Mr. Peter Miller has a hx of HF and recently was started on…
Mr. Peter Miller has a hx of HF and recently was started on Entresto (sacubitril/valsartan). The patient followed the instructions to discontinue Lisinopril. He calls the office and reports that he is feeling a “little” short of breath, especially when he is walking up the one-flight of stairs to his bedroom. He also gained 3 lbs since he was seen last in the office 3 weeks ago. The NP orders lab and wonders what lab to order – a BNP or a NT-pro-BNP? Answer the following questions: 1. Which lab test should the NP order? 2. Explain the rationale for the correct lab order.