 The patient stayed in the telemetry.  The patient had significant shortness of breath secondary to congestive heart failure with bilateral basilar crackles.  She was continued on IV antibiotics and general IV hydration was started initially because of low blood pressure and low perfusion status.  On subsequently improved and stopped and Lasix was started; Dr. X, cardiologist was also placed.  The patient's family wanted her to be a DNR and DNI.  They were allowing us to treat her aggressively medically for pneumonia and congestive heart failure.  However, the patient became extremely weak, mostly unresponsive.  At this time, the patient's family wanted a Hospice consult, which was requested.  By the time the Hospice could evaluate her, the patient's condition got deteriorated, she went into more bradycardiac and hypertension and subsequently expired.  Please see the hospital notes for complete details.