CHF with low BP

Let's get the family and medcon (and/or the patient's healthcare provider) involved before we rush to transport this patient. A 90 year old DNR/DNI in cardiogenic shock with a pressure of 65/42 isn't necessarily someone we want to be super aggressive with. In all seriousness, letting the patient die in their own bed on comfort care might be the best course of action.
 
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