PIER + ABCDEFGH Identify your pt: DOB‚ CC‚ HPI PIER Use the "PIER" mnemonic to assess for adequacy of the film. * Position: Typically‚ upright PA and lateral. Sick patients will have the fuzzier supine AP (because the film is slid under their chest as they are lying down). Size of the heart is exaggerated in AP view compared to PA. Edge of the medial border of scapula is at the midline of lung field in AP. * Inspiration: Count the visible ribs. Lung fields should extend to about the 10th
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CHEST PAIN Chest Pain Overview If you are having severe pain‚ crushing‚ squeezing‚ or pressure in your chest that lasts more than a few minutes‚ or if the pain moves into your neck‚ left shoulder‚ arm‚ or jaw‚ go immediately to a hospital emergency department. Chest pain is one of the most frightening symptoms a person can have. It is sometimes difficult even for a doctor or other medical professional to tell what is causing chest pain and whether it is life-threatening. * Any part of the
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attention when they experience chest pain. Many patients assume the chest pain is from indigestion or acid peptic symptoms. These patients waste time with antacids. Chest pain may be accompanied with vomiting‚ sweating and breathlessness. It is known that 15-20% of heart attacks can be painless especially in diabetics and elderly. Severe chest pain can be caused by several other issues and it needs to be ruled out to receive proper treatment. Five known causes for chest pain are pericarditis‚ aortic
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been made in the thoracic cross-section imaging‚ chest radiography remains the main diagnostic concept applied in dealing with pulmonary diseases. It is the frequent diagnosis performed for patient suspected of thoracic abnormalities. Since the discovery of X-ray‚ much technological advances have been made to improve chest radiography. Progresses in film based imaging have led to development in excellent screen film systems that are designed for chest radiography. More recent advancement in computer
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Diagnosis Need Desired Outcome Interventions Rationale Evaluation Activity Intolerance Related to Surgical incision as manifested by Chest Tube Thoracostomy inserted at left lung. • Subjective Data: “Di ako makaligo ng mabuti kasi ang daming nakakabit sa katawan ko” • Objective data: - limit movements and requires to have assistance in some activities to be performed - Strenuous activity was restricted by the AP - (+) dry skin - Afebrile - Dry scalp noted - On 3rd day without bath
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greed holds the power to influence people beyond belief. Some civilizations have fallen due to the powers of greed‚ while others have prospered into grand empires. Greed is largely influential in the novel The Lord of the Rings ‚ along with Treasure Island . The Lord of the Rings: Return of the King by J.R.R Tolkien is the third book of the Lord of the Rings trilogy. It follows the end of the journey of Frodo Baggins and the Fellowship and their journey to destroy an evil Ring by throwing it
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ANALYSE THE CHARACTER OF JIM HAWKIN Jim Hawkin: Jim Hawkins is the young boy. Jim is the son of an innkeeper near Bristol‚ England‚ and is probably in his early teens. It is his feelings‚ perceptions‚ and emotional responses that the reader responds to and views the story through. Jim Hawkins is the typical young boy‚ who through no fault of his own‚ becomes involved in the ultimate adventure‚ especially for a boy of his age. Through this process‚ Jim transforms from someone who is merely an onlooker
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Chest Tube Insertion‚ Infant A chest tube is a thin‚ flexible tube that is inserted into the space between lung and chest wall. Air or fluid can collect in this space and cause infants to have breathing trouble. Infants at risk for this complication include those who: • Have lungs that are not fully developed at birth. • Breathe in stool during the birth process (meconium aspiration). • Need to be on a machine to help them breathe (ventilator). • Have surgery on the heart or lungs
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percutaneously placed at bedside‚ in comparison with the tradition large-caliber (32-40F) chest tubes (CTs) that are placed by an open cut-down technique 1-3. The PC’s roles and its effectiveness in the management of trauma patients with pneumothorax 3 and hemothorax (HTX)/hemopneumothorax (HPTX) 4 have previously been published. It is controversial and many clinicians still question whether or not blood in the chest cavity can be effectively drained by such a small caliber PC and whether or not one always
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Austin 1 Andrea Austin 9-21-08 ENGL 258 Paper #1 The Collector of Treasures The social imbalances between men and women are evident in the story “The Collector of Treasures.” While the woman struggles for her own individual freedom‚ the man embraces his and neglects his duties as a father and husband. Freedom is not being alone‚ without responsibility. It is being loved and storing treasures of friendship throughout life. A woman can never be free if she knows her husband is always getting
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