[Verified Answer]: Assessment/Plan 84-year-old female PMH of…

Assessment/Plan 84-year-old female PMH of HFPEF, HTN, A-fib on anticoagulation, CAD status post CABG, PVD, stage IV CKD presented to emergency room for fluid buildup. Patient tells me that she has been in and out of the hospitals lately for the similar complaints. She is complaining of worsening swelling in her legs and states her abdomen is distended and she feels tight in her abdomen due to the fluid and also has a unable to lay flat. In the ED she had a proBNP 19640, troponin 74 potassium 5.3 creatinine 3.24 magnesium 3.0 AST 24 hemoglobin 7.8 viral panel was negative, EKG shows no acute changes shows with atrial infarct Checks