ACC/AHA Guidelines;medication refill “ran out of medicine” HPI: BJ

Chief complaint: medication refill “ran out of medicine” HPI: BJ, a 68-year-old AA female presents to the clinic for prescription refills. The patient also indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with activity, especially when she is playing with her grandchildren but it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also has lower leg edema which started 1 week ago. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest. She has not tried any OTC medications at home. She never filled her prescriptions, which she received at her checkup 6 months ago, she did not think it was important. PMH: Hypertension Previous history of MI in 2010 Surgeries: 2010-Left Anterior Descending (LAD) cardiac stent placement Allergies: Amoxicillin Vaccination History: She receives an annual flu shot. Last flu shot was this year Has never had a Pneumovax Has not had a Td in over 20 years Has not had the herpes zoster vaccine Social history: