A product with a large advertising budget has its sales S (in millions of dollars) given by S = 200 t + 2 400 (t + 2)2 where t is the number of months the product has been on the market. (a) Find the rate of change of sales at any time t. S' = (b) What is the rate of change of sales at t = 2? (c).

1. Evaluate the following discharge summary compared to CMS regulations and recommend
additional element or elements needed to meet CMS regulations.
Discharge Summary
Discharge Date: 8/1/2017
Pertinent History: The patient is a 34-year-old female admitted through the ER on 7/24/2017
with severe, stabbing, low-back pain and inability to urinate. The patient has a long history of
pelvic inflammatory disease, with three surgical episodes to remove implants. CT scan revealed
a mass in the area of the kidneys.
Hospital Course: The patient was admitted, prepped, and taken to surgery. Exploratory
laparotomy revealed an area of pelvic inflammatory disease involving both kidneys in dense
adhesions. Cultures indicate chlamydia. Both ureters were almost totally blocked. Dense
adhesions were painstakingly taken down. This was done very carefully and requires several
hours of surgery. Care was taken not to sever the kidneys or ureters. Intercede adhesion barrier
was applied.
Postoperatively, the patient was pain-free.
Discharge Instructions: The patient was discharged home.
Diagnosis: Severe pelvic adhesions, chlamydia infection.