Daily weight 151 lb (stable vs 151, within 1 lb of target), lungs clear, no JVD, trace edema (from 2+), BP 122/74 and HR 68 within GDMT parameters, ARNI/beta-blocker tolerated, sodium/fluid observed. Skilled daily volume and GDMT assessment required; supports Section N/K.
GDMT titration
ACE inhibitor increased per order with BP/potassium tolerated, euvolemic on the current diuretic, self-management teaching reinforced with teach-back. Skilled titration, tolerance monitoring, and teaching required; supports Section N.
Euvolemic maintenance + teaching
Euvolemic on the stable regimen; daily-weight and symptom-action-plan teach-back 100% with the resident and daughter ahead of discharge. Skilled monitoring and teaching to competence required; supports Section N.
