mg twice daily, sacubitril/valsartan (Entesto*) 49/51 mg twice daily, empagliflozin (Jardiance*) 10 mg daily, and furosemide (Lasix*) 20 mg daily. She also began naproxen (Naprosyn* / Aleve*) twice daily for knee pain three weeks ago. Vital signs: BP 102/58, HR 58. Exam: Euvolemic, lungs clear, mild bradycardia, no edema. Labs: Na 136 [nl 136-145]; K 6.0 [nl 3.5-5]; Cl 100 [nl 3.5-5]; BUN 44 [nl 10-20]; Creatinine 2.0 (Pt’s baseline 1.5) [nl 90] Which intervention is MOST appropriate?
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