All that was documented by the physician was that it was his impression was that this was not CHF and was therefore not planning on any further cardiovascular assessments or interventions at this time.
It was noted that she had a regular cardiologist that was monitoring her MR and ect. on an outpatient basis.
She did not have any renal issues that I am aware of, and BUN and creatinin were fine, with no decreased urinary output. She did have some eletrolyte imbalances such as K, Ca, and sodium, which were slightly low.
I did, however think that she had slight edema (+1 or less) to the legs. This was a very thin woman and it was so slight that it was almost hard to tell.
It seems like the consensus seems to be that she could have CHF..I should check her WBC count which i dont remember off the top of my head. But it seems like it would be easy enough to incorrectly diagnose CHF as pneumonia.
Ccunurse I wish i had just asked that question in the first place about the BNP! this hospital that im at just seems medically backwards in some ways. every week i feel like i see treatment regimens that could use improvement or orders that are way out of wack...but as a pratically new nurse, i lack the judgement to really be able to tell if this Dr's plan off or is it me?....im the student so i has to be me haha!! ill post more lab info on her later today, after i get a nap