Isosorbide Dinitrate

Isosorbide Dinitrate
Cardiovascular pharmacology: use of nitrates in treatment of ischaemic heart disease.
Who shouldn't take nitrates? Pregnant or breastfeeding women. Also people with: anaemia, increased intercranial pressure, kidney failure, or
hypersensitivity to nitrates.
When are nitrates prescribed? If you have stable angina, treatment may be daily isosorbide mononitrate. Or, you might take sublingual glyceryl
trinitrate before encountering a known stress situation. To clarify, glyceryl trinitrate and nitroglycerin are the same.
The treatment for unstable angina, or myocardial infarction is intravenous nitroglycerin. Isosorbide mononitrate is also used in the management of
chronic heart failure.
Isosorbide dinitrate is prescribed for the same situations as isosorbide mononitrate. ... Show more content on Helpwriting.net ...
Nicorandil is both a nitrate, and a K+ channel activator. This is used for patients who remain symptomatic despite optimal pharmacological
management.
Nitrates are powerful vasodilators, which act in the epicardial vessels. They act to lower the blood pressure, and increase blood flow to ischaemic tissue.
So, how do they work? Glutathione S–transferase causes the nitrates to release nitric oxide. The nitric oxide activates guanylate cyclase. Guanylate
cyclase converts GTP to cGMP. cGMP activates protein kinase G. Myosin light chains in the sarcomere are dephosphorylated. This leads to reduced
intracellular [Ca2+], causing the muscle to relax.
What are the side effects of nitrates? Common side effects are; headache, dizziness, and postural hypotension. These are due to decreased blood
pressure. Flushing is also common, due to dilation of blood vessels in the epidermis. Nausea is also a common side effect.
Symptoms of an overdose include; increased intracranial pressure, haematuria, methaemaglobinaemia, dyspnea, and coma. Also, nausea, diarrhoea,
vomiting, seizures, diaphoresis, tachycardia, and hypotension. An overdose may prove

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HS111_Unit4_Template
HS111 Unit 4 Assignment Sections 1, 2 and 3 are worth 30 points each. You must place the hyphen correctly in Section 1 and 2. In section 3 you
must place the combining form with the slash to receive full credit. Section 4 is worth 60 points. This assignment contains 4 sections and APA
formatting, which is worth 150 points. Incorrect spelling and not placing the hyphen or slash mark properly will result in deductions from the total
score. In Section 1, you will identify the prefix for the given definition. In Section 2, you will identify the suffix for the given definition. In Section 3,
you will identify the combining form for the given definition. In Section 4, you will proofread the Progress Report listed below. Next, you will... Show
more content on Helpwriting.net ...
Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated
for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the
nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check–up with the Pulmonologist showed that her
EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the
floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to
140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase. ALLERGIES:
Penisyllin, IVP dye, mold, pollen CURRENT MEDICATIONS: Lovastatin 20 mg po per day, Enalapril 20 mg po bid, Nitroglycerin 0.4 mg sub q
prn for chest pain. PHYSICAL EXAM: Temperature 98.6, Blood pressure 140/90. Pulse 110. Respirations 26. Her lungs are clear, showing mild
signs of distress. Heart sounds are normal, irregular rhythm and bradycardia noted. No edema noted in extremities. Patient skin is cool to touch,
slightly clammy. EEG shows prolonged QRS wave, with ischemic ST changes and PVCs. Chest radiograph clear. IMPRESSION: Aarythmia, CPK and

Cardiac Care Plan Marking Guide
Diploma of Nursing
HLTEN505C: Contribute to the complex care of clients
Assessment 1 of 5
Cardiac care plan marking guide
Instructions to Students
Students completing this assessment will need to achieve a minimum of 50% to pass. In the event a pass is not achieved you will be given one
opportunity to resubmit your worksheet within 2 weeks from when you are notified of your result. The maximum marks allowed for a 2nd attempt will
be 50%, if you are unsuccessful in achieving 50% with the resubmission you will need to repeat the entire unit.
Identify 5 nursing diagnosis relevant for this client. For diagnosis document ... Show more content on Helpwriting.net ...
When the patient is stable, institute a graduated activity program according to unit protocol. Begin with regular position changes and range of motion
(ROM) exercises during bed rest. The, as tolerated, progress to active ROM exercises, chair sitting and ambulation.
Bed rest has many detrimental effects, including cardiac deconditioning, increased risk of atelectasis and pneumonia, and skin breakdown. It also
promotes venous stasis, further increasing the risk of thromboembolism from depressed myocardial contractility and AF– an arrhythmia common in HF
because of atrial distention. Position changes and exercises that involve a change in muscle length (such as active or passive limb flexion) improve
peripheral circulation and reduce the risks associated with immobility.
By discharge, the patient will participate in a desired activity, meeting the needs of self–tolerance achieving increased activity, evidenced by a decrease
in fatigue and weakness and vital signs during exercise
Provide the client with ideas for conserving

Nitroglycerin Case
What are the clues that helped the paramedic determine why the nitroglycerin did not alleviate the man's angina?
Marty Smith ate at a buffet that probably contained a lot of fatty foods and he consumed alcoholic beverages. In this case, I believe the reason that the
nitroglycerin was not effective, is because the patient could very well be dealing with indigestion, instead of angina. Most buffets serve foods that
contain a high salt content, that makes folks thirsty, wish of coarse sells drinks. Knowing that he is prone to angina attacks, Mr. Smith should have
chosen an alternative to his choice of beverage.
Why did dizziness accompany his angina?
Angina is caused when the artery comes blocked and slows the blood flow and oxygen to the

Case Study
Case Studies on Cardiac Function
This is the first case study that is required for the class. Please submit a paper (doesn't have to be long; you could even give me bullet–point answers
to the questions listed below) that answers all of the questions posed after Case Study 1. I have included an easy second case study which, if you
complete it, will be worth extra credit. Answers to the first Case Study are worth 25 points and responding to Case Study 1 is required work for the
course. The extra credit, which is not required, will be worth a total of 10 points. Please check the syllabus for the due date.
Case 1
A.O. is an 89–year–old woman with a long history of systolic heart failure secondary to a large left ventricular ... Show more content on Helpwriting.net
...
Tropopins elevated between 4–6 hours after the onset of an acute MI and remains elevated for 8 to 12 days. Myoglobin levels rise within 1–4 hours
after the onset of chest pain. Creatine kinase –MB increase within 3 to 12 hours of onset chest pain, reach peak within 24 hours and return to baseline
after 48 to 72 hours. 3. What is the most common pathophysiologic precipitating event for ACS? What differentiates USA from MI?
Unstable angina. Unstable angina is a warning sign that a heart attack may happen soon and MI is a heart attack. 4. What is the rationale for using
thrombolytics in the management of STEMI?
To try an break up the clot before it can cause a massive heart attack possibly leading to death. 5. Why are morphine and nitroglycerin used to manage
ischemic chest pain?
Morphine reduces anxiety and catecholamine secretion and is a preload reducer. Nitroglycerine causes relaxation of vascular smooth muscle, which
decreases preload and reduces

