According to your analysis of the case, what factors are contributing to the patient’s presenting signs and symptoms?Should she/he continue her/his current medication regimen? Why or why not?Which medications should be continued and which medications should be eliminated?What treatments or interventions do you anticipate being ordered for this client? 3:42sntationllEmanuel Patigdas, an 70 year Flipino old man, is being rushed into the Med-havenNursing Home at around 11:00 late evening after being lost his conscious accompanied by hiseldest daughter.Present HistoryHs eldest daughter was distress about what happened to her father after he lost hisconsciousness, she was very concern to her father because she noticed this last week that theold man was very sick and has vomit a lot of fluid with blood, unable to walk by himself becausehis body weakens. On behalf of his father she complain about his father's health after beingrushed to the Med-haven Nursing Home because of decreasing his body strength, and unableto walk, poor appetite and claims that the patient vomit a lot of fluid with blood and refusingto eat even a half of rice for the past 48 hours.Hs daughter is being worried by her father's health because she thinks he might lost 20pounds of his weight because of his thin looking, dry skin and sunken eyes. The patient regainhis conscious after being administer IV fluids then complain also of having a rapid heartbeateven though Mr. Patigdas is a widowed man that is sharing a house with his daughter andbeing taken the custody of her father. The old man just released from the Nursing Home after24 hours of resting and administered IV fluids to regain his energy. Prior to his medicaldiagnosis of Active Pulmonary Tuberculosis.The Filipina Registered Narse (RN) performs an assessmenAssessment Data:• weak, thin looking appearance, sunken eyes• alert and oriented to person, place, time and sit uation• can able to respond the questions• cannot perform basic range of motion• dullness to chest percussion, rales• irregular heart rhythm• non-distended bladder, watery stool• tenderness upon palpation in abdominal part present on lower right quadrant• skin is pale and dry, presence of skin turgor and psoriasis* presence of bow legs on lower extremities• undiminished radial pulses, but determined in carotids• current weight recorded 110 lbs; the last weight recorded on the previous hospital154 Ibs, obviously loss almost his 44 lbs on his weightVitals signs taken as follows:• T=95°F• HR=25 bpm• RR= 18 bpm• BP =140/60• 02Sat=80 %Intervention:• Administer oxygen on the patient at 3 liters via nasal cannula to bring back to normal 95%of his oxygen• Place the patient to stress free environment to reduce high blood pressure and give fulltime rest• Administer medicine to reduce headache and body pain• Gve food that appropriate to his diet, eat food with high in potassium • Place the patient to stress free environment to reduce high blood pressure and give full3:43 time restull 7 I• Administer medicine to reduce headache and body pain• Gve food that appropriate to his diet, eat food with high in potassiume a bottle of water on the bedside table3 of 3c Tests:• Skin Test- positive for exposure in Tuberculosis• Sputum Test- tested positive in Active Pulmonary Tuberculosis• Chest Xray- mult iple light areas (opacities) with a cavitary lesion or fibroproliferativedisease with coarse reticulonodular densities involving the posterior upper lobe• WBG lower than 3,500 per white blood cells per microlitersPresent Medical and Surgical History:• Active Pulmonary Tuberculosis• Hypertensive• Low Potassium• Chronic renal insufficiencyCirrent Medications:• Chlorothiazide (Duril) - 125-500mg/day• Amiloride (Midamor)- 5-10 mg/day• Losartan (Cozaar)25-100mg/day• koniazid- 25-35mg/kg/dose• Pyrazinamide- 25-35 mg/kg/dose once/day• Rhambutol 15-25 mg/kg/dose once/day• Ievoflovaxin 750mg/dose once /day• Dalysis done 3 times per weekLaboratory Results:• Hemoglobin (g/dl) 110.64• WBC(x 10/1) 17.24• Platelet (x 10/)413.52• Albumin (g/dI) 26.5• Aspartate aminotransferase (UM) 41.43• Alanine aminotransferase (U/) 29.82• Geatinine (mg/dl) 57.19• Adjusted calcium (mmol/L) 2.51• Sodium (mmol/I) 133

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Antitubercular drugs play a critical role in management of tuberculosis as it has been proven to be…