The correct action for the nurse to take first when transitioning a client with diabetic ketoacidosis (DKA) from a regular insulin infusion to insulin glargine would be to continue the insulin infusion for 1 to 2 hours after the glargine is started.
What is diabetic ketoacidosis (DKA)?Diabetic ketoacidosis (DKA) is a serious and potentially life-threatening complication of diabetes mellitus that occurs when there is a shortage of insulin in the body.
Insulin is a hormone that regulates the metabolism of glucose, which is the body's main source of energy. When there is not enough insulin, the body cannot use glucose for energy, so it starts to break down fat instead. This process produces ketones, which are acidic byproducts that can build up in the blood and cause the blood to become too acidic (a condition called acidosis).
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The nurse provides care for a client diagnosed with diabetic ketoacidosis (DKA) and receives a prescription to transition the client from a regular insulin infusion to insulin glargine. The first action the nurse should take is to Continue the insulin infusion for 1 to 2 hours after the glargine is started.
The nurse's first action should be to continue the insulin infusion for 1 to 2 hours after the glargine is started. This is because insulin glargine has a slow onset and peak effect, and the regular insulin infusion will need to be continued until the glargine begins to take effect. Checking the client's blood glucose every 30 minutes for 24 hours, monitoring the client for signs of seizure activity, and discontinuing the insulin infusion should also be done, but not before the glargine has had time to begin working. This is done to ensure a smooth transition and prevent any sudden changes in the client's blood glucose levels, which could cause complications.
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the nurse knows which diagnostic test is used to document the anatomic site of reflux and provides a quantitative measure of the severity of valvular reflux?
The diagnostic test used to document the anatomic site of reflux and provide a quantitative measure of the severity of valvular reflux is a Doppler echocardiogram.
The explanation for this is that a Doppler echocardiogram uses sound waves to create images of the heart and its valves, allowing the nurse to visualize the anatomic site of the reflux and measure the severity of the valvular dysfunction. This test is non-invasive and provides valuable information for the evaluation and management of patients with valvular reflux.
In summary, a Doppler echocardiogram is the diagnostic test used to identify the anatomic site of reflux and quantify the severity of valvular reflux.
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You have just started preparing your room for the next surgery on the schedule. Your next patient is 5'10" and
weighs 310 lbs. The patient has a history of diabetes and hypertension. The surgeon calls and has expressed
that he is running behind in his office but he is going to run over to do his cases. He also wants to flip rooms
in hopes to expedite his time in the OR today. He wants you to bring the patient back to the room as soon as
possible. During the case, you and the scrub tech are both relieved for lunch, and when you return from
lunch, the closing counts are being performed. What are some of the risk factors in this case that may
contribute to a retained surgical item? Select all that apply.
The patient's medical history was notable because it included preeclampsia from her second pregnancy, which occurred nine years ago. For 15 years, she smoked half a pack of cigarettes every day. Her monthly alcohol consumption ranged from one to two drinks and was restricted to social engagements. She followed a healthy, low-salt diet and regularly exercised. On her maternal side, essential hypertension was very typical.
The patient's blood pressure was 172/100 mm Hg in both arms during a physical examination, and her heart rate was 90 beats per minute. The results of the fundoscopy were normal. A grade 2/6 systolic ejection murmur was detected during a cardiac examination near the right upper sternal boundary. A systolic-diastolic bruit over the right midabdomen without palpable masses was noted on abdominal examination.
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All pandemics are caused by infectious virus or bacteria that cross from animals to humansa. Trueb. False
Answer:
False, not all viruses are zoonotic diseases. Some originate within the human body such as influenza type a
Explanation:
What is the relevance of statistic to Biochemistry?
Answer:
The use of statistics permits clinical researchers to draw cheap and correct inferences from collected info and to create sound selections within the presence of uncertainty. Mastery of applied math ideas will stop varied errors and biases in medical analysis.
A surgeon has explained an upcoming procedure to the client and the client has signed the informed consent form. An hour later the client tells the nurse, “I’m not really sure if I should have this operation. It sounds like there are a lot of risks”. What is the nurse’s responsibility in this situation?
Answer:
Calm the patient down
Explanation:
The patient already agreed to the procedure because he/she signed the informed consent form which means that the patient agrees to being a part of the procedure so legally the patient has to get the procedure. The nurse's responsibility in the situation is to "calm the patient down", perhaps talk about how to surgeon is an expert at his craft and he is good at what he does. You could also state all the benefits for getting the procedure to calm the patient down enough for him/her to be willing to go through with the procedure.
Hope this helps.
The nurse's responsibility in the situation is to calm down the patient and tell the patient about the operation he is having. She can also tell them to wait, but the last choice should be of the patient.
