Scenario Your patient presents to the emergency department .pdf
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Scenario: Your patient presents to the emergency department with nausea, vomiting, diarrhea, and a fever of 101.7. Upon assessment and inquiry of recent travel, your patient states they were swimming in a lake and contracted the symptoms soon after. A stool sample is collected confirming Cryptosporidium. Due to the severity of symptoms and patient's PMH, the patient will be admitted to the ICU for close observation. PMH CHF (heart failure) and Afib Home Medications 1. Lasix (Furosemide) | 10 mg | 1x daily | PO 2. Coreg (Carvedilol) | 3.125 mg | 1x daily | PO New medications ordered 1. Amphotericin B | 0.5 mg/kg/day | IVPB 2. Famotidine | 20 mg | every 12 hours | IV Push 3. Normal Saline | 125 mL/hr | continuous infusion | IV Directions You will need to include the following elements in your case study. List the interactions found by going to the following link ( look at MEDSCAPE drug interaction checker) and checking the medications the patient is prescribed to assess for any interactions List concerns with the interactions, medications, and treatment plan List a minimum of (5) recommendations to prevent any adverse events.
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The Capsule - June 2017-issue 4 (1)
The Capsule, is a monthly newsletter edited, designed and published by Cleveland Clinic Abu Dhabi Pharmacy Quality and Medication Safety team for our caregivers to spread pharmaceutical information, safety and quality practices .
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Draw an
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Give Zofran 4 mg IVP
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2. The initial focus is on early recognition and treatment within the first hour including antibiotics, fluid resuscitation, lactate monitoring, and source control. Vasopressors, inotropes, steroids and other supportive care measures are also addressed.
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random, Find the probability that the student was female OR got an " B "..
Scenario When we hear fake news we often think of politi.pdf
Scenario: When we hear "fake news," we often think of politicians and the media. However,
businesses also perpetuate fake news, often unwittingly. LeanSpa, an internet retail business that
sold purported weight loss products under various brand names, hired LeadClick to provide online
advertising through its affiliate network. Toward that end, certain LeadClick affiliates used fake
news sites to market LeanSpa products. These fake news sites looked like genuine news sites in
that they had logos styled to look like news sites, and they included pictures of supposed reporters
next to their articles. The articles generally represented that a reporter had performed independent
tests that demonstrated the efficacy of the weight loss products. The websites also frequently
included a Consumer Comment section, where purported consumers praised the products. No
consumers were commenting, however, since this content was invented. See this module's
assigned textbook reading for a synopsis of the LeadClick case.
Based on this case, the module resources, and your own experience, answer these questions:
1. Who has or should have primary responsibility for managing fake news and its consequences
(i.e., social media companies, advertising companies, business, everyday citizens, government
authorities, or others)? Why?
2. Is it unethical for a company to allow its ads to run on a controversial websitesuch as one that is
promoting untested scientific data or one that includes what is commonly accepted as hate
speecheven if doing so generates significant revenue for the company? Explain your position..
SBF Inc a crypto exchange that is definitely not a gigantic.pdf
SBF Inc, a crypto exchange, is projected to generate $11 million in operating cash flow next year growing 3% annually. It has 27 million preferred shares paying a $0.20 annual dividend. Using a 10% discount rate, the value of the firm's common shares is $X million.
Salata Ya Depolama SOS irketi tesislerinin byk bir bl.pdf
Salata Ya Depolama (SOS) irketi, tesislerinin byk bir blmn uzun vadeli borlarla finanse etmitir.
nemli bir temerrt riski var, ancak irket henz iplerin zerinde deil. Aklamak:
A. SOS hissedarlar, zsermaye ihrac ile finanse edilen pozitif NPV projesine yatrm yaparak neden
kaybedebilir?
B. SOS hissedarlar, nakitle finanse edilen negatif NBD'li bir projeye yatrm yaparak neden
kazanabilir?
