Cardiology note
CONSULT · Dr. V. Nair · Mar 5, 2026, 4:30 PM
Known HFrEF EF 25%. Appears volume overloaded with JVD, bibasilar crackles, and 3+ pitting edema. Weight up 8 lbs from dry weight. Recommend IV diuresis.
PS
Patrick Sullivan, MD
Attending Physician
Active Chart · MRN SYN-1007
Dorothy Garcia
76 y/o F · Acute decompensated heart failure
Chart Review
Encounter timeline and laboratory review
Encounter timeline
Linked visit history and responsible clinicians.
Inpatient
OPENAcute decompensated heart failure · Dr. Irene Walsh
Started Mar 5, 2026, 3:00 PM
Labs
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 5, 2026, 3:30 PM | Potassium | 4.8 mEq/L | 3.5-5.0 |
| Mar 5, 2026, 3:30 PM | Creatinine | 1.6 mg/dL | 0.6-1.2 |
| Mar 5, 2026, 3:30 PM | Sodium | 131 mEq/L | 136-145 |
| Mar 5, 2026, 3:30 PM | BNP | 2450 pg/mL | <100 |
SIGNED
Notes
Progress and clinical documentation
Cardiology note
CONSULT · Dr. V. Nair · Mar 5, 2026, 4:30 PM
Known HFrEF EF 25%. Appears volume overloaded with JVD, bibasilar crackles, and 3+ pitting edema. Weight up 8 lbs from dry weight. Recommend IV diuresis.
Orders
Medication, lab, and imaging entry
Chest X-ray
IMAGING · Mar 5, 2026, 3:20 PM
Parameters: STAT
Rationale: Evaluate pulmonary edema.
BNP
LAB · Mar 5, 2026, 3:20 PM
Parameters: STAT
Rationale: Assess heart failure severity.
Wrap-Up
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.