What clinical and laboratory parameters should be used

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Reference no: EM133810848

Problem

Rosemary Quincy is a 68-year-old female who presents to her family medicine physician for evaluation of her shortness of breath and increased swelling in her lower extremities. She complaints "I've been shorter of breath lately. I can't seem to walk as far as I used to, and either my feet are growing or my shoes are shrinking!" Get the instant assignment help. She reports that her shortness of breath has been gradually increasing over the past 4 days. She has noticed that her shortness of breath is particularly worse when she is lying in bed at night, and she has to prop her head up with three pillows in order to sleep. She also reports exertional dyspnea that is usual for her, but especially worse over the last couple of days. Her profile suggests that she has Hypertension for 20 years, CHD with history of MI in 2009 (PCI performed and bare metal stents placed in LAD and RCA), Heart failure (NYHA FC III), Type 2 DM x 25 years, Atrial Fibrillation, and COPD (Stage 3). What clinical and laboratory parameters should be used to evaluate the therapy for the achievement of the desired therapeutic outcome and to detect and prevent adverse effects?

Reference no: EM133810848

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