unlabored 18 rpm‚ no use of accessory muscles.Patient states she has to use 2 pillows at night to sleep. Oxygen @ 2L per nasal cannula‚ patient wears 24/7. Heart rate and rhythm regular‚ S1/S2 auscultated‚ apical pulse 68‚ no gallops noted‚ no murmurs auscultated. Abdomen soft‚ nontender to palpation‚ scar from belly button to pelvis (patient has history of C-section and hysterectomy)‚ Bowel sounds present and active x 4 quadrants‚ patient states that last BM was normal earlier this AM. Patient
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Pharmacology Current Event A Daughter with Down syndrome: A Father’s Testimony Jack Barr Jr. and his wife Jana never imagined that there first born daughter would be born disabled. There were no complications during the pregnancy and no warning signs to indicate that anything unusual might be happening inside the womb of Jana Barr. It wasn’t until three days after Mrs. Barr gave birth that the doctor realized that Marley‚ the Barr’s new baby girl had Down syndrome (DS). Down syndrome
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described in each new scene allows the reader to better understand Daisy’s emotions and how she affects those around her. In the beginning of the story‚ Nick goes to see Daisy at her house. He lets the readers know that he’s "heard it said that Daisy’s murmur was only to make people lean toward her; an irrelevant criticism that made it no less charming." Daisy asks Nick questions‚ "in her low thrilling voice. It was a kind of voice that the ear follows up and down as if each speech is an arrangement of
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tightening of the abnormal valve leaflets against the pressure load of the left ventricle. If there is associated leakage of blood through the abnormal valve opening a "whooshing" sound can be heard immediately following the clicking sound. This is a heart murmur. After a doctor believes to have detected mitral valve prolapse the patient is sent for an echocardiograph. An echocardiograph is the most useful test for mitral valve prolapse. Echocardiography can measure the severity of prolapse and the degree
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* Hg (36.5-94-14-120/87). OTHER FINDINGS * The chest was clear to auscultation bilaterally * The cardiovascular system (CVS) examination showed that she had clear heart sounds (clear S1S2) but she was tachycardic. There were no murmurs‚ or gallops * The examination of the extremities showed no cyanosis or edema She had a decreased skin turgor. * The neurological examination showed that she was somnolent‚ but without focal findings of neurological
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wanted was ordinary miracle‚ the falling away of everything wrong. Silly maybe or maybe I was right‚ that there’s no limit to the ways eternity suggests itself‚ that one day I’ll slip into it‚ say floor-length plum charmeuse. Someone will murmur‚ “She is sublime‚” will be precisely right‚ and I will step‚ with incandescent shoulders‚ into my perfect evening.
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of her life. ‘No.’ Victoria was hurt beyond measure. She had never had any reason to suspect Chinedu was cheating on her. Tears welled up in her eyes. ‘How was your romantic relationship with Chinedu broken?’ Bimpe continued. ‘I became pregnant.’ A murmur of disapproval filled the courtroom once more. ‘Order! Order! Order!’ The female registrar shouted. ‘Chinedu did not want the pregnancy‚’ Monica continued. ‘He told me to abort it. I staunchly refused yet he promised me a lot of things including marriage…’
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within fifteen minutes and can save a life. Heart attacks are the number one cause of death in America and invasive cardio is changing that. When I was two I had ventricular septal defect and I had to have open heart surgery. Invasive cardio can fix murmurs in people by going up either the arm or leg and there will be no scar from where the surgery was done so I wish I would have had that option when I was little. Invasive cardiologists are different than a surgeon because the cardiologists don’t actually
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Authors create suspense by making the reader feel something wrong is going to happen in their novel. Some authors that do that are Edgar Allan Poe and Ray Bradbury in their stories‚ “The Tell-Tale Heart”‚ and “The Pedestrian.” Edgar Allan Poe uses suspense in his story‚ “The Tell-Tale Heart” when the old man the narrator is trying to kill wakes up and does not go back to sleep. “I had my head in‚ and was about to open the lantern‚ when my thumb slipped upon the tin fastening‚ and the old man sprang
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ACKNOWLEDGMENT It gives me an immense pleasure in presenting this case study‚ which is made for the partial fulfillment of the requirement for the fourth year of B.Sc. Nursing Programme. We were provided 8 weeks of the clinical practice‚ at Shahid Gangalal National Heart Center. During our 8 weeks of clinical exposure each student had to do a detailed study of one cardiac problem. During my clinical exposure to Coronary Care Unit (CCU) for 1 week I got an opportunity to take case for study. We
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