A 60-year-old client presents to the ED with severe onset shortness of breath, fatigue, and recent weight gain of 5kg. The client reports difficulty sleeping. He states, “I feel like I am drowning.” He reports using multiple pillows to improve this feeling without relief. This is the client’s second hospital admission this year for a similar complaint. His past medical history is significant for heart failure, a 20-year pack history of smoking, COPD, coronary artery disease, myocardial infarction, hypertension, hyperlipidemia, diabetes mellitus, and obesity. Past surgical history is significant for cardiac catheterization with stent placement. The client’s family reports he is not adherent to his medication regimen. He likes to eat fast foods and frozen dinners for most of his meals a week. He does not engage in exercise and lives a sedentary lifestyle.
Medication list includes:
A 60-year-old woman comes to the emergency room with significant shortness of breath, tiredness, and a 5-pound weight gain. The client says he has trouble sleeping. “I feel like I’m drowning,” he says. He says he’s tried multiple cushions to alleviate the discomfort but hasn’t gotten any relief. This is the client’s second hospitalization for a similar problem this year. Heart failure, a 20-year smoking history, COPD, coronary artery disease, myocardial infarction, hypertension, hyperlipidemia, diabetes mellitus, and obesity are all present in his medical history. For cardiac catheterization with stent placement, previous surgical history is important. The client’s family claims that he does not follow his medication routine. He eats fast food and prepackaged dinners for the majority of his meals during the week. He does
