Edgardo Yoast is a 72-year-old male who was brought to the ED today from a nearby extended care facility due to increasing unresponsiveness over the past 24 hours. He weighs 81.8 kg, has no known allergies, and takes memantine and vitamin E. He only responds to painful stimuli by groaning even though his eyes open spontaneously. He does not follow commands. His blood pressure has dropped to the low 100s/60s. His skin is flushed and cool to touch. His respirations are 26 and slightly labored. Admission orders have been written.

Mr. Yoast has been a resident of a local extended care facility for the past 10 years because his family is no longer able to care for him due to his Alzheimer's disease. His medical and surgical history is fairly insignificant but he is positive for mild hypertension, for which he receives no medications. His blood pressure normally runs in the 140s to 160s/90s. His normal mental status includes responsiveness to his name and following the routine of the extended care facility appropriately. He is normally able to feed and toilet himself, but on occasion, he is incontinent of both urine and stool. The nurse at the extended care facility reports the patient has just completed a course of antibiotics for a urinary tract infection.

Vital Signs: HR 132, BP 82/58, RR 26, SpO2 94% on room air, Temp 35.4. No labs have resulted as yet and we can't get his daughter on the phone for more history or code status.

Write an SBAR using the patient information above.

How/what would you say for A (assessment)?

Answers

Answer 1

Edgardo Yoast, a 72-year-old male with Alzheimer's disease, was brought to the ED from an extended care facility due to increasing unresponsiveness over the past 24 hours.

He only responds to painful stimuli by groaning and does not follow commands. His blood pressure has dropped to the low 100s/60s, his skin is flushed and cool to touch, and his respirations are 26 and slightly labored. He weighs 81.8 kg, has no known allergies, and takes memantine and vitamin E. His normal mental status includes responsiveness to his name and following the routine of the extended care facility appropriately. He is normally able to feed and toilet himself but is occasionally incontinent of both urine and stool. The patient recently completed a course of antibiotics for a urinary tract infection.
For the assessment, it appears that Mr. Yoast is experiencing a decline in his condition. His unresponsiveness and lack of response to commands indicate a deterioration in his mental status. The drop in blood pressure, flushed skin, and cool touch suggest a possible sepsis or other systemic infection. Additionally, his recent history of a urinary tract infection may indicate a possible source of infection. Further evaluation and intervention are needed to address his condition and determine the underlying cause of his decline.

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Related Questions

If a study is comparing number of falls by age, age is considered what type of variable

Answers

Answer:

ratio variable

Explanation:

Age is considered a ratio variable because it has a “true zero” value.

answer this bc i am to lazy please-

Which choice is the best scientific description of salad?

difficult to separate solution

easy to separate solution

impossible to separate mixture

easy to separate mixture

Answers

Answer:

I think its easy to separate mixture

Explanation:

Its easy to separate lettuce from tomato, unless its a salad with dressing

A person who speaks out on behalf of someone else or for a group they are not a part of is a(n)

Answers

Answer:

The answer is Ally

Explanation:

Okay, I need help with a question! This is it:

What is something you could do to help a friend who has consumed too much alcohol be safe?

Answers

I would tell them to find counseling and tell them that they’ll get through this because I’m their friend and I will be there to help them and help them break to habit

what diagnosis would you give Mr. Thompson? why do you believe it to be so (explain using test results such as color, smell, pH,cells, casts, benedicts test and biuret's test)? do you think there may be casts present in his urine? if so, what type of xasts might be found in his urine?

Answers

As per the given information and the results of the tests, the diagnosis for Mr. Thompson can be interstitial nephritis. Interstitial nephritis is the inflammation of the connective tissue surrounding the renal tubules.

There may be several reasons for the inflammation like drug reactions, viral infections, and some autoimmune diseases. The test results and the symptoms can provide evidence for the diagnosis. The tests are discussed below-

Color, Smell and pH- The color of urine can be pale yellow to dark amber depending on the concentration. Mr. Thompson has an amber color of urine. There is no specific smell of the urine. The pH of the urine is slightly acidic, which is normal.

Cells and Casts- There are WBCs and RBCs present in the urine of Mr. Thompson, indicating inflammation in the urinary tract. The presence of WBCs is an indication of an infection, whereas RBCs indicate inflammation of the renal system. Casts are protein-based structures formed in the distal convoluted tubule and collecting ducts. In Mr. Thompson's urine, there may be casts present, but the type cannot be identified without a microscope.