Who is a nurse?A nurse is a person who has received training in caring for those who are ill and old, and who may also assist medical professionals in treating patients.
The patient is not sure about the operation because he is afraid of the operation, the doctor and nurse must be told and explain to the patient the circumstances. But the patient shouldn't be forced by the nurse, because it can lead to problems.
Thus, the patient must be calmed down and informed of the procedure he is undergoing by the nurse in this case. She can also instruct them to wait, but the patient should make the final decision.
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Which nervous system includes the spinal cord? A. Somatic B. Central C. Sympathetic D. Autonomic
Answer:
B
Explanation:
The spinal cord is part of the central nervous system.
Blood Flow Worksheet, mind helping me out?
Answer:
I'll put (r) if red, (b) if blue after each word
1. heart (b), _________, vena cava (b)
2. right ventricle (b)
3. pulmonary (b), lungs (b)
4. atrium (r), pulmonary veins (r)
5. ventricle (r)
6. ventricle (r), aorta (r), __________
Explanation:
I *think* both of the blanks would be heart, but I'm not positive. And I would guess the first would be blue, and second would be red.
Sorry I didn't get them all.
pls paki answer nito kailangan lang
NONSENSE(REPORT)
True or False: According to the sliding filament theory, actin filaments actively attach to and pull on myosin filaments.
Answer:
False
According to the sliding filament theory, actin filaments actively attach to and pull on myosin filaments. When a motor neuron produces an action potential, the sarcomeres in the muscle fiber it innervates become shorter.
The technique where a person breathes in through the nose to a specifi c count and then exhales through pursed lips to double the intake count is known as a. sighing. b. deep breathing. c. meditation. d. autonomic ventilation. e. release management. 9. During autogenic training, a person a. contracts each muscle to about 70 percent of capacity. b. concentrates on feelings of warmth and heaviness
Answer:
a. sighing.
b. concentrates on feelings of warmth and heaviness
Explanation:
Which of the following organs or tissues can survive the longest without oxygen? A. muscle. B. heart. C. liver. D. kidneys.
Of the organs listed, the kidneys can survive the longest without oxygen. The kidneys are relatively resistant to hypoxia (lack of oxygen) compared to other organs. This is because the kidneys have a rich blood supply and can maintain a certain level of function even with reduced oxygen levels.
The brain is actually the most sensitive organ to oxygen deprivation and can quickly suffer irreversible damage if oxygen supply is interrupted. The heart, liver, and muscles also require a continuous supply of oxygen to maintain their functions.
However, it's important to note that prolonged oxygen deprivation can cause damage to any organ in the body, and the ability to survive without oxygen varies depending on factors such as individual health, temperature, and other circumstances. In general, prompt restoration of oxygen supply is crucial for the survival and optimal functioning of all organs in the body.
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Of the organs listed, the brain is the most sensitive to oxygen deprivation and has the shortest tolerance for lack of oxygen, among the options provided, the (A) muscle can survive the longest without oxygen.
Muscle tissue can endure a period without oxygen due to its ability to generate energy through anaerobic metabolism. During anaerobic metabolism, muscle cells can produce energy without oxygen for a short period of time.
This process involves the breakdown of glucose into lactic acid, which provides energy to sustain muscle function. This anaerobic energy production can last for several minutes, allowing the muscles to continue working even when the oxygen supply is temporarily limited.
In contrast, other organs such as the heart, liver, and kidneys are more dependent on a continuous supply of oxygen. The heart muscle, for instance, requires a constant oxygen supply to maintain its pumping function.
Without oxygen, the heart muscle would quickly suffer from oxygen deprivation and potentially lead to cardiac arrest. Similarly, the liver and kidneys, being highly metabolic organs, require a steady oxygen supply to perform their essential functions.
While the muscle can survive longer without oxygen compared to other organs, it is important to note that extended periods of oxygen deprivation can still cause irreversible damage to all organs in the body. The correct answer is A.
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which of the following is not true of the continuous quality improvement process?
medical prescription: aminophylline 50 mg orally 8/8 hours. available: 5% aminophylline solution - 50ml bottles. how many ml should be given?
