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DISCHARGE DIAGNOSIS: Acute exacerbation of CHF (ICD-10: I50.9) secondary to dietary indiscretion and medication non-compliance. EF 35% on TTE. BNP elevated at 1,247 pg/mL on admission, trending to 489 pg/mL at discharge. HOSPITAL COURSE: Pt admitted via ED with acute dyspnea, bilateral LE edema 3+, and JVD. IV Lasix 40mg BID initiated with aggressive diuresis achieving net negative 3.2L over 72hrs. Transitioned to PO Lasix 40mg daily. Carvedilol uptitrated to 12.5mg BID. Lisinopril held due to Cr elevation (1.8 from baseline 1.2), to restart when Cr normalizes. DISCHARGE INSTRUCTIONS: Daily weights AM before breakfast. Call if weight increases >3lbs in 24hrs or >5lbs in 1 week. Fluid restriction 1.5L/day. Low sodium diet <2g/day. Follow-up cardiology in 7 days. Return to ED for worsening SOB, chest pain, or syncope.