Respiratory therapist reviewed the patient chart

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As part of the discharge team on this day, the respiratory therapist reviewed the patient's chart and noted that his morning chest x-ray had improved significantly. The parenchymal densities present in the lung bases on admission were much improved. The large cavity in the upper left lung lobe, however, was still clearly visible. While in the hospital, the patient had been started on daily doses of isoniazid, rifampin, ethambutol, and pyrazinamide, which he will take daily for 8 weeks and then just talk the isoniazid and rifampin daily for 18 weeks. The arrangements had been made with the staff at the shelter to dispense the prescribed drugs and monitor the patient's compliance in taking them. On observation the patient still appeared moderately pale and cyanotic, but he no longer appeared to be in respiratory distress. In addition, he no longer demonstrated a spontaneous, uncontrolled cough. The patient stated that he was ready to run a marathon. When asked to cough, the patient generated a strong, nonproductive cough. His vital signs were as follows: blood pressure 135/85, heart rate 80 bpm, respiratory rate 10/minute, and oral temperature.

Reference no: EM133687407

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