Heart Failure ( Perfusion ) * why did Mr. Stone develop heart failure ? - has not taken medications as directed not taking any of the medications at present symptoms 1 fatigue - SOB - - paroxysmal nocturnal dyspnea weight gain A 1 0 * 4 BP 168 / 46 mmitg Tomp. 98.4 Pulse 98/ min RR 22/min Spo2 90% RA 1 94 % w/ oxygen at 21 / min per nasal cannula Nurse administered - Enalapril 5my PO Patient - Hypertension - hydrochlorothiazide - HF