What is your best assessment and plan of action

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Reference no: EM133810119

Problem

A patient with a history of idiopathic pulmonary hypertension who is now post dual lung-heart transplant 3 weeks ago presents to the emergency department complaining of leg swelling. He ran out of his transplant medications as they were too expensive. He states that his extremities feel very cold to touch. His SpO2 is 99% on room air (normal), and he denies shortness of breath. His ejection fraction pre-transplant was 11%, and post-transplant was 48%. Get the instant assignment help. His ejection fraction today is 16%, and the team is considering a biopsy. Notable labs include Sodium 131, Creatinine 0.7 (at baseline), creatinine clearance 78, and glucose 210. What is your best assessment and plan of action?

Reference no: EM133810119

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