Blood Pressure:
125/74
Pulse:
91
Weight:
N/A
Temperature:
36.5
Glucose:
6.1mmol/L
History
exertional dyspnea, PND, no orthopnea, no limb oedema
no fever, no coughing, no diarrhea,
Diagnosis
suspected Heart failure(left heart failure)
OA
Medication
furosemide 20mg BD po
salterpayn 1 tbd tds
voltaren 50mg ybd
enalapril 2.5mg bd
refer to local clinin for optimization of treatment
Sick Leave
0