Heart Failure Clinical Reasoning Case Study- Carlos Boccerini,68 yrs old

Heart Failure Clinical Reasoning Case Study- Carlos Boccerini,68 yrs old/Heart Failure Clinical Reasoning Case Study- Carlos Boccerini,68 yrs old Carlos Boccerini is a 68-year-old male who has a 5-year history of systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. He presents to the emergency department (ED) for shortness of breath (SOB) the past 3 days. His shortness of breath has progressed from SOB with activity to becoming SOB at rest. The last two nights he had to sleep in his recliner chair to rest comfortably with his head partially elevated. He is able to speak only a partial sentence and then has to take a breath when talking to the nurse. He has noted increased swelling in his lower legs and has gained 6 pounds in the last 3 days. He is being transferred from the ED to the cardiac step-down where you are assigned to care for him.