Alfred Nobel: The Man behind the Prize. Essays
Alfred Nobel: The Man behind the Prize.
Alfred Nobel is known for starting the Nobel Prize. This prize is given every year to some of the greatest minds in the world who through their work,
help to better society. In opposition to the improvement of society, is the fact that Nobel's other knowninventions brought much death and destruction
to the world (Frost). This combination of inventions helps to pose the question who was Alfred Nobel, and why did Nobel create this prize to help the
world. In this paper I will find out who was the man behind the inventions that brought so much death and destruction to the world. I will also find out
why he created this prize to have people work to better the planet and protect life itself. Lastly ... Show more content on Helpwriting.net ...
Petersburg where he excelled in his studies, especially chemistry (Fant).
As Alfred Nobel grew into a young man he became well traveled, and consequently learned five different languages fluently (Fant). In his spare time
he wrote novels, poetry, and plays (Fant). As Nobel got older, he started to help in his father's workshop. While working at the workshop Nobel
learned about and became fascinated by nitroglycerin (Frost). Nobel and his father became very competitive in trying to find out who was better at
creating a "massive explosion" (Frost). Young Nobel finally won the competition with his father by using nitroglycerin to create a larger explosive
device (Frost). Afterwards, Alfred Nobel discovered how to utilize the power contained within the nitroglycerin compound; however it was still a very
volatile substance (Dynamite).
Nobel knew there was a huge potential for such an explosive but he needed to figure out a way to make it safer. Nobel "worked 16 hours a day" to
find out how to harness the power of this unstable destructive substance (Dynamite). In 1864 a large amount of nitroglycerin exploded accidentally at
the factory where Nobel worked with the dangerous substance (Frost). Nobel's younger brother, Emil, was killed in the accident. Determined to find a
way to make this explosive safer to use, Nobel returned to work the next day and worked day and night. Nobel never mentioned the accident but did
move his experiment to an offshore barge

Coronary Artery Disease Essay
Coronary Artery Disease, also known as CAD, is the most common form of heart disease. (Heart and Stroke Foundation, 2009) Coronary Artery
Disease obstructs the blood flow in vessels that provides blood to the heart which is caused by the buildup of plaque on the artery walls. (Rogers, 2011,
p.87) (Heart and Stroke Foundation, 2009) Plaque is a yellow substance that consists of fat substances, like cholesterol, and narrows or clogs the
arteries which prevents blood flow. (Heart and Stroke Foundation, 2009) Plaque can build up in any artery but usually favors large and medium sized
arteries. (Heart and Stroke Foundation, 2009)
Symptoms of Coronary Artery Disease include shortness of breath, pain, dizziness, angina, heart attack. ... Show more content on Helpwriting.net ...
(Mayo Clinic, 2013) Some surgical procedures used to treat CAD are angioplasty and coronary artery bypass surgery. (Mayo Clinic, 2013) The
angioplasty surgery is when your doctor inserts a catheter to the blockage in the artery and threads the wire through the narrowed arteries.
(Opening blocked coronary arteries: New questions about the old answer, nd., p.2) Once the balloon is in place, at the sight of the blockage, the
balloon inflates which causes the plaque to crack and the artery to become free from blockage. (Opening blocked coronary arteries: New questions
about the old answer, nd., p.2) The other surgical opinion for CAD is coronary artery bypass surgery is a procedure done by a doctor using a graft.
(Mayo Clinic, 2013) The doctor will construct a graft to direct the blood flow around the blockage using existing blood vessels in the body. (Mayo
Clinic, 2013) Due to the fact that this procedure requires open heart surgery, it is usually used for patients with several partial or full blockages. (Mayo
Clinic, 2013)
Coronary Artery Disease can be prevented by controlling your blood pressure, diabetes and blood cholesterol. (Heart and Stroke Foundation, 2009)
Other ways to lower your risk of developing CAD is by eating healthy foods low in fat, being active, not smoking, limiting alcohol consumption, lessen
the stress you

Alfred Nobel : The Good Or Evil Contribution To Death
Your biggest fear just came true. Imagine seeing the one person you love, slowly and painfully dying. As toxic gas fills the lungs of your loved one,
he or she struggles and frantically gasps for air. In a blank and cold stare, you see that the last thought he or she had was of you, before death takes the
last breathe. The death of your loved one is an unjustifiable death because we don't know what caused their death. In 1866, a swedish chemist named
Mr. Alfred Nobel, invented and perfected an explosive detonator called dynamite! With the promise of building canals, drilling tunnels, blasting rocks
and building railroads, more quickly, the inventor also put the lives of millions of people at risk on a global level. This invention created the perfect
weapon for warfare. It was used to destroy countries and for countless and merciless deaths. This invention left society to question whether it was a
good or evil contribution. This paper explores when and how did this discovery happen? What were the pros and cons of this invention and lastly what
was the outcome of this invention? In the 19th century, nitroglycerin proved to be extremely explosive and unpredictable when it was first created. In
1866, Mr. Nobel, worked hard to stabilize and manufacture nitroglycerin at an industrial scale. Alfred Nobel amazingly was able to chemically change
nitroglycerin into a paste. This chemical mixture produced dynamite and made it safer to handle. Mr. Nobel could add this paste into

Case 1
A.O. is an 89–year–old woman with a long history of systolic heart failure secondary to a large left ventricular infarct when she was in her 70s. She
had poor activity tolerance and required assistance with activities of daily living. Even minimal activity was associated with moderately severe
dyspnea and exertional chest pain, which was relieved by rest. A.O. also exhibited marked pedal edema bilaterally. She is being treated with digitalis,
furosemide (Lasix), KCl, and sublingual nitroglycerin.
Discussion Questions
1. Which type of heart failure (left or right sided) is usually associated with dyspnea?
Left–sided
What other clinical findings are likely to be present with ... Show more content on Helpwriting.net ...
ST depression and T–wave changes may also indicate the development of a non Q–wave MI.
An old MI is evidenced by larger than normal Q waves.
2. What changes in "cardiac enzymes" would be consistent with a diagnosis of MI?
TROPONINS – Markers of choice. Elevated between 4 and 6 hours after the onset of an acute MI and remains elevated for 8–12 days.
MYOGLOBIN – Levels rise between 1 to 4 hours after the onset of chest pain. Highly sensitive.
CREATINE KINASE– comprises of three isoenzymes. 1. Creatine kinase with muscle subunits (CK–MM), which is found mainly in skeletal muscle.
2. Creatine kinase with brain subunits (CK–BB), predominantly found in the brain. 3. Myocardial muscle creatine kinase (CK–MB), found mainly in

the heart.
*CK–MB levels increase within 3 to 12 hours of onset of chest pain.
*Reach peak within 24 hours, and return to baseline after 48 to 72 hours.
*Levels peak earlier if perfusion occurs.
*Sensitivity is approximately 95%, with very high specificity.
3. What is the most common pathophysiologic precipitating event for ACS? What differentiates USA from MI?
MI plaque rupture followed by thrombus formation at the site as the precipitating event.
4. What is the rationale for using thrombolytics in the management of STEMI?
It binds to the fibrin of fresh clots and the resulting compound converts adjacent plasminogen into