Benedict's Test- Benedict's test is a qualitative test for the presence of reducing sugars in urine. Mr. Thompson's test is positive for glucose. It is a symptom of diabetes.

Biuret Test- Biuret test is a qualitative test for the presence of protein in urine. The test of Mr. Thompson is positive for protein, which is the sign of interstitial nephritis. Therefore, it can be concluded that Mr. Thompson has interstitial nephritis.

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what are the possible reason of alcoholism?​

Answers

Answer:

Your culture, religion, family, and work influence many of your behaviors, including drinking. Family plays the biggest role in a person's likelihood of developing alcoholism. Children who are exposed to alcohol abuse from an early age are more at risk of falling into a dangerous drinking pattern.

Why would a patient with myasthenia gravis have improvement of their symptoms when taking an acetylcholinesterase inhibitor like mestinon?.

Answers

Some medications for myasthenia gravis work by inhibiting, which stops the breakdown of acetylcholine. These acetylcholinesterase inhibitors make more acetylcholine facilitates muscular contraction and activation.

What triggers myasthenia gravis?

Lack of medication or other causes, such as a respiratory illness, emotional stress, surgery, or another sort of stress, may result in a myasthenia crisis. A person in a serious crisis may need to be put on a ventilator to assist with breathing until their muscular strength improves after receiving therapy.

What organs are impacted by myasthenia gravis?

Myasthenia gravis (MG) is an autoimmune disease that causes the body's immune system to accidentally attack its own tissues. MG affects the relationship between the nerves and muscles (the neuromuscular junction). People with MG lose the ability to control their muscles voluntarily.

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Evaluate the change in mortality over the course of the 20th century.
O Life span did not change significantly.
Life span increased at a very steady rate throughout the 100-year period.
Life span increased dramatically in the first 50 years and then more gradually in the second 50 ye
Life span increased gradually in the first 50 years and then very dramatically in the second 50 yea

Answers

The change in mortality over the course of the 20th century is that:

Life span increased dramatically in the first 50 years and then more gradually in the second 50 year; option C

What is life span or life expectancy?

Life span or life expectancy is the number years an individual in a population is expected to live from birth to death.

Mortality refers to the incidence of death among individuals in a given population.

Over the last 100 years, there has bee a marked increased in the life span of human in the first 50 years and then more gradually in the second 50 years. Therefore, there was a decrease in mortality.

On average, during the last 100 years, statistics indicate that life expectancy at birth for men increased from 48 to 74 years for men, and  for women, it increased from 51 to almost 80 years.

The reasons for this significant increase include:

advances in medicine and healthcareIncrease in human development index.

In conclusion, there has been a significant increase in life span of humans over the last 100 years.

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HELP ASAP
How does your stress impact the people around you? Give at least three examples or situation that have caused you stress and have impacted others. Please explain how your stress can affect people around you physically, emotionally, intellectually, and socially.

Answers

Stress is a common reaction to difficult circumstances or events, and it has a variety of effects on individuals. Others around you may suffer physically, emotionally, cognitively, or socially as a result of your stress.

What impact does stress have on others around you?

It might be challenging to interrupt the loop that develops as you grow more stressed because you also generate chemicals that energise those around you. Facial expressions, voice frequency, odour, and touch are all ways that secondhand stress can be transmitted.

What are the difficult circumstances that students face?

Homelessness, academic or personal rivalry, self-imposed pressure to succeed, social anxiety, and a high workload are among other stressors. Inadequate sleep, a poor diet, and even too much downtime can all cause stress in students.

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NEEDED ASAP PLS!!

To safely and properly clean equipment, the employee should

A) make sure the equipment is unplugged before servicing.
B) make sure the equipment is plugged in before servicing.
C) only use soap on the equipment.
D) clean it once per week.

Answers

Answer:

A

Explanation:

Please help me with this.

Please help me with this.

Answers

Answer:Nucleotides

Explanation: The repeating subunits of nucleic acids are known as Nucleotides

In at least 50 words, explain what “effective communication” is in your own words.

Answers

Effective communication” is explained below in my own words.

Effective communication is that the method of exchanging concepts, thoughts, opinions, knowledge, and knowledge in order that the message is received and understood with clarity and purpose. after we communicate effectively, each the sender and receiver feel happy.

By delivering messages clearly, there's no area for misunderstanding or alteration of messages, that decreases the potential for conflict. In things wherever conflict will arise, effective communication could be a key issue to confirm that things is resolved in an exceedingly respectful manner.

An effective communicator is somebody who conveys their message totally and is receptive and tuned in to others' input. those that are robust communicators speak in an exceedingly clear, direct manner, victimization simply understood language.

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Evaluate and distinguish between the anatomical and functional divisions of the nervous system.

Answers

The anatomical division of the nervous system refers to its physical structure, while the functional division refers to the different roles and activities of the nervous system.

The nervous system is divided into two main divisions: the anatomical division and the functional division.

The anatomical division of the nervous system refers to its physical structure and organization.

It consists of the central nervous system (CNS), which includes the brain and spinal cord, and the peripheral nervous system (PNS), which includes the nerves and ganglia outside of the CNS.

This division is based on the arrangement and location of the nervous system structures.

On the other hand, the functional division of the nervous system refers to the different roles and activities performed by the nervous system. It is based on the functions and responsibilities of the nervous system components.

The functional division includes the somatic nervous system, which controls voluntary movements and receives sensory information, and the autonomic nervous system, which controls involuntary processes and regulates bodily functions.

In summary, the anatomical division of the nervous system pertains to its physical structure, while the functional division focuses on the various functions and activities performed by the nervous system components.

These two divisions provide complementary perspectives to understand the nervous system and its role in the body's functioning.

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All the oils are not part of my plate they are still important for a good health should you eat a lot of oil why or why not 

Answers

While oils are not typically considered a food group, they do play an essential role in a healthy diet. Oils are a concentrated source of dietary fats, which are vital for several physiological functions in the body. Fats provide energy, support cell growth and development, help absorb fat-soluble vitamins, insulate and protect organs, and contribute to hormone production.

However, it's important to consume oils in moderation and make wise choices about the types of oils consumed. Some oils, such as those derived from plant sources like olive oil, canola oil, and avocado oil, are rich in monounsaturated and polyunsaturated fats, which are considered heart-healthy. These fats can help reduce bad cholesterol levels and lower the risk of heart disease when consumed in place of saturated and trans fats.

On the other hand, oils high in saturated and trans fats, such as coconut oil, palm oil, and hydrogenated oils, should be consumed sparingly. These fats can raise cholesterol levels and increase the risk of heart disease when consumed in excess.

The American Heart Association recommends that most individuals consume around 5-6 teaspoons of oil per day as part of a balanced diet. It's important to note that oils should be used in conjunction with other nutritious foods, including fruits, vegetables, whole grains, lean proteins, and dairy or dairy alternatives.

In summary, while oils are important for good health, it's crucial to consume them in moderation and choose healthier options rich in unsaturated fats. Incorporating a variety of oils into your diet, while balancing them with other nutritious foods, can contribute to overall health and well-being. Consulting with a healthcare professional or registered dietitian can provide personalized guidance on the appropriate amounts and types of oils to include in your diet.

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Not using a protective mask around chemicals could result in which of the following injuries?
breathlessness
brain damage
pneumonia
Ocollapsed lung

Answers

Answer:

breathlessness

Ezzzzzzzzzzzzzzzzzzzzzzzzzz

Which measurement would body mass index mostly likely indicate

Answers

Answer:

What is body mass

Explanation:

Do the Soul Cleanse exercise again. Turn on music, and set a timer to spend at least 60 seconds in exploring forgiveness opportunities, focusing on people and things you're thankful for and recognizing the confidence you have in a specific area in your life.

Next, reflect on how this exercise helps you see more of the purpose in your life. Write down the thoughts that come to your mind during each period. How can following through on each of these thoughts help you cleanse your soul?


HURRYY

Answers

Answer:

I'm able to eliminating toxins ( negatives ).

Fresh mindStress reliefImproved mental healthBoosts immunityImproves flexibility and strength

Explanation:

My grandma practices this, so she makes me do this, LOL.

the table of initial isolation and protective action distances provides specific guidance for:

Answers

The table of initial isolation and protective action distances provides specific guidance for evacuating people during an emergency situation.

Initial isolation and protective action zones are determined using the Table of Initial Isolation and Protective Action Distances. The distances stated in the table can vary depending on the conditions of the accident. These distances are only a guide and must be supplemented with actual data obtained by meteorological and other observations.

The table of initial isolation and protective action distances provides specific guidance for evacuating people during an emergency situation. It assists in the preparation of evacuation zones and emergency planning to protect public health and the environment from exposure to toxic and hazardous materials.

The Table of Initial Isolation and Protective Action Distances helps in estimating the initial cordon distances or evacuation zones, which are used by responders in case of accidents or the release of hazardous substances. The table provides guidance for evacuation or isolation and explains the critical distances for the initial protective actions required for human safety.

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Carolina often engages in positive self-talk. I can do this! is an example of
positive self-talk.
4
True
False?

Carolina often engages in positive self-talk. I can do this! is an example ofpositive self-talk.4TrueFalse?

Answers

Answer: true!

Explanation: because she is making her self confident in what she is doing

Which symptoms are negative effects of performance-enhancing drugs? Check all that apply.

infections
mood swings
vomiting
liver damage
diabetes
enlarged heart

Answers

Liver damage, infection, and mood swings are symptoms that are negative effects of performance-enhancing drugs.

What are the performance-enhancing drugs?

Performance-enhancing chemicals, commonly known as performance-enhancing medications, are compounds used to boost human performance in any type of activity.

Doping in sports is a well-known example, in which athletes and bodybuilders employ banned physical performance-enhancing medications. it causes various types of infection, liver damage, and diabetes or life-threatening diseases.

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Answer:

Its 2,4,5,6

Explanation:

The Mood Swings

The Liver Damage

The Diabetes

and

The Enlarged Heart

Pasteurized products such as milk and fruit juices are?

Answers

Pasteurized products, such as milk and fruit juices, are heated to temperatures that reduce bacteria to safe levels.

Pasteurization is a method of food preservation in which pathogens are removed and shelf life is increased by heating packaged and unpackaged goods (such milk and fruit juices) to a low temperature, typically under 100 °C. Although most bacterial spores survive the procedure, it is meant to kill or inactivate microorganisms and enzymes that contribute to food deterioration or disease risk, including vegetative bacteria.

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list and explain at least 3 treatment options for tobacco addiction/recovery​

Answers

Answer:

There are effective treatments that support tobacco cessation, including both behavioral therapies and FDA-approved medications. FDA-approved pharmacotherapies include various forms of nicotine replacement therapy as well as bupropion and varenicline. Research indicates that smokers who receive a combination of behavioral treatment and cessation medications quit at higher rates than those who receive minimal intervention.37,40,162–167 Interventions such as brief advice from a health care worker, telephone helplines, automated text messaging, and printed self-help materials can also facilitate smoking cessation.163 Cessation interventions utilizing mobile devices and social media also show promise in boosting tobacco cessation.168 It is important for cessation treatment to be as personalized as possible, as some people smoke to avoid negative effects of withdrawal while others are more driven by the rewarding aspects of smoking.

Explanation:

Select the correct answer.
Which statement correctly describes the position of the structures?
OA.
The navel is superior to the head.
B.
The head is inferior to the abdomen.
O C.
The heart is anterior to the breastbone.
OD
The heart is medial to the arm.
Reset

Select the correct answer.Which statement correctly describes the position of the structures?OA.The navel

Answers

Answer:

OA

Explanation:

the navel is superior to the head

How long does it take for chlamydia to cause infertility in females.

Answers

There is no clear timeline on how long it may take for this to occur - while one study suggests that after exposure to the bacteria, it can take a few weeks for PID to develop, the NHS estimates that 1 in 10 women with untreated chlamydia could go on to develop PID within a year.

Garlic K recen LAKERS W3S
What bird is that and does it lay egg, is it a broundy hen cause i been saerching up for 32 min why does my hen doest lay on her egg.​

Answers

When a hen is broody, it means something — instinct or hormones — have triggered a response in the bird making her want to stop laying.

What is Hatching?

Hatch the eggs she already laid and raise chicks, regardless if those eggs have been fertilized by a rooster. In some cases, the hen stops laying and sits on anything remotely egg-shaped and tries to hatch it.

“It’s really part of their natural behavior,” said Dr. Anne Lichtenwaler, DVM, University of Maine associate professor of animal and veterinary sciences and director of the University of Maine veterinary diagnostic laboratory.

“Sitting on eggs is supposed to happen, of course, but you don’t want them to go all broody.”

Therefore, When a hen is broody, it means something — instinct or hormones — have triggered a response in the bird making her want to stop laying.

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how much should the leg be flexed for a lateral projection of the knee?

Answers

For a lateral projection of the knee, the leg should be flexed at a specific angle to obtain an optimal image. The recommended flexion angle is typically around 20 to 30 degrees.

This specific flexion angle allows for better visualization of the joint space and structures within the knee, providing a clear and accurate image for diagnostic purposes. When the leg is flexed at this angle, the joint space in the lateral aspect of the knee opens up, allowing for a more unobstructed view of the structures.

It helps to separate the femur (thigh bone) and the tibia (shin bone) and prevents superimposition of the bones, which can hinder the interpretation of the radiograph. Additionally, the flexion of the leg helps to relax the surrounding soft tissues, such as the muscles and tendons. This relaxation reduces any potential distortion or overlapping of structures, ensuring a more detailed and precise image.

It is crucial to maintain consistency in the degree of flexion during the procedure. Too much flexion can cause excessive overlap and compromise the visualization of specific anatomical features, while too little flexion may not adequately separate the structures of interest.

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PIC BELOW IT IS PE PLEASE HELP 15 POINTS

PIC BELOW IT IS PE PLEASE HELP 15 POINTS

Answers

Answer:

I believe it is 1/3

Explanation:

6 and 3 are fact family

Describe how to determine your maximum heart rate and why heart rate is important to monitor while exercising

Answers

How to determine: you count how many times your pulse beats in 10 seconds, then multiply that times 22. That’s your BPM. This is important because a higher-than-normal heart rate could be a sign of poor health or an underlying health issue.

Answer:

you can determine your maximum heart rate by subtracting your age from 220. It is important to stay within the range of 50% to 85% of your maximum heart rate while exercising in order to benefit most from your workout safely. Monitoring heart rate is important because working your heart at maximum capacity or too high actually limits the amount of oxygen your body can get. Your heart rate can be monitored by using a heart monitor or monitoring your pulse during exercise

Explanation:

sample response

A nurse is reinforcing education for a client with allergies about anaphylaxis. What should the nurse be sure to include in this discussion?

Answers

A nurse reinforcing education for a client with allergies about anaphylaxis should be sure to include the following points in the discussion: Definition of anaphylaxis, Signs and symptoms, Common triggers, Emergency treatment,  Prevention strategies, and Follow-up care.

1. Definition of anaphylaxis: Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur rapidly, usually within minutes or hours after exposure to an allergen.

2. Signs and symptoms: Common signs and symptoms include hives, itching, swelling, difficulty breathing, rapid or weak pulse, low blood pressure, nausea, vomiting, diarrhea, dizziness, and loss of consciousness.

3. Common triggers: Some common triggers of anaphylaxis include insect stings, certain foods (e.g., peanuts, tree nuts, shellfish, and eggs), medications, and latex.

4. Emergency treatment: Clients should be educated about the importance of carrying and knowing how to administer an epinephrine auto-injector (EpiPen) to treat anaphylaxis. They should also know to call emergency services immediately after administering the medication.

5. Prevention strategies: The nurse should discuss ways to avoid allergens, such as reading food labels, communicating with healthcare providers about allergies, and being cautious in environments where allergens may be present.

6. Follow-up care: Clients should be advised to visit an allergist or immunologist for further evaluation and to develop a comprehensive allergy management plan.

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Vocabulary:
Amateur

Definition:
________

Sentence:
_________

Answers

Explanation:

Advanced Search

Random Word

amateur Share

An amateur is a person who does something for enjoyment, not money, like an amateur who paints as a hobby but earns a living another way.

The adjective amateur often describes a pastime, like an amateur sports league that people join to get exercise and socialize together. Or it can have a negative meaning and describe something that's poorly done. If your guests leave your dinner table and stop for fast food on the way home, you may be ashamed of your amateur cooking skills. Amateur originated as a French word, meaning "lover of," not "expert."

Definitions of amateur

noun someone who pursues a study or sport as a pastime

see more

noun an athlete who does not play for pay

see more

adjective engaged in as a pastime

“an amateur painter”

“gained valuable experience in amateur theatricals”

synonyms:recreational, unpaid

nonprofessional

not professional; not engaged in a profession or engaging in as a profession or for gain

adjective lacking professional skill or expertise

synonyms:amateurish, inexpert, unskilled

unprofessional

not characteristic of or befitting a profession or one engaged in a profession

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