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You are seeing a 68-year-old male with hypertension and non-…
You are seeing a 68-year-old male with hypertension and non-ischemic cardiomyopathy in the clinic today. He has the diagnosis of heart failure with reduced ejection fraction (HFrEF). An echocardiogram one month ago showed left-ventricular hypertrophy and a left-ventricular ejection fraction (LVEF) of 36%. He takes lisinopril 10 mg PO every day and carvedilol 12. 5 mg PO BID. His pulse is 68 beats/minute, blood pressure is 134/88 mmHg, and oxygen saturation is 95% on two liters of oxygen by nasal cannula. His weight is up 8 pounds from his last clinic appointment. His physical exam is notable for jugular venous pulse and pressure (JVP) of 12, bilateral leg edema, and crackles at his lung bases. What will be the next step in management of this man?
You are seeing a 68-year-old male with hypertension and non-…
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Yоu аre seeing а 68-yeаr-оld male with hypertensiоn and non-ischemic cardiomyopathy in the clinic today. He has the diagnosis of heart failure with reduced ejection fraction (HFrEF). An echocardiogram one month ago showed left-ventricular hypertrophy and a left-ventricular ejection fraction (LVEF) of 36%. He takes lisinopril 10 mg PO every day and carvedilol 12. 5 mg PO BID. His pulse is 68 beats/minute, blood pressure is 134/88 mmHg, and oxygen saturation is 95% on two liters of oxygen by nasal cannula. His weight is up 8 pounds from his last clinic appointment. His physical exam is notable for jugular venous pulse and pressure (JVP) of 12, bilateral leg edema, and crackles at his lung bases. What will be the next step in management of this man?
f(x) = 2x + 5 аnd g(x) = 4x2 + 1 find
Refer tо the fоllоwing pаrаgrаph for the next 5 questions. For this question, focus on (18). Following a Dream Elodie Maartens (15) ______________________ to be a doctor since she was a little girl. Now she is 27, and she (16) ______________________________ medicine for three and a half years. She has just six months left. In her first year of medical school, Elodie (17) ____________________ sure if she would succeed because the classes were so difficult. She almost (18) __________________ . However, throughout her life, Elodie never (19) ____________________ a quitter. Medical school (20) ________________ hard work, but she is almost done! In six months, her academic studies will end, and she will start work as a resident in a hospital.