C. SOS hissedarlar neden byk bir nakit temett deyerek kazan elde edebilir?.
Scenario RK is an 85yearold woman who lives with her hus.pdf
Scenario
R.K. is an 85-year-old woman who lives with her husband, who is 87. Two nights before her
admission to your cardiac unit, she awoke with heavy substernal pressure accompanied by
epigastric distress. The pain was reduced somewhat when she rolled onto her side but did not
completely subside for about 6 hours. The next night, she experienced the same chest
pressure. The following morning, R.K.'s husband took her to the physician and she was
subsequently hospitalized to rule out myocardial infarction (MI). Laboratory specimens were drawn
in the emergency department. She was given an intravenous (IV) line, oxygen (O2) at 2 L via
nasal cannula, and 325 mg chewable, nonenteric-coated aspirin. You obtain the following
information from your history and physical examination: R.K. has no history of smoking or alcohol
use, and she has been in good general health, with the exception of osteoarthritis of her hands
and knees and some osteoarthritis of the spine. Her only medications are simvastatin (Zocor),
ibuprofen as needed for bone and joint pain, and herbs. Her admission vital signs (VS) are blood
pressure 132/84 mm Hg, pulse 88 beats/min, respirations 18 breaths/min, and oral temperature 99
F (37.2 C). Her weight is 114 lb and height is 5 ft, 4 in. Moderate edema of both ankles is
present; capillary refill is brisk and peripheral pulses are 1 +. You hear a soft systolic murmur. She
denies any discomfort at present. You place her on telemetry, which shows the rhythm in the
following figure.
Case Study Progress
After some rest, R.K.'s chest pain has subsided, and she tells you she feels much better now. You
review her laboratory results.
Chart View
Laboratory Results
12-lead ECG: Light left-axis deviation, normal sinus rhythm with no ventricular ectopy
Serial CPK tests are 30 units/L at admission, 32 units/L 4 hours after admission
Cardiac troponin T is less than 0.01 ng/mL (at admission) and same result 4 hours after admission
Cardiac troponin T is less than 0.03 ng/mL (at admission) and same result 4 hours after admission
D-dimer test result less than 250 ng/mL
Case Study Progress
R.K. has no further episodes of chest pain, and she is discharged to home the next day. She is to
see a cardiologist this week and set up an appointment for outpatient testing. As you present the
discharge instructions, you review the proper technique for taking sublingual nitroglycerin for chest
pain.
QUESTION:
REASON FOR SEEKING HEALTH CARE:
Priority Assessment:
four Problem/ Nursing, 5 interventions and 5 responses and evaluation for each diagnosis.
four Goal/Outcome,
Concept Map for CardiacConcept Map for Cardiac.
Scenario Full Office Deployment Proposal Your company has m.pdf
Scenario: Full Office Deployment Proposal
Your company has made the decision to open new office space at the Hukilau Marketplace
located at 55-370 Kamehameha Hwy, Laie, HI. 96762. The new space will occupy 7,000 square
feet and 45 employees. The space will serve as a hybrid call center that includes several tourist
guide stations providing assistance, information on cultural, historical, and contemporary heritage
to people looking for guided sightseeing tours.
Create a proposal including the following elements that will be part of your full office deployment
using best practices:
Server Architecture and Server Baseline
Storage Capacity
Hardware and Software Troubleshooting
Server Backup/Restore
Encrypted File System
Security Protection
Server Hardening
Users and Groups for Active Directory
Principle of Least Privilege
Disaster Recovery.
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Satc tarafndan ynetilen envanter (VMI) hakknda aadaki ifadelerden hangisi doru DELDR?
Yant seenekleri grubu
A. VMI, envanteri ynetmenin baka bir yoludur.
B. VMI, tedarikilere firmann envanterine ve tahmin verilerine eriim salamaz.
C. VMI, veri paylam asndan tedariki ile mteri arasnda ibirlii gerektirir.
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Sawyer Industries, Inc. (SII), developed standard costs for direct material and direct labor. In 2011,
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plastic container.
Direct materials
Budgeted quantity 0.20 pounds
Budgeted price $25 per pound
Direct labor
Budget quantity 0.10 hours
Budget price $15 per hour
During July, SII produced and sold 10,000 containers using 2,200 pounds of direct materials at an
average cost per pound of $24 and 1,050 direct manufacturing labor hours at an average wage of
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Compute the materials price and quantity variances..
Saving a nation health insurance plan ECON 365 Part H Your.pdf
To keep the national health insurance plan solvent through the next election in 2027, the minimum number of immigrants needed each year is 500,000. The president's advisers believe re-election will be close and xenophobic sentiment may hurt if too many outsiders enter the country annually. Determining the lowest number of immigrants required will help balance keeping the plan solvent with political concerns over immigration levels.