Essay about Case Study 28 Days
28 days
What is the molecule responsible for oxygen transport by blood?
Hemoglobin is the molecule that is responsible for oxygen transport by blood.
What is blood pressure a measure of?
Blood pressure is a measure of the force of blood that is against the arterial walls.
The innermost aspect of the digestive tract is lined with what tissue type?
The innermost aspect of the digestive tract is lined with epithelial tissue.
As we age, what happens to the digestive tract?
As people age the digestive tract becomes prone to damage.
Describe the abdominal aorta and its function. (Where does it carry blood)
The abdominal aorta is a major that lays midline of the abdominal cavity; it is responsible for delivering ... Show more content on Helpwriting.net ...
Giving Cleveland oxygen will help with the delivery of oxygen to the tissues, and the IV fluids help with elevating the blood pressure because of the
body fluids being increased. The hospital send his blood for cross–matching so they know if it would be best for him to have a transfusion of packed
red blood cells, or a whole blood.
Why use ice water? Is it significant that the fluid clears?
The doctors use ice water because if there is a vessel that is bleeding the coolness of the water will help it constrict so the blood loss rate is slowed.
They use clear liquids because if the suction fluid is not clear they can determine that the bleeding has not stopped.
What is the preliminary diagnosis at this point? Why are acid inhibitors and antacids administered?
I think that an appropriate diagnosis at this time for Cleveland would be a gastric ulcer. The acid inhibitors and antacids were administered to help
regulate acid production and to help heal the lining of the stomach.

What disorders might account for these symptoms?
The new symptoms that Cleveland is now experiencing may indicate he is having a heart attack.
Why are nitroglycerin and antacids administered? What does their ineffectiveness mean?
The nitroglycerin is administered to open the coronary arteries, and the antacids are to reduce gastric acids. The ineffectiveness of the drugs indicates
that Cleveland is not experiencing a heart

Why Dynamite Is Important
Alfred Noble was a Swedish chemist, most famous for inventing dynamite. He may also be called a business man, engineer, inventor, and
philanthropist. Since he really didn't discover an element, I will list the elements it is made from and their information. Dynamite is nitroglycerin
which is basically carbon, hydrogen, nitrogen and oxygen. It also contains an absorbent that contains silicone. Now, let's get into the details, starting
with Carbon. Carbons atomic number is 6, its atomic mass is 12, and it has 6 protons, 6 neutrons and 6 electrons. The next element used in dynamite is
Hydrogen. Hydrogen's atomic number and atomic mass is 1, it has 1 proton, 1 electron, and 0 neutrons. The third element is nitrogen. Nitrogen's atomic
number is 7, it has an atomic mass of 14. It has 7 protons, neutrons, and electrons. Finally, is the famous oxygen, with an atomic number of 8 ... Show
Sobrero created nitroglycerin in 1847, where he added glycerol to a mixture of concentrated nitric and sulfuric acids. Nitroglycerin is colorless,
and heavy. It's dense in water and very flammable. It may explode if exposed to heat or fire for too long. Even though it is explosive in a liquid
state, if frozen at 13В°C, it becomes less sensitive to heat and shock and has a less chance at exploding. Now that we have all the nerdy stuff out
the way, let's get to "The Life of Alfred Noble". Alfred Noble was specifically born on October 21, 1833 in Stockholm, Sweden. His father is
Immanuel Nobel and his mother is Caroline Andrietta Ahlsell. Somewhere around Nobel was born, his father was having business trouble. In 1837
Immanuel decided to move to Russia to try and revive his business. Immanuel's mom was left to take care of his family. Andrietta came from a
wealthy family so she was able to create a grocery store to help support her family. Awhile after, the entire family moved to Russia since Immanuel's
business was in good

Essay On Dynamite
Beginnings of Dynamite
The late 18th and the early 19th century saw the rise of the Industrial Revolution. The transcontinental railroad across the USA was being built; in
Australia and California, gold–rushes were driving people crazy trying to get rich; in Seuz, a great canal was being dug through the earth; and in
England, London's famous Underground Railroad system was being built. For these engineering projects to be made possible–for all the blasting,
tunneling, trenching, mining, and excavation to be made possible–we needed explosives.
At the beginning of the industrial revolution there were two main explosives used: black–powder and nitroglycerine. Black–powder had been used as
early as the 1600s for construction and mining. Holes ... Show more content on Helpwriting.net ...
It revolutionized the processes of constructing, demolishing, and mining. As innovations involving the use of dynamite increased, a wide range of
versatility provided a new wave of development. With the use of dynamite, rocky, uneven surfaces could be cleared to create level platforms to build
on. Dynamite "provided man with an awesome power–the ability to dramatically change the face of the earth." (Modern marvels– Dynamite). We now
could blast through rock at a rate unheard of with the low power of black–powder. Some of dynamite's first uses were creating trenches for irrigation
systems, blasting rock in mines and quarries, and removing trees and stumps. This adoption of dynamite started to lead to larger, more ambitious
project eventually working its way into almost every aspect of the industrial revolution. It unleashed the power that enabled the monumental industrial
development of the late 19th and early 20th centuries, including hydro power, skyscrapers, and coal and oil exploration. Canals and railroads, mining
and construction, tunnels and harbors were all now economically and physically possible. Even concrete could become a common construction
material once limestone could be blasted from quarries. Dynamite liberated laborers from the tiresome slaving in mines and quarries or moving and
leveling earth. What once took weeks could now be done in

Acute Decompensested Heart Failure Case Study
Introduction:
Acutely decompensated congestive heart failure is a common presentation of patients presenting to the emergency department. Typically these patients
present with shortness of breath and significant pulmonary edema. Traditionally the initial treatment in such patients has consisted of intravenous
diuretics (1). This has been the mainstay of treatment for decades but may not be the most effective means of treating these patients (2). For a condition
that accounts for 800,000 emergency department visits per year, it is surprising that so little research has been done in the recent years regarding the
most effective treatment for acute decompensated heart failure (1). The persistent theory that the first line treatment for these ... Show more content on
Helpwriting.net ...
The main outcomes evaluated involve the efficacy and safety of each drug used.
Methods:
The University of Texas Rio Grande Valley Library web site was accessed for collection of articles pertaining to the subject matter listed above.
Under the heading of 'Articles & Databases' the Science Direct Library and Pub Med was opened. Entering the key–words "acute pulmonary edema",
"high–dose nitroglycerin" and "furosemide", a search of both databases was conducted. The Science Direct library returned 204 articles all written
within the past six years. Of these, the articles were reviewed based on the titles and 40 were selected for review. The abstracts were then read to
determine the relevance to the topics in question. 16 articles were deemed relevant to the topic selected and deemed appropriate for review. Pub
Med recovered over 100 articles but access to these articles proved difficult and required secondary subscriptions, so the articles from Science Direct
were used instead. The full publication of each of the 16 selected articles was printed out from Science Direct and the chosen articles were read with
great detail and and pertinent data was selected from each one for inclusion in this review paper.
Results:
Multiple studies have shown that high dose nitrates are superior to furosemide in the treatment of acutely decompensated heart failure (5, 6, 7, 8).
Mattu et al

