This document summarizes various endocrine disorders and their treatment. It discusses diabetes mellitus types 1 and 2, diabetic ketoacidosis, hyperosmolar nonketotic coma, hypoglycemia, syndrome of inappropriate antidiuretic hormone secretion, diabetes insipidus, thyroid storm, and myxedema coma. For each condition, it describes the clinical manifestations and goals, treatments, and nursing management, which includes monitoring, medication administration, fluid management, and education. The document provides an overview of several endocrine disorders and therapeutic approaches.
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this presentation gives the information regarding cooking definition, its principles,and methods and also the protective measure to prevent nutrient loss while cooking, food preservation, and also provide information regarding food additives, its usage and its side effects, and finally preparation of 2 recepiees
Cookery rules and preservation of nutrientsmanisaikoduri
this presentation gives the information regarding cooking definition, its principles,and methods and also the protective measure to prevent nutrient loss while cooking, food preservation, and also provide information regarding food additives, its usage and its side effects, and finally preparation of 2 recepiees
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We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
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The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
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The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
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3. Diabetes Mellitus Is a disorder of the endocrine system that causes alterations in glucose metabolism.
4. Diabetes Mellitus: Type Type 1 – an absolute lack of insulin Type 2 – relative lack of insulin
5. Diabetes Mellitus Pancreas is an organ with both endocrine and exocrine functions - Exocrine function is to release a juice full of enzymes and other components that helps with the process of digestion
6. Diabetes Mellitus - Endocrine function (islets of langerhans) Beta cells produce insulin Alpha cells produce glucagon Delta cells produce somatostatin
8. Diabetic Ketoacidosis Beta cells have the inability to produce insulin Hyperglycemia – hyperosmolar state Electrolyte shifts and total body dehydration Formation of ketones because of breakdown of fats and protein
10. Diabetic Ketoacidosis: Goals of Treatment Correction of acidosis Correction of electrolyte and fluid disturbances Insulin to lower serum glucose levels Prevention of ketosis Prevention of complications
11. Diabetic Ketoacidosis: Treatments Closely monitor blood glucose levels and acidosis Replace fluids and electrolytes Administer insulin Monitor cardiac, pulmonary, neurologic systems
15. HyperosmolarNonketotic Coma A serious metabolic complication, usually seen in type 2 diabetes Results in dehydration and electrolyte disturbances without acidosis
16. HyperosmolarNonketotic Coma: Clinical Manifestation Profound dehydration Hypotension Tachycardia Diminished CVP Dry mucous membrane Poor skin turgor Neurologic impairments including confusion, seizures and coma
23. Syndrome of Inappropriate Secretion of Antidiuretic Hormone Patient has an excess of antidiuretic hormone secreted into the bloodstream, more than amount needed to maintain normal blood volume and serum osmolality
24. Syndrome of Inappropriate Secretion of Antidiuretic Hormone Excessive water is resorbed at the kidney tubule, leading to dilutionalhyponatremia
25. Assessment Early Clinical Manifestation: - dilutionalhyponatremiainclude lethargy, anorexia, nausea and vomiting
26. Assessment Symptoms of Severe Hyponatremia: - inability to concentrate, mental confusion, apprehension, seizures, decreased level of consciousness, coma and death
27. Nursing Diagnoses Excess Fluid Volume related to comprised regulation mechanism Anxiety related to lack of control over current situation or disease progression Deficient Knowledge: Discharge Regimen related to lack of previous exposure to information
28. Medical Management Fluid restriction Sodium replacement Medications that increase renal water excretion (Demeclocycline)
29. Nursing Management Restriction of Fluids - accurate intake and output - mouth care for fluid restriction - weigh patient to gauge fluid retention or loss of body fluid
40. Thyroid Storm: Pharmacologic Management A. Drugs that block thyroid synthesis Propylthiouracil (PTU) = blocks conversion of T4 to T3 B. Drugs that block release of thyroid hormone Iodides = decreases thyroid hormone production
44. Myxedema Coma Cell is unable to maintain processes necessary to sustain life - protein synthesis is curtailed - carbohydrates and fat metabolism is incomplete - lipolysis is ineffective, and cholesterol collects in the blood stream
45. Myxedema Coma: Clinical Manifestation Dull and mask-like face Damaged cardiac myocytes due to interstitial edema Pleural effusions ADH levels is increased Decreased gastric motility Heat production decreases
47. Myxedema Management: Nursing Management Ventilatory support ABG’s measurement ECG monitoring Measures to avoid skin breakdown Manage constipation Monitor I and O