Answer:
To calculate how many mL of the 5% aminophylline solution should be given, we need to use the formula:
(amount of medication needed / concentration of medication available) x volume of medication available = volume of medication to be administered
Using this formula, we can calculate the volume of the aminophylline solution to be given as follows:
(amount of medication needed) = 50 mg (concentration of medication available) = 5% (volume of medication available) = 50 mL
First, we need to convert 50 mg to grams by dividing by 1000:
50 mg / 1000 = 0.05 g
Next, we need to calculate the amount of aminophylline solution required. We can do this by rearranging the formula as follows:
(volume of medication to be administered) = (amount of medication needed / concentration of medication available) x volume of medication available
(volume of medication to be administered) = (0.05 g / 0.05 g/mL) x 1 mL
(volume of medication to be administered) = 1 mL
Therefore, to administer 50 mg of aminophylline orally every 8 hours, 1 mL of the 5% aminophylline solution should be given.
Explanation:
what further needs does kenneth bronson have at the end of the scenario that future nursing care should address?
In order to ensure that the patient is never given that drug again, the nurse should note that the patient has a newly discovered allergy and make sure to log it.
I would also educate patients about this new allergy as part of my nursing care. Additionally, the patient should continue to be closely watched in case of another reaction.
Make sure the patient is informed about how to take any prescription medications at home and which medication caused his anaphylactic reaction.
When you have anaphylaxis, your immune system releases a barrage of chemicals that can send you into shock, resulting in a drop in blood pressure and constricted airways that prevent breathing. A quick, weak pulse, a skin rash, nausea, and vomiting are some of the warning signs and symptoms.
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Rewrite 6.6.6.6 in exponential notation.
As a student/ As a 21st Century learner how will you preserve our pre-colonial literature?""
As a student of the 21st century, you can preserve pre-colonial literature by showing how it is the foundation for contemporary literature and can show a lot about the making of the American people.
What is the importance of pre-colonial literature?Literature has historical importance.Literature has social importance.Literature has political importance.Although it was written many years ago, pre-colonial literature is extremely important not just for literature, but for showing the construction of a nation, since literature is the result of the era in which it was written.
Therefore, a literature student can use it to show its connections with contemporary literature and the society we know.
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Mixed field reactions are seen with Anti-A and Anti-A,B and negative reactions with Anti-B and anti-A1 lectin are observed. Without further testing, the most likely conclusuion is that the patient is group
The most likely conclusion is that the patient is group A3 .
What are the lectins used in the A antiserum and B antiserum?
These contain specialized lectins for particular blood group antigens. These include Bauhinia purpurea (anti-N), Dolichos biflorus (anti-A1), Phaseolus lunatus (anti-A), Sophora japonica (anti A+B), Glycine soja (anti A+B), and Arachis hypogea (anti-T).What can cause mixed field reactions during forward ABO grouping tests?
The existence of a chimera condition or mosaicism within a person is one of the potential causes of mixed field reactions on ABO and Rh typing. When an individual contains two or more separate cell populations with genetic material from multiple zygotes, that person is said to be a chimera.What is a mixed field reaction?
Agglutinated cells combined with a large number of unagglutinated cells are known as "agglutinated cells admixed with mixed-field agglutination" in transfusion medicine. Chimerism is the existence of two or more cell populations.Learn more about antiserum
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a nurse is caring for a client with sepsis who was recently transferred to the intensive care unit following the development of disseminated intravascular coagulation (dic). the nurse understands that dic is most likely secondary to the infection causing the release of cytokines, which can cause:
The nurse understands that dic is most likely secondary to the infection causing the release of cytokines, beacuse widespread coagulation and bleeding in the vascular compartment.
Your body becomes inflamed when you have an infection. This increases the likelihood of blood clotting. The degree of inflammation in your body determines your chance of acquiring a DVT. Infections with greater severity produce more inflammation. Systemic or localised infections are independent risk factors for cardiovascular (myocardial infarction) and cerebrovascular events as well as thromboembolic illnesses such deep vein thrombosis (DVT)/pulmonary embolism (PE), which raise the risk of thrombosis by 2–20 times. Previously believed to have been lost during the evolution of vertebrates, bacteria can directly induce human blood and plasma to clot. New clinical approaches for treating severe medical illnesses like sepsis and anthrax may result from the discovery. Certain components of your blood thicken and solidify to create blood clots.
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yes i is going on a trip this
Answer:
I- thanks
Explanation:
30. Which of the following is not commonly used as an assessment procedure when counseling
children and adolescents?
A Conflict resolution skills
B. Drawings
C. Play Therapy
D. Clinical interviews
which of the following criteria is not clinical worthwhile when performing therapeutic drug monitoring?
Therapeutic Drug Monitoring (TDM) is a medical practice that involves monitoring the levels of certain drugs in the body to assess their effectiveness.