Essay On Acute Heart Failure
abstracts were then read to determine the relevance to the topics in question. Twelve articles were found relevant to the topic selected and deemed
appropriate for review. PubMed recovered 29 articles but access to these articles proved difficult and required secondary subscriptions, so the articles
from Science Direct were used instead. The full publication of each of the 12 selected articles was printed out from Science Direct and the chosen
articles were read with great detail and pertinent data was selected from each one for inclusion in this review paper. Results: Multiple studies show that
high dose nitrates are superior to furosemide in reducing the symptoms of, and intubations in, patients with acute heart failure (6, 7, 8, 9).... Show more
content on Helpwriting.net ...
This coincides with the results of Mallick et al which showed high–dose boluses of nitroglycerin resulted in the avoidance of intubation in all patients
previously suspected to require intubation, as well as supports the results of Levy et al which, in a nonrandomized, open–label study of 29 patients
receiving high–dose nitroglycerin, showed that intubation and adverse events were less common in patients treated with high–dose nitroglycerin than
those treated without (5, 8). A randomized comparison of patients with acute pulmonary edema who were treated with either morphine and furosemide
or IV nitroglycerin was done by Beltrame et al and questioned whether nitrate therapy could be an alternative to furosemide and morphine in the
treatment of acute cardiogenic pulmonary edema (9). The study found that both treatment groups saw improvement after one hour however the
nitroglycerin treatment group was the only one that reached "statistical significance" in their improvement (9). The need for intubation in both groups
of patients was infrequent and both treatments proved adequate as initial treatment measures for acute congestive heart failure. While both treatment
groups saw improvement after one hour, another study comparing nitroglycerin

What Does It Mean To Say Boom Goes The Dynamite
"Boom goes the dynamite" is a popular saying. Some people like me wanted to go a little deeper and ask, who made dynamite and what makes
dynamite go boom? Well i have the answer for both of the questions and the answers are ascanio sobrero and nitroglycerin.
Our first run over is what is nitroglycerin? Nitroglycerin or nitro (NG) is a heavy, colorless, oily, Explosive liquid. Chemically, the substance is an
organic nitrate compound rather than a nitro compound. Since the 1880's, nitro or (NG)/nitroglycerin, has been used in the military as a solid
propellant. You may know a solid propellants main use which is to propel a bullet. What made nitro so popular was its use to make a smokeless
explosive unlike the beginning guns that when you fired,

A Brief Note On Coronary Artery Disease
Coronary Artery Disease is a condition where the blood flow through the coronary arteries of the heart become partially or completely blocked by
plaque buildup. CAD is responsible for over 500,000 deaths in the USA annually. Unfortunately in Вј of the population, death is the first warning sign
of CAD. Atherosclerosis is the process by which plaque builds up in the vessels that supply blood and oxygen to the heart muscle. This lack of blood
flow is called ischemia, which will lead to angina in many cases. Angina is caused by a lack of perfusion of the myocardium. CAD is a disease that
is developed over time due to unchanged risk factors such as obesity, sedentary lifestyle, hyperlipidemia , cigarette smoking, and hyperlipidemia. The
severity of Coronary Artery Disease can be managed through lifestyle changes and medication. If the disease has advanced beyond natural repair by
lifestyle modifications, surgery may be the next option. Coronary Artery Bypass Graft (CABG) surgery or placement of cardiac stents are the two
most common forms of surgery to fix CAD. These surgeries are not a substitute for lifestyle modifications, but may help those with severe CAD begin
to make lifestyle changes without symptoms arising at low intensity exercises.
With Coronary Artery Disease being the number one cause of death in the Unites States, there is a lot of research on how to prevent, diagnose, and
manage the disease. Prevention of CAD mainly consists of healthy lifestyle choices, but

Alfred Nobel And The Nobel Peace Prize
When the word "peace" comes to mind, one usually thinks about tranquility or absent from violence but when learning about Alfred Nobel, one
learns that the products he invented were far from "peaceful" in some eyes. The Nobel Peace Prize was created because Nobel left in his will that his
fortune was to be given as awards in the areas of: peace, chemistry, physiology, and literature.Alfred Nobel himself started with nothing and ended with
a large fortune, and as for The Nobel Peace Prize, it has evolved over the last century into new ways no one saw occurring in the future.
Alfred Nobel was born into bankruptcy in 1833 to Immanual Nobel and Andriette Ahlsell. According to Nils Ringertz, Alfred's father was eventually
able to provide a "first–class" education to his sons that taught them language, sciences, and literature. At the end of his academics, Nobel was
particularly fascinated with English literature and poetry. His father was not pleased by his interests so he sent him overseas to study chemical
engineering. In Paris, France, Nobel met and worked with Ascanio Sobrero, the chemist who had discovered nitroglycerin [a highly explosive
substance]. Ringertz states that "Alfred Nobel became very interested in nitroglycerin and how it could be put to practical use in construction work,"
with this new interest, Nobel took the chance with the substance and worked with it for years. In his experiments with nitroglycerin, many explosions
occurred including one in 1864 that

Sexual Activity
Sexual Activity and Heart Disease
Sexual intimacy is an important part of your well–being. After a cardiac event, you may be worried about being sexually active. If you or your partner
have any questions about sexual activity, be sure to talk to your health care provider. Most people who have had a cardiac event can continue to have
an active sex life.
WHEN CAN YOU RESUME SEXUAL ACTIVITY AFTER A CARDIAC EVENT?
When you can resume sexual activity, including intercourse, masturbation, or oral sex depends on the type of cardiac event you had. Ask your
health care provider when it is safe for you to resume sexual activity. If you had a heart attack, it may be okay to have sex after 10 days. If you had a
complicated cardiac event or heart surgery, you may not be able to have sex for as long as 8 weeks.
HOW DO YOU KNOW IF YOU ARE READY TO RESUME SEXUAL ACTIVITY?... Show more content on Helpwriting.net ...
Medicines
After a cardiac event, some prescribed medicines may affect your sexual function. They can decrease your desire for sex, make it hard for you to
achieve or maintain an erection, decrease vaginal lubrication, or make it impossible to achieve an orgasm. If you have any of these problems, do not
stop taking your medicine. Talk to your health care provider about the problem. You should also talk to your health care provider before taking any
herbal medicines or vitamins. These can interfere with prescribed medicines and heart function.
If you take medicine for sexual dysfunction, avoid medicine such as nitroglycerin or long–acting nitrate medicine for 24 hours. Using a sexual
dysfunction drug and a nitrate medicine together can cause a serious drop in blood pressure. If you take medicine for sexual dysfunction and have
angina, seek medical care right away for treatment.
Intimacy
The emotional stress of a cardiac event can affect you and your partner's intimacy. When you decide to have sex, it is important to:
Choose a relaxing

