Bram Brookfield

Hospital day 2 progress note. Reason for admission: shortness of breath and leg swelling. S: Breathing easier after diuresis overnight. Still sleeps on two pillows. No chest pain. O: BP 128/76, HR 86, SpO2 95% on room air. Weight 86.1 kg (admission 86.9 kg). Bilateral ankle edema, improving. Crackles at both bases. A/P: 1. CHF exacerbation: continue IV furosemide 40 mg twice daily; daily weights; strict intake and output; fluid restriction. 2. Atrial fibrillation: rate controlled; continue apixaban. 3. Disposition: home when euvolemic on oral diuretic.