,PLAN AND SUGGESTION: , Initial plan was to send the patient to the nursing home, but because of the patient's low blood pressure and heart rate low, we will admit the patient to DOU for 23-hour observation, start the patient on IV fluid, normal saline, 20 mEq KCl, and Protonix 40 mg, and we will also continue the patient's Namenda and Aricept. 
,PLAN AND SUGGESTION : , Initial plan was to send the patient to the nursing home , but because of the patient 's low blood pressure and heart rate low , we will admit the patient to DOU for 23 - hour observation , start the patient on IV fluid , normal saline , 20 mEq KCl , and Protonix 40 mg , and we will also continue the patient 's Namenda and Aricept .