Angina Essay
In Focus on Pharmacology Essentials For Health Professionals, Jahangir Moini states "angina pectoris is a common form of ischemic heart disease
and often precedes and accompanies MI" (Moini, 2013. p.359). When having angina, a patient will feel pressure in the chest like a squeezing sensation
and the pain can travel to the jaw, down the arm, into the neck, shoulders, or back.
There are three types of angina: stable, unstable, and variant. Most common types are stable and unstable. Stable angina is a result of plaque buildup
which has caused narrowing of the coronary artery. The body can get enough blood to the heart when it's in a resting state and not exerting itself. When
the need for exertion arises, climbing a set of stairs for example, it needs more oxygen since the heart is working harder but the narrowed artery is
preventing the increase in blood flow needed. The angina symptoms will start to subside after taking nitroglycerin and resting. ... Show more content on
Helpwriting.net ...
This can occur while the body is in a state of rest unlike with stable angina. Nitroglycerin and rest will not alleviate the uncomfortable feeling and
pain. This typically occurs when there is a partial or full blockage of the coronary artery due to a blood clot.
Variant angina can occur in people who do not even have hart disease. It is rare, but is the result of coronary artery spasms. The spasms cause the
walls to constrict which lessens or stops the blood flow to the heart.
On the website CV Pharmacology, Richard Klabunde, PhD tells us that the classes of drugs to treat angina are as

Invention Of Dynamite
Dynamite has helped humanity out for years in good way and negative ways as well. We haven't really payed much attention on how useful has been to
us. Dynamite is a high explosive consisting of nitroglycerine mixed with an absorbent material and typically adding groups (from nitric acid) to
toluene. At low temperatures, the mono nitrotoluenes are made, and as the reaction temperature is increased, the dynatron compounds are formed,
until eventually TNT is formed.
Who invented dynamite? The creator of dynamite was Alfred Nobel. He was born October 21, 1883, in Stockholm Sweden. He was Swedish and had
four siblings. He lived with both his parents. One of his famous quotes was," If I have a thousand ideas and only one turns out to be good, I am
satisfied." He was a Swedish chemist, engineer, inventor, businessman and a philanthropist.
Why was dynamite made? One possible reason for Swedish engineer Alfred Nobel's invention of dynamite was the safety of construction work and
blasting rock in the mid–1800s. Nobel helped build bridges in Stockholm. Nitroglycerine was used in the detonation of rock, and it was a relatively
unsafe method. According to the Nobel Prize Organization, Alfred Nobel's brother Emil was killed in a nitroglycerine explosion. He wanted to make
sure no one was hurt because of dangerous explosions in work. He knew construction would always be hard work and dangerous to destroy buildings
by hand, so he needed something faster and more

Essay on review and critical thinking questions 08.06
Review questions 08.06
How are fire scenes different than regular crime scenes for investigators? They are different than regular crime scenes because fire scenes have a
different procedure. Plus, most fires scenes don't require a search warrant. This is because it can take a long time to get a search warrant but with
fire scenes it is crucial to get the evidence as soon as possible because causes of the fire, like petroleum, can evaporate within days, or even hours of
the fire. Also, they need to know how to prevent the fire from starting again and possibly injuring fire fighters or other emergency responders.
What is the blast effect? The blast effect is the outward rush of gases from the bomb's site of origin.
What are the two ... Show more content on Helpwriting.net ...
Do you think search warrants should be required for fire scenes? Why or why not? Search warrants are not required for fire scenes because the
evidence at fire scene needs to be collected as soon as possible because it is important to determine where a fire started and why in order to prevent
the fire from starting again and possibly injuring fire fighters or other emergency responders. This wouldn't be possible if we had to wait more than a
couple hours for a search warrant.
Do you think more countries should adopt the practice of putting color coded chips in explosive materials? Why or why not? I absolutely agree with
the adaption of putting color coded chips in explosives. These chips allow forensic scientists to track down viable information about the explosive that
will help find the culprit responsible for the explosion.
Why do you think crime scenes involving homemade bombs have increased? I think homemade bomb crime scenes are increasing because of the
opportunities we now have. This includes the internet, which tells us how to make the bomb, and stores that sell and/or produce the supplies for
making the bombs.
Why do you think the procedures are different from normal crime scenes to those involving fire and explosions? What benefits or challenges are there
because of these different procedures? I think the procedures are different from normal crime scenes to those involving fire and explosions

The Dynamite
During the industrial revolution, many amazing inventions arose and because of them the world changed. Some of these inventions affected the world
in a positive way and solved many problems. Yet other inventions were the cause of misery to the entire human kind. What about an invention that
caused both joy and misery? It's an invention that affects our world until this day. This invention is theDynamite. Let me first introduce you to the
inventor of the dynamite. The dynamite was invented by Swedish scientist Alfred Nobel in 1866. Let me now tell you how this dynamite affected the
industrial era. It was created so it can be used in construction, mining and demolition. It was used to carve in the mountains in order to create railroads
and ... Show more content on Helpwriting.net ...
If you would compare the number of deaths in war before and after the dynamite, you would be amazed. People then were sure that the country that had
the dynamite was probably going to be the strongest. European countries started competing in creating the dynamite and started selling it world–wide.
You might say that this was a positive impact but because people at that time didn't quite understand the dynamite that this trade usually ended in death.
Because shipping dynamite at that time wasn't safe, many catastrophes happened. For example, a shipment route to California blew up in Panama,
killing 60 and causing a half–million dollars in damage. Nobel's own dynamite factory in Hamburg, Germany, blew up leaving nothing but a shattered
foundation and killing his brother. Later in WW1 the dynamite became one of the popular weapons in used. Because of this dynamite, thousands lost
their lives, thousands lost their homes and millions lost their loved ones. It turned Earth into a living hell. You might say that there were other weapons
used but the creation of the dynamite affected people psychologically. They started seeing an invention that can shatter a whole building in seconds
which led to the rising of aggression inside people. All these negative effects and we still didn't talk about the environment. The dynamite caused many
negative impacts on the environment and the health of people. It first starts with pollution and ends up with

Postoperative Hypertension
Postoperative hypertension may cause serious adverse events with both cardiac and non–cardiac patients.1–3 Postoperative hypertension generally
occurs within 30 minutes after surgery has been completed and may last up to two hours. Acute perioperative hypertension occurs in 80% of people
undergoing cardiac surgery and 25% of people undergoing non–cardiac surgeries, such as head and neck surgery or renal transplantation. If not treated
appropriately, an acute increase in blood pressure may be related to further undesired complications, such as myocardial ischemia, stroke, bleeding, and
heart failure. Hypertensive emergencies such as postoperative hypertension are more common in patients with uncontrolled hypertension, diabetes
mellitus, or renal disease. The main risk factor ... Show more content on Helpwriting.net ...
Hypertension is presented as an increase in blood pressure. Blood pressure is the product of increased cardiac output and systemic vascular resistance.
The risk factors are what attribute to the pathophysiology of postoperative hypertension. Hypercarbia causes an increase in catecholamine
concentrations, which increases blood pressure. To decrease the risk of end organ damage and surgery complications associated with hypertension,
therapy should be initiated in patients with systolic blood pressure above 180 mmHg or a diastolic blood pressure above 110 mmHg once the risk
factors (pain, hypercarbia, and excitement on emergence of anesthesia) of postoperative hypertension have been treated. There are many complications
and other underlying conditions may be associated with patients postoperatively and the medications chosen to initiate should be based on each
individual patient. The ideal medication to treat postoperative hypertension has a quick onset and a short duration of

