Been a while but finally have a moderaetly interesting case.
94 Y/O with obstructing CA in descending colon. Has CHF with bilateral infiltrates, significant tricuspid regurg, moderate bicuspid regurge, minor AS (really minor) EF 60%. PMH is significant for CP uses a nitrate and NTG, HTN or ACE inhibitor. weighs 94 lbs clearly very frail, good airway. Good kidneys good neuro status, no diabetes. What do you do? what monitors and how to handle her.