Assessment: Heart Failure: Mr. Jones with past medical history of MI‚ and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites
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people of this country demanded change from the failures of the articles of Confederation. In modern times‚ Americans debate the issues of national or individual rights‚ and whether the constitution has address our concerns. Currently‚ I feel the constitution addresses national rights but not individual rights. One failure of the Articles of Confederation was that power was only given to central government. The money that produced within the articles didn’t hold the value and brought the economy down
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Articles of Confederation What is your idea of our nation’s first government? Because if it’s even close to successful‚ it’s wrong. The government under the Articles of Confederation is evidence of this. Saying it was the opposite of successful would be an understatement; something like “complete failures” would be much more accurate. The government under the Articles of Confederation failed due to its inability to get money from the 13 states‚ its trouble handling foreign affairs‚ and
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PEER TO PEER ARCHITECTURE : Synopsis In a peer-to-peer (P2P) network‚ every machine plays the role of client and server at the same time. Although a P2P network has a number of advantages over the traditional client-server model in terms of efficiency and fault-tolerance‚ additional security threats can be introduced. Users and IT administrators need to be aware of the risks from propagation of malicious code‚ the legality of downloaded content‚ and vulnerabilities within peer-to-peer software.
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National identity is defined as the sense of a nation as a cohesive whole. Sure‚ the colonists knew that they wanted more freedom and their own government‚ but their first attempt at such a government‚ the Articles of Confederation‚ was a failure. What they wanted as the nation of the United States of America would remain hazy until the founding fathers sat down and wrote the Constitution. The Constitution reflects the emerging sense of the American identity to the greatest original extent: acting
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Congested Heart Failure Education Sommer L. Kitchin NSG 4028 Concepts of Teaching & Learning May 16‚ 2015 Targeted Audience • Patients who have been diagnosed with heart failure also referred to as congested heart failure (CHF) including those newly diagnosed. • Family members to those with CHF‚ with a more stronger focus on those new to the diagnosis. • For those who do not have family members participating in the management of their care‚ but does have a strong support person and/or caregiver
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Summary 5 Authoritative Articles “Racism in Heart of Darkness” Chinua Achebe’s article "An Image of Africa: Racism in Conrad’s ’Heart of Darkness’" was basically written about the racism Achebe encountered in “Heart of Darkness”. Achebe criticizes Joseph Conrad for his racist stereotypes towards the continent and people of Africa. Achebe claims that Conrad spread the image that people imagined rather than portraying Africa in its true form. Africans were shown in “Heart of Darkness” as savages
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Congestive heart failure‚ affecting about 5 million Americans‚ is the leading cause of death among Americans‚ accounting nearly 700‚000 deaths. It is twice as many as stroke and seven times as many as breast cancer [Herold‚ 2001]. Sudden cardiac failure‚ a form of congestive heart failure in which the heart fails without advanced warning‚ causes about half of the total deaths. For the remaining half‚ congestive heart failure doesn’t mean that the heart completely stops working; it means that the
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Congestive Heart Failure July 9‚ 2013 Congestive heart failure‚ also called CHF‚ is a serious disease when the heart muscles have been damaged or has to work hard due to other diseases. Common complications of a heart attack and other types of heart disease that damage the heart can result in CHF. Congestive heart disease can affect both right and left sides of the heart‚ but can affect one more than the other. In left-sided congestive heart failure‚ the left side is damaged and is unable
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Congested Heart Failure (adapted from McGraw Hill Case Studies) Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington‚ a 74-year-old woman with a history of rheumatic fever while in her twenties‚ presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she’s had in her ankles for years has started to get worse over the past two months‚ making it especially
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