Problem:
Write a nursing progress note for a patient on as a RN on the AM shift the patient is ambulatory, no skin issues.1s; self care AOX4 plan discharged . patient remain stable1. Junctional rhythm PMHx of multiple comorbidities including structural heart disease( aortic valve replacement) and afib on apixaban Presenting for SOB that resolved on its own Poor historian, pt states he has occasional SOB that is unrelated to exertion Denies orthopnea, swelling of legs or palpitations Holter (1/18) : no bradycardia, no pauses, 38 single ventricular ectopies, 34 atrial pairs and 5 runs of SVT Echo (1/16/25): L ventricular hypertrophy, normal EF and ventricular wall motion BNP : 312 //chest x ray: no acute cardiopulmonary process No ischemic workup Cardio on board, recommended discontinuing metoprolol On physical exam, pt is no longer bradycardic, stable. Need Assignment Help?