VS: BP 120/82 mm Hg, P 82 bpm, RR 16 rpm, T 98.6° F, wt: 240 lb; ht: 64 in

Waist Circumference: 38 in.

CV: RRR; no murmurs, rubs, gallops

Abd: Obese, soft, nontender, nondistended; (+) bowel sounds Ext: (-) Edema

Labs: All values are within normal limits. ECG: No evidence of past ischemia.

Given this additional information, what is your assessment of this patient? Identify your treatment goals for the patient.

What nonpharmacologic and pharmacologic alternatives are available for the patient?

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