Symptoms And Treatment Of Angina
Angina is pain due to an increase in demand of oxygen during activity such as exercise. Angina can produce pain similar to that of a heart attack such
as sternal pain between breast bones that radiates to left arm, left jaw pain and heaviness on a person's chest. The pain can be described as burning,
squeezing, tightness even aching (Parikh & Kadowitz, 2014). The symptoms of angina are a result of myocardial ischemia. This is a condition of
insufficient blood flow from the coronary arteries to heart muscle (Heston, 2015).
There are four types of angina: intractable, stable, unstable and variant. The principal cause for unstable angina is coronary artery disease that occurs
as a result of plaque buildup along the walls of arteries. Furthermore the plaque causes a narrowing of arteries and constriction of blood flow to the
heart (What is Angina, 2011). When the heart is not supplied with enough blood therefore not enough oxygen the muscle spasms, or aches and results
in chest pain being felt (Heston, 2015). Furthermore as lactic acid builds up pain can also be detected however if pain persists further testing should
be performed as ischemia my progress to infarction (McCance & Huether, 2014).
PJ presents with symptoms of chronic angina treated primarily with measures to control precipitating factors and management of high risk
comorbidities. He has mild hypertension with diet control and medications to manage his hypertension. He does not report further risk factors such as

Angina Pectoris And Coronary Disease
Abstract: Angina pectoris and the coronary artery disease that can follow, can easily be mistaken as a less severe problem, but knowing the facts, can
save your life. There are three different types of angina pectoris and can happen to both active and sedentary individuals . There are many symptoms,
causes, ways to diagnosis and treat that doctors can utilize to prolong the life of patients. Angina pectoris is the medical term for chest pains, and is
associated with coronary heart disease. This occurs due to a blockage or the over time narrowing of of arteries that transport blood to the heart. With
angina pectoris, the causes, diagnosis and treatment steps can mean the difference between life or death for an individual. The term angina ... Show
In diagnosing of angina pectoris, a visit to the doctor is commonly the first step, or if symptoms are severe, a visit to the the emergency room should
be the start. The onset of angina can be felt on the lateral side of the chest or body, can radiate to the left arm, jaw, neck, and back, and may be
associated with breathlessness, a burning sensation in the mid section, and often nausea. There are many tests that can provide data for evaluation. The
most common, and the initial test is an Electrocardiogram or EKG, a stress test, nuclear stress test, chest x–ray and a Cardiac computerized tomography
or CT. The EKG records the hearts electrical activity, and a stress test evaluates the heart under a monitored exercise test and can help the doctor to
determine how hard your heart is working under varied conditions. By using a chest x–ray, or a CT test, the doctor is able to see the blood flow through
the chest and can examine the heart functions using a special dye. These capabilities have improved the testing and diagnosing of Angina and early
detection has

Cardiovascular Case Study
Cardiovascular Case Study
PJ's symptoms are consistent with what diagnosis? PJ's symptoms including, a history of angina, mild hypertension which is controlled and chest pain
that subsides with rest and or nitroglycerin tablets is consistent with the diagnosis of stable angina with underlying coronary artery disease. According
to McCance and Huether (2014), stable angina is a condition that is the result of myocardial ischemia or the lack of oxygen needed related to the
hardening of the arteries and their walls making them ineffectively dilate to increase the needed blood flow and oxygen to the myocardium for
exertional efforts. The decrease in adequate blood flow and delivery of oxygen in turn creates an anaerobic metabolism by the cells ... Show more
content on Helpwriting.net ...
According to Soloman and Ohman (2016), a medication regimen should be in place to include aspirin, maintaining compliance with blood pressure
and statin medications to maintain a blood pressure lower than 120/85 if possible and control lipids and cholesterol. Changes in lifestyle are another
concern for an individual with stable angina including, lifestyle modifications like weight loss as needed for overweight or obese individuals and
following a diet with reduced sugar intake, fat and also smoking cessation as indicated may help to improve symptoms of angina and decrease the
risk of further progression of the coronary artery disease (Soloman &Ohman, 2016). The use of nitrates require education as well. PJ needs to be
informed of the purpose of nitroglycerin, how often it may be taken safely, the possible side effects and medications contraindicated to being used with
nitrates like erectile dysfunction medications that can cause hypotension (Soloman & Ohman, 2016). Finally, PJ would be informed of

How Does Nitroglycerin Affect Myocardial Infarctions
Nitroglycerin's Effects on Myocardial Infarctions and the incurring results vary greatly depending on the location of the infarct. In the following paper
I will attempt to explain and answer the following topically related questions: "Why to use caution with nitro in the inferior wall MI? What is
happening to the heart in this event? What treatments can instead be administered and how do they slow tissue damage?" Defining Nitro, Inferior
MI's, and their relationship As stated in the European Heart Journal1," Myocardial Infarction is defined in pathology as myocardial cell death due to
prolonged ischemia". In the pre–hospital setting, the main goal of paramedic's is to counter act the ischemia and prevent further cell death. One of the
paramedic's drugs of choice will ... Show more content on Helpwriting.net ...
In short, Nitroglycerin is a vasodilator by action of smooth muscle relaxation. The goal when administering this nitrate is to decrease cardiac work
via decreased vascular resistance, improve blood flow within the heart, and maintaining adequate systemic circulation or blood pressure. In the case
of a right sided inferior MI, the right coronary artery has developed a clot and the right side of the heart is affected, most notably the right ventricle.
Due to the anatomical fact that the right ventricle fills during preload as a direct dependent of left ventricle stroke volume and its resulting systolic
pressure, vasodilation and constriction is a key factor in maintaining adequate circulation back through the heart. Also, the heart itself relies on the
coronary arteries for its own perfusion. The coronary arteries are filled during diastole; therefore, decreased vascular resistance and inadequate stroke
volume will result in a low blood pressure and overall decreased cardiac output and perfusion of the cardiac muscle. If the left ventricle cannot
sufficiently pump to the back to the right side of the heart, then overtime the right ventricle will not adequately supply the left

Alfred Nobel : A Man Of His Life
Alfred Nobel was born in Stockholm, Sweden on October 21, 1833. He was one of eight children, where he was the fourth of them all. Although he
was often very sick as he was growing up, that did not stop him from learning about all of the wonders of life. He was quite a bright child who was
very energetic and eager to learn. He had many accomplishments, such as his creation of dynamite and the Nobel Prize. He lived a long life, a life of
heart problems, but he continued to live his life day by day. He was forced to leave his hometown due to the fact of dynamite being unsafe to handle,
but he made a living no matter what, leaving him to be one of the wealthiest men alive during this time. Alfred Nobel was a man of his word, a man
who would ... Show more content on Helpwriting.net ...
Although Alfred was mainly interested in chemistry and physics, his father Immanuel did like the fact that Alfred was interested in poetry. He sent his
son off to school to learn more about chemical engineering since that is what he enjoyed most. By the young age of seventeen, Alfred was able to
speak fluently in five different languages which included French, German, English, Russian and his own native language of Swedish.
While in Russia, Nobel began to travel to several different places around the world for his studies and worked at several world–renowned laboratories.
During the two year time period that Alfred had been out studying chemical engineering, he traveled to Germany, France, back to his hometown and
even to the United States. Traveling to Paris, France is where he found to be home and he genuinely liked it there the best. In Paris, he had the chance
to work in the private laboratory of Professor T.J. Pelouze who was a famous chemist. While in Paris he also met an Italian chemist Ascanio Sobrero
whom three years earlier had invented nitroglycerin which is a highly explosive liquid. This was created when he mixed together three very unique
substances, glycerin, sulfuric acid, and nitric acid leaving him with a substance called nitroglycerin. Alfred Nobel became interested in nitroglycerin
after meeting Ascanio Sobrero, and he was curious how it could be put to good use in the construction

