C/C: 84 year old bed-ridden woman transferred from SHF for lethargy

• C/C: 84 year old bed-ridden woman transferred from SHF for lethargy

• PMH: HTN, Dyslipidemia, CHF, NSTEMI

• Meds: Metoprolol, Furosemide, ASA, Haloperidal

• VS: T 103.2 BP 80/52 P 105 R 32 O2 sat 96%

• HEENT: A/V nicking, dry mucous membranes

• Neck: flat JVP

• Chest: Bibasilar rales

• COR: S4, no murmurs

• ABD: Soft, non-tender

• Skin: Poor skin turgor

• Neuro: Obtunded, responds to sternal rub by moving right arm