Fluid overload in a hypotensive patient with severe left ventricular systolic dysfunction and pulmonary fibrosis: challenges faced by the heart failure advanced nurse practitioner

This case report discusses the complex management of an elderly patient with severe left ventricular systolic dysfunction and coexisting idiopathic pulmonary fibrosis, presenting with fluid overload and persistent hypotension. The case has raised awareness of the complexities associated with a dual diagnosis, as well as the care collaboration by members of the multidisciplinary team, when being managed in the primary care setting.