The electronic pulse oximeter is in use and, although you would rather not do it, you take the patient’s pulse manually. while counting the pulse you notice it seems irregular and every so often it seems to feel stronger. you look at the patient who appears pale and has a slight grimace on his face

Adescription of  congestive heart  failure, its symptoms, risk factors, and treatment. to the  heart muscle  other than by artery or blood  flow  problems; signs of  heart  failure may not  meanthe patient has  heart  failure and they quit alcohol, or at least consume alcohol within the national recommended  limits.