In order to ensure proper and safe drug dosages, clinicians must consider a range of criteria when performing TDM. The criteria that must be considered when performing TDM include pharmacokinetics, pharmacodynamics, patient response, patient compliance, cost-effectiveness, and laboratory accuracy. The criteria that is not clinically worthwhile when performing TDM is patient compliance. Patient compliance refers to the degree to which the patient adheres to the prescribed dosage and regimen of the medication. This criterion is not clinically worthwhile when performing TDM because it is difficult to measure and can be affected by many external factors, such as the patient's ability to access the medication.
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How did john watson have different view from sigmund freud
Explanation:
John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism.
Freud incorporated the concept of the unconscious to explain transference. Watson understood and was intrigued by Freud's definition of sexual transference, but he was searching for an explanation of transference that did not involve the unconscious (Watson & Morgan, 1917)
Answer:
John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism. After failing to explain psychoanalysis in terms of William James's concept of habit, Watson borrowed concepts from classical conditioning to explain Freud's discoveries. Watson's famous experiment with Little Albert is interpreted not only in the context of Pavlovian conditioning but also as a psychoanalytically inspired attempt to capture simplified analogues of adult phobic behavior, including the "transference" of emotion in an infant. Watson used his behavioristic concept of conditioned emotional responses to compete with Freud's concepts of displacement and the unconscious transference of emotion. Behind a mask of anti-Freudian bias, Watson surprisingly emerges as a psychologist who popularized Freud and pioneered the scientific appraisal of his ideas in the laboratory.
Explanation:
set as brainliest
Which is the correct path of an electrical excitation from the pacemaker to a cardiomyocyte in the left ventricle (LV)?
Answer:
The question is lacking the options, below is the completely stated question and options:
This is the correct path of an electrical excitation from the pacemaker to a cardiocyte in the left ventricle (LV).
A. sinoatrial (SA) node → atrioventricular (AV) node → atrioventricular (AV) bundle → Purkinje fibers → cardiocyte in LV
B. atrioventricular (AV) node → sinoatrial (SA) node → atrioventricular (AV) bundle → Purkinje fibers → cardiocyte in LV
C. sinoatrial (SA) node → atrioventricular (AV) bundle → atrioventricular (AV) node → Purkinje fibers → cardiocyte in LV
D. atrioventricular (AV) node → Purkinje fibers → atrioventricular (AV) bundle → sinoatrial (SA) node → cardiocyte in LV
E. sinoatrial (SA) node → atrioventricular (AV) node → Purkinje fibers → atrioventricular (AV) bundle → cardiocyte in LV
Answer:
The correct answer is:
sinoatrial (SA) node → atrioventricular (AV) node → atrioventricular (AV) bundle → Purkinje fibers → cardiocyte in LV (A.)
Explanation:
The electrical impulse conduction system of the heart refers to the pathways through which electrical signals pass, to cause excitation of specific paths of the heart, leading to depolarization, which in turn leads to contraction and relaxation of the heart. The correct excitation pathway is as follows:
1. Normal excitation originates in the sinoatrial (SA) node, from which depolarization spreads throughout the atria, causing impulses (excitation) to spread from the SA node to the atria. It is believed that this depolarization spreads to the atrial cells through adjacent myocardial cells and myofibrils.
2. Next, the depolarization from the atria reaches the atrioventricular (AV) node, causing excitation of the AV node. The AV node is located on the floor of the right ventricle, close to the interventricular septum. The excitation leaves this site by two pathways; the fast and slow pathways which vary based on the time of transmission of impulses to the next phase.
3. Next, from the AV node, the excitation is passed to the two branches of the bundle of His, which form a network of fibers known as purkinje fibers, from where excitation passes to the apical region of the left and right ventricles causing depolarization of the ventricular myocardium.
Attached to this answer is a picture to show what the pathway looks like.
The correct path of an electrical excitation from the pacemaker to a cardiomyocyte is:
sinoatrial (SA) node → atrioventricular (AV) node → atrioventricular (AV) bundle → Subendothelial conducting network → cardiomyocyte in LV.
The heart is a cone-shaped hollow muscular organ that possesses the property of generating its own electrical impulses or excitations.
It is divided into four(4) chambers namely the right ventricle, left ventricle, right atrium and left atrium.
The correct path of an electrical excitation is from:
The pacemaker: This is also called the sinoatrial (SA) node. It generates the electrical excitations.Atrioventricular (AV) node: The electrical excitation initiated by SA node is then transmitted to AV node. This transmits the signal from atria to ventricles.Atrioventricular (AV) bundle: These are specialised fibres that originate from the AV node. They are the bundle that divides to form the right and left bundle branches.Subendothelial conducting network: This is also called the Purkinje fibres which is formed within the ventricular myocardium.Cardiomyocyte of the left ventricle: The cardiomyocytes are set of cells that generates contractile force in the heart. These are located at the left ventricle.Therefore, the correct path of an electrical excitation from the pacemaker to a cardiomyocyte is:
sinoatrial (SA) node → atrioventricular (AV) node → atrioventricular (AV) bundle → Subendothelial conducting network → cardiomyocyte in LV.
