Ambulatory Scripts: Congestive heart failure/Cardiomyopathy

Type	Ischemic vs non-ischemic &/OR diastolic vs systolic
Labs	BNP baseline, LFTs
Studies	Most recent echo summary (EF %, structural, valvular) Other recent study results: EKG, CXR, BNP bump
Function	NYHA class 3 or 4 , If (EF <35%  NYHA 4) +/- AICD
+/- meds	BB, ACEi/ARB, diuretic, statin, ASA (dose)
+/- recent exacerbation	EKG, CXR, BNP, trop Meds required: diuretics, nitrates, O2
ROS	+/- exertional dyspnea, orthopnea, PND, bloating/edema, abdominal pain
Vitals	+/- wt changes, RR, BP, PR, (abnormal or considering med changes)
PE	rate/rhythm m/g/r, edema, CTAB/crackles, laterally displaced PMI, s3, JVD, hepatosplenomegaly, fluid wave/shifting