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Patient Marcos, 55-year-old male, who stands 5 feet 8 inches and weighs 90 kg has been rushed to the
hospital who manifested deep, rapid, shallow breathing, mental delirium and confused. Upon
assessment the patient hair is coarse and blowsy. Eyes are swollen and puffy. Nasal flaring is very
evident. Upon further assessment, you can see the presence of bipedal edema- grade 4+. Vital signs
checked with of BP 180/100mmHg, PR 108bpm, 39cpm, Temperature 37.5 degree Celsius and with GFR
15ml/min was obtained by Doctor Gow. Lab test result indicated that the creatine is in a higher range
that cause kidney disease.