SARSCoV2 the novel coronavirus responsible for COVID19 .pdf
SARS-CoV-2 binds to ACE2 receptors to infect cells. The document shows ACE2 binding site similarity data for humans and several mammals, with humans and rhesus macaques having complete similarity and masked palm civets having the lowest. Research has found all species can be infected except one; based on the ACE2 similarity data, the house mouse is the species that cannot be concluded to be infected by SARS-CoV-2.
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Saving and investment in the national income accounts The following table contains data for a
hypothetical closed economy that uses the dollar as its currency. Suppose GDP in this country is
$1,800 million. Enter the amount for investment. National Income Account Value (Millions of
dollars) Government Purchases (G ) 450 Taxes minus Transfer Payments (T ) 585 Consumption
(C ) 675 Investment (I ) Complete the following table by using national income accounting
identities to calculate national saving. In you.
Sarah was born on May 18 1955 A For Social Security what.pdf
Sarah was born on May 18, 1955
A. For Social Security, what is her Full Retirement Age?
B. Describe what would happen to her social security benefits if she elected to start receiving her
social security benefits at age 62.
C. Describe what would happen to her social security benefits if she elected to start receiving her
social security benefits at age 70.
Sara and Tara are identical twins They were married in a do.pdf
Sara and Tara are identical twins. They were married in a double wedding ceremony to two young
men they met in college. All four adults were healthy and loved to participate in exercise and
athletic competitions. Over the next 2 years, one couple had a baby girl, and the other had a baby
boy. Because of a variety of circumstances, the twins and their families rarely saw each other over
the next 20 years, and the children grew up without knowing each other. When they were 22, they
met at a large family reunion, fell in love, and were married in a quiet ceremony in Las Vegas.
Eight months later they were devastated when their baby was born prematurely and stillborn. Can
you anticipate a possible cause for the fetal demise? List at least four qualities of a disorder that
would indicate the need for genetic referral, and explain why these qualities should make you
consider genetics as a contributing factor. Why is karyotyping not used to identify genetic/genomic
disorders that are caused by single nucleotide polymorphisms such as sickle cell disease (SCD)?
How is this condition identified?.
Sanderson Engineering is a private nonrepresented company a.pdf
Sanderson Engineering is a private non-represented company and is owned by John Williams,
CEO. who bought the company twenty years ago. Although John owns the company, he never
changed the company name. John kept the Sanderson name to retain the customers Sanderson
serviced during that ownership. Sanderson Engineering is based in San Jose, Califomia and has
39 employees at that location. In addition to the office staff, 10 employees work remotely.
Sanderson also has 5 outside sales representatives but they rarely come to the office because
they are out in the field the majority of their. day. Sanderson does not have a human resources
department. Instead, John Williams, CEO and Mariela Ruiz, VP take care of the majority of human
resources functions. The Department Managers are responsible for their own recruiting,
onboarding, discipline, and training. Mariela updates policies, procedures, and the Employee
Handbook. The company does not have a progressive discipline policy. Instead, the company
maintains a policy that allows flexibility to discipline employees on the merits of the infraction
including immediate termination. The company clearly documents the "employment-at-will" on all
documents including the Employee Handbook and offer letters. The company pays all health
premiums for employees and contributes 4% to the employees 401K as long as the employee
contributes 10% of their wages to the plan. The company enjoys a low fumover rate, and the
average employee has over 10 years with the company. Employees consider the environment as
a family environment and employees are considered high producers. The majority of the
employees have a bachelor's degree or above. Employees recelve 80 hours of PTO upon hire,
120 hours of PTO starting year 3 , and 160 hours of PTO on his or her 5th year, all PTO eamings
are based upon continuous employment. Employees get a 5% pay increase if they receive an
exceeds or above on their annual performance review. This policy is well documented in the
employee handbook and is a policy Mariela authored and approved herself. The company also
maintains one of the highest benefits packages in the industry. Rachel Griffin works for Sanderson
Engineering as an Office Manager She started as a receptionist in 2010 and was promoted to
Office Manager in 2019 . Although she is an Orfice Manager. she is paid an hourly rate of $19.00
an hour. Mariela has not received a pay increase since her promotion in 2019. Sam White has
worked for the company for over 30 years and was one of the few employees who worked for the
previous owner. Sam is the Sales VP and oversees the entire sales representative team who are
in the field the majority of the time. Prior to Sam's promotion in 2020 to VP. he held the position of
Engineering Senior Manager. Sam is well liked by the statf and is considered a fair person with a
high level of emotional intelligence. Sam is being considered for another promotion to Sr. VP and
will take over some of Marie.
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