75 y.o. patient diagnosed with heart failure is seen in cardiac office for worsening of shortness ...

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 75 y.o. patient diagnosed with heart failure is seen in cardiac office for worsening of shortness of breath. He has difficulty completing sentences and has productive cough. He has increased difficulty in self-care. On assessment noted bilateral crackles, +3 pedal edema, jugular vein distention. He states he takes his medications but struggles with fluid restrictions.