Ammonia and Haber Process
7.4
Case Study: The Haber Process:
Ammonia for Food and Bombs
From: Eros Wang
To: Ms. Irumekhai
Date: March 30, 2012
1. Suggest five factors that could affect the production of ammonia in the Haber process. Explain the effect of each factor, using rate theory.
The Haber process itself is a delicate balancing act because of all the factors that affect the yield of ammonia. In the Haber process, the nitrogen,
hydrogen and ammonia are in equilibrium. So five factors that affect the production of ammonia would be:
a) Temperature. The reaction is an exothermic reaction, meaning it produces heat. The higher the temperature in the reaction chamber, the less
ammonia is produced, as the equilibrium shifts to the right to ... Show more content on Helpwriting.net ...
[pic]
Cyclotrimethylenetrinitramine (RDX) RDX is the main ingredient in plastic explosives. [pic]
c) Write the chemical equation that describes a nitroglycerine explosion. Why is this reaction explosive? 1.4 C3H5 (ONO2)3([pic]) [pic]12 CO2(g)
+ 10 H2O(g) + 6 N2(g) + O2(g) Nitroglycerin is a dense, oily liquid that detonates if heated to 218В°C or if subjected to mechanical shock. The
molecule is explosive for three reasons: 1). Nitroglycerin contains both oxidant and fuel. 2). The decomposition is highly exothermic. Many
reactions occur when nitroglycerin detonates, but the overall process can be written 4C3H5(ONO2)3([pic]) [pic]12 CO2(g) + 10 H2O(g) + 6 N2(g)
+ O2(g) The reaction releases an enormous amount of heat because many strong bonds in the product gas molecules replace the fewer, weaker bonds
in nitroglycerin. Every mole of nitroglycerin that detonates releases about 1.5 MJ of heat! 3). A large volume of gas is produced
d) What is gun cotton? What are its uses? How is it made? Nitrocellulose is a highly flammable compound formed by nitrating cellulose through
exposure to nitric acid or another powerful nitrating agent. When used as a propellant or low–order explosive, it is also known as guncotton.

6. a) Using equilibrium principles only, what advice would you give the company regarding the best environment mental conditions for optimal
ammonia

Emergency Medical Responder ( Emr )
The long term effects of an illness or trauma are influenced by timely, appropriate medical care. This begins with what interventions the ambulance
crew provides if one is called. In the prehospital environment, there are four levels of providers: Emergency Medical Responder (EMR), Emergency
Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic (National Scope of Practice Model, 20
–21). The EMT
is considered the "backbone" of prehospital emergency medicine (National Scope of Practice Model 23). It is the first level that a provider can
either give a patient medicine or assist with the patient's own medications (National Scope of Practice Model 24). Medicines that an EMT in Kansas
can use are supplemental oxygen, nitroglycerin, aspirin, epinephrine and glucagon by auto injector, oral glucose, activated charcoal, and breathing
medications such as Atrovent or a metered dose inhaler (Kansas Board of EMS 1). An EMT may also use a autoinjector antidote on themselves or
their partner (Kansas Board of EMS 1). Medications used in emergency situations may reduce disability or prevent patient mortality. EMTs cannot
give any medicines with approval from medical control (American Academy of Orthopaedic Surgeons 461). Approval can be given in two ways
(American Academy of Orthopaedic Surgeons 461). The first is called offline control, or standing orders (American Academy of Orthopaedic Surgeons
461) Standing orders are written protocol for a treatment

Myocardial Infarction And The Heart Attack Essay
A myocardial infarction otherwise known as an MI or heart attack can happen to anyone at any time. It is very important for people of all
generations, sexes, and origin to know the signs and symptoms of an acute myocardial infarction. The signs of an MI may be different from
person to person and no two people will share the same exact symptoms; therefore, knowing what to watch out for is the best form of education a
patient can have. The amount of time a patient seeks treatment before the blood flow is completely obstructed and the heart muscle begins to die is
a very important part of the treatment for an MI. If the heart muscle becomes hypoxic or damaged during a heart attack it heals by forming scar
tissue. The heart will still work; however, it will have to work harder to compensate for what it has lost. Every year in the United States thousands
of people not only survive a heart attack, but go on to live a very healthy and normal life. The amount of time it takes for a person to get to the
emergency department is one of the biggest factors in determining how long it will take for someone to recover after a myocardial infarction
(American Heart Association, 2015). PATHOPHYSIOLOGY The American Heart Institute states, "your heart muscle needs oxygen to survive. A heart
attack occurs when the blood flow that brings oxygen to the heart muscle is severely reduced or cut off completely ... When damage or death of part
of the heart muscle occurs as a result of

M. T's Coronary Artery Analysis
The coronary artery that was occluded in M.T.'s coronary circulation were the right coronary artery. When coronary blood flow is interrupted for an
extended period, myocyte necrosis occurs. This results in MI. In the majority of MI, the decrease in coronary flow is the result of atherosclerotic CAD
(McCance & Huether, 2014). M.T. is experiencing transmural MI. According to H. Michael Bolooki (2010), a transmural MI is characterized by
ischemic necrosis of the full thickness of the affected muscle segment(s), extending from the endocardium through the myocardium to the epicardium.
M.T. was exhibiting crushing substernal chest pain radiating down his left arm. He was complaining of dizziness and nausea. During M.T.'s physical
exam, he... Show more content on Helpwriting.net ...
"Vasodilatation reduces cardiac preload and afterload and decreases the myocardial oxygen requirements needed for circulation. Vasodilatation of
the coronary arteries improves blood flow through the partially obstructed vessels as well as through collateral vessels" (Bolooki and Askari,
2014). Nitrates, such as nitroglycerin reverse the vasoconstriction associated with thrombosis and coronary occlusion. Morphine is the analgesic
opioid of choice for ischemic cardiac pain. Morphine has been shown in studies to decrease cardiac workload and decrease the anxiety and fear
associated with chest pain. The heart is influenced by the needs of the body. Bed rest is important during the acute phase of a myocardial
infarction because when a person is at rest, the organs, muscles and tissues will require a reduced amount of blood and oxygen (Peate and Jones,
2014). This results in a decrease workload of the heart and myocardial oxygen consumption, decreased blood pressure, and decreased heart rate.
Vital signs should be closely monitored after a STEMI to monitor for any potential complications. Hypotension is a potential complication when
using vasodilators such as nitroglycerin and in the use of opioids such as morphine sulfate to control pain associated with MI's. Blood pressure also
needs to be closely monitored because heart failure is a serious complication after a STEMI. Cardiac monitoring should be included for the first 24
hours after a STEMI for early detection

Detection or Identification of Trace Amounts of Explosives
The detection and/or identification of trace amounts of explosives.
The review of each method should include a description of the way the method works and the advantages and drawbacks of the technique.
Introduction
An explosive, are reactive substances that contain a large amount of potential energy that can yield an explosion if they are released rapidly, they are
accompanied by the production of light, heat, sound, and pressure. Mainly used in the mining industry for extraction of minerals and resources,
explosives have been used as a weapon of destruction. Explosives often contain oxidising substances such as nitrates chlorates, and a binding agent
such as ammonium and potassium, which can be detected and analysed to prevent such substances from being used as a weapon.
Explosives detection is critically important in many field settings (e.g., military facilities, minefields, crime scenes, and remediation sites) and has
become a necessity for the safety of the general public (e.g., at airports and mass transit areas), there remains a demand for inexpensive and reliable
explosive instruments for identifying specific explosives. High explosives are considered to be organic and oxidizing, a relatively uncommon mixture
that makes them tractable for molecular recognition.
On 22 December 2001 Richard Colvin Reid also known as the Shoe Bomber attempted to detonate explosives packed into the shoes he was wearing,
while on American Airlines Flight 63 from Paris to Miami.

