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[Answered]: Immediate and Long term management: given John’s…

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Immediate and Long term management: given John’s presentation (cool, pale, and clammy skin, bilateral crackles and wheezing heard on auscultation, elevated jugular venous pressure with third heart sound present, abdomen mildly distended with possible ascites, bilateral pedal edema and pitting edema noted on extremities, BP 160/94, HR 92, RR 22, SpO2 90% RA, T 98.8 F) and diagnostic results (chest xray reveals cardiomegaly and pulmonary congestion with bilateral pleural effusions, EKG shows LVH and evidence of atrial enlargement, Echocardiogram shows reduced LVEF at 35% and impaired diastolic function), what immediate interventions and long term management strategies would you prioritize? why?

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