HISTORY:
Orthopnea for
Number of pillows: ,
Onset:
Pattern:
Alleviating factors: ,
,
, /IV
, ,
,
,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- ECG
- Chest X-ray
- Blood work: , , , , , , , ,
- Echocardiogram
- Cardiac catheterization
- Pulmonary function tests
- Sleep study
-
- Fluid restriction
- Reduce salt intake
- Referral to pulmonologist
- Referral to cardiologist
- Follow-up in
- Return if orthopnea worsens or if new symptoms develop such as chest pain, palpitations, or syncope