Follow-Up Visit at 1 Month
Physical Exam
- SC Remodulin dose: 15 ng/kg/min
- Heart Rate: 103 bpm (previously 115)
- NT-proBNP: 1027 pg/mL (previously 1500 pg/mL)
- Peripheral edema has resolved
- Patient reports her SOB has improved and she has more energy, but is challenged to climb the flight of stairs at home
Treatment Plan
- Continue to uptitrate Remodulin dose as patient tolerates
- Have frequent phone calls with the patient and her SP to monitor tolerability and symptoms
- See Emily again at 3 months and plan to do a full workup (ECHO, labs, 6MWD, physical exam, risk assessment)