Personal Narrative: An Emergency Room Nurse
I applaud you for being an emergency room nurse and being attentive enough to be able to catch a potential complication for the patient. My husband
had an anaphylactic reaction to Morphine after a knee surgery several years ago. Recently, my husband went to an emergency room with chest pain and
diaphoresis. The admission clerk immediately took my husband immediately took my husband back and alerted the nurse. The facility he went to is one
my husband that has all of his current history which included his allergy. The nurse obtained lab, an electrocardiogram, and ordered a chest x–ray. She
then informed the doctor of my husband's status. The nurse then brought a syringe full of medication and nitroglycerin to my husband's bedside. She
gave my

Chest Pain Versus Chest Pain
A 65–year–old male presents to a physician's office with complaints of continuous chest pain for the past week. He states that the chest pain was
precipitated with climbing stairs, but now complains that it has become progressive in nature over the past 7 days and is considerably worse when
performing the same activity. He describes the chest pain as "pressure–like" and non–radiating. The symptoms are associated with mild dyspnea on
exertion, mild nausea, and diaphoresis. He denies any syncope, palpitations, or vomiting. He has a medical history of hypertension, type 2 diabetes, 30
pack–year tobacco use, and a positive family history of heart disease. He currently takes hydrochlorothiazide 25 mg once a day, long–acting insulin
10U qhs SQ, ... Show more content on Helpwriting.net ...
This is as evident in the most updated from AHA's ACLS guidelines. Aspirin's mechanism at the cellular level is inhibition of cyclooxygenase 1 and 2,
which causes decreased arachidonic derivative formation in pain and inflammation. At a low dose form, it causes irreversible acetylation of COX–1
leading to inhibited thromboxane A2 production, which results in inhibited platelet generation; an antithrombotic effect.
Choice "A" is not the best answer. Changing the patient's long–acting blood pressure medications will not have any immediate benefit to this patient at
this time.
Choice "C" is not the best answer. Note the patient's blood pressure: it is low to mildly hypotensive. Nitrates would be dangerous to give in such a
scenario at this time, because of its potent vasodilatory effects, which can exacerbate the patient's already low blood pressure. Withholding from other
blood pressure lowering agents is also warranted in this case, which includes

Thematic Essay: The Industrial Revolution
Industrial Revolution :Thematic Essay The Industrial Revolution began in England , spreading to the rest of Western Europe and the United States.The
Industrial Revolution started from the early 1700s ,to the late 1800s. Advancements in technology produced the Industrial Revolution while
advancements in science and medicine altered the lives of people living in the new Industrial cities .While it may be true that many inventions were
created during this time ,it can be argued that the light bulb and dynamite had the greatest impact on society. In 1819, times were different .The
conveniences we have now and sometimes take for granted, were not available to people back then .One of those things was the invention of the light
bulb. There was a need for this invention because, before light bulbs there were oil lamps. Light bulbs helped because the light lasted longer and also
because it allowed for people to do many things at night, such as work. Thomas Edison invented the light bulb. Edison tried thousands of different
materials for his filaments, but most of them produced light or only a short time. He finally tried a carbonized cotton thread, which burned for many
hours. Eventually, light bulbs were made using metal... Show more content on Helpwriting.net ...
In order for railroads, trains and clear paths they needed something to help them get there. In 1860 Alfred Nobel invented dynamite. The need for
dynamite was for mining and for safer ways to blast holes in mountains or rather than simply lighting black powder. Also to clear paths, to build roads
and railroads Alfred Nobel was a Swedish chemist, engineer and innovator and an armanent manufacturer. Dynamite is nitroglycerin with sillicia, which
would turn the liquid into a malleable paste which is dynamite. One advantage of dynamite over nitroglycerin is that it could be cylinder shaped for the
inserim into the drilling holes used for

On-line Dangers Essay
On–line Dangers
In this day and age of super high–speed networking and digital communications, just about anything on any subject can be found on the Internet. Some
materials, such as online libraries are helpful, some, such as student's personal homepages are fairly useless, and some sites, such as online medical
references, can be lifesaving. All these sites have a right to be on the web. However, there are also sites that could be detrimental to people, such as
pornography sites, pages detailing the manufacture of illegal drugs, and instructions on how to build high explosives and other illegal devices. With the
number of these types increasing daily, parents and lawmakers alike are becoming concerned for the well being of the ... Show more content on
Helpwriting.net ...
This type of direct meeting can ultimately result in the child's death. Also, children may come across pornographic material in any one of the alt.sex
news groups. These news groups provide a public forum for the discussion of various topics. Several of the alt.sex news groups are alt.sex.incest,
alt.sex.beastiality, and alt.sex.pedophilia. Although there are bills providing penalties for the knowing transmission of indecent material to minors
through a remote computer or other means, child pornography is still a major problem and threat in cyberspace
There are, however, some types of sites that have content that could be hazardous to the public in general, not just children, and have no place on
public forums. One example of this type of site is the "Books for a Free People". This site contains various books for download, including the "Big
Book of Mischief", which has details on how to build explosives, and the "Book of Fun", which gives detailed instructions on how to do illegal things
such as stealing HBO and eavesdropping on cellular telephone conversations. While these two acts are not physically dangerous, they are still illegal.
However, the "Big Book of Mischief" has explicit instructions on how to manufacture such dangerous compounds as nitroglycerin.
NITROGLYCERINE
Nitroglycerin is one of the most sensitive explosives, if it is not the most sensitive. Although it

Esther Jackson Case Study
What do you suspect is the cause of the patient's symptoms? Esther Jackson's symptoms lead me to believe that she is having a myocardial infarction.
Her symptoms are similar to Jarvis' elaboration, "Heaviness or pressure; poorly localized pain lasting 20–30 minutes to hours and does not resolve with
rest. Generalized substernal or retrosternal pain with indigestion–like feeling, nausea and or vomiting" (2017, p. 493). Describe the course of action that
you will take to confirm this suspicion and prevent further decline. I give Esther oxygen, reposition her sitting up in bed and call a rapid response to
the floor. If Ester had orders for morphine I would administer that to relieve pain and reduce anxiety until I got orders from the rapid response

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