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A patient with atherosclerotic heart disease experiences chest pain during exertion because: Select one: A. the coronary arteries suddenly spasm and cause a marked reduction in myocardial blood flow. B. tissues of the myocardium undergo necrosis secondary to a prolonged absence of oxygen. C. the ragged edge of a tear in the coronary artery lumen causes local blood clotting and arterial narrowing. D. the lumen of the coronary artery is narrowed and cannot accommodate increased blood flow.
A patient with atherosclerotic heart disease experiences chest pain during exertion because the lumen of the coronary artery is narrowed and cannot accommodate increased blood flow.
Atherosclerosis is a condition that is characterized by the accumulation of fatty plaques inside the walls of the arteries. The disease has an effect on the blood vessels and is the most common cause of heart attacks, strokes, and peripheral vascular diseases. The narrowing of the arterial lumen, or the space inside the artery through which blood flows, is caused by atherosclerosis.As a result, blood flow to the heart muscle is reduced, resulting in chest pain, which is also known as angina. The pain occurs when the heart muscle receives less oxygen than it needs during physical activity or exercise. This is due to the fact that the narrowed artery cannot supply enough oxygen-rich blood to the heart muscle during exertion, resulting in chest pain. The lumen of the coronary artery is narrowed and cannot accommodate increased blood flow is the correct answer.A patient with atherosclerotic heart disease experiences chest pain during exertion because the lumen of the coronary artery is narrowed and cannot accommodate increased blood flow.
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Why is mmHg used in medicine?
mmHg, or millimeters of mercury, is a unit of pressure commonly used in medicine to express pressure readings in blood vessels and the respiratory system.
The use of mmHg in medicine dates back to the development of the mercury manometer, which was used to measure blood pressure and other pressure readings in the human body.
Mercury manometers work by measuring the height of a column of mercury, which is proportional to the pressure being exerted on it. The height of the column is then expressed in millimeters, hence the use of mmHg. The use of mercury in manometers is preferred due to its high density, low vapor pressure, and easy readability.
Today, many modern devices, such as electronic blood pressure monitors, still use mmHg as the standard unit for measuring pressure in the human body. In medicine, mmHg is used to express pressure readings in the cardiovascular system, such as blood pressure, and in the respiratory system, such as air pressure in the lungs.
Knowing and understanding the units of pressure used in medicine, including mmHg, is important for accurate diagnosis and treatment of conditions related to blood pressure, respiration, and other medical conditions.
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5
Select the correct answer.
Which of the following vessels derive from the aortic arch?
OA. Right common carotid artery
OB. Right subclavian artery
OC. Brachiocephalic trunk
OD. All of the above
Answer:
All of the above
Explanation:
You are working in an outpatient surgical clinic in the preoperative holding area. Each patient is monitored with a
pulse oximeter. You check Mrs. O'Shaughnessy's fingers and notice that they are cold to the touch and have poor blood
return. What should you do?
You check Mrs. O'Shaughnessy's fingers and notice that they are cold to the touch and have poor blood the very first thing i will do that i will check all vital signs (blood pressure, heart rate, respiratory rate, temperature) refer to the physician in charge of the patient. In this patient who looks pale with a slight grimace on general survey, with irregular and bounding pulses, the differential diagnoses with be: (1) cardiac pathology, (2) hemorrhagic shock, or (3) severe anemia. The attending physician shall be informed immediately for the proper management to be ordered.
What are the basic diagnosis administered to the patient?The basic diagnosis administered to the patient are (blood pressure, heart rate, respiratory rate, temperature) refer to the physician in charge of the patient. In this patient who looks pale with a slight grimace on general survey, with irregular and bounding pulses, the differential diagnoses with be: (1) cardiac pathology, (2) hemorrhagic shock, or (3) severe anemia.
Therefore, the very first thing i will do that i will check all vital signs (blood pressure, heart rate, respiratory rate, temperature) refer to the physician in charge of the patient.
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what is the research question for napping on the night shift: a two-hospital implementation project
The research question for the project on napping during the night shift in two hospitals would likely be focused on the effectiveness and feasibility of implementing a napping program for night shift workers. Possible research questions could include:
- What are the attitudes and perceptions of night shift workers towards napping on the job?
- Does a napping program for night shift workers lead to improved alertness and performance on the job?
- How can a napping program be successfully implemented in two different hospital settings with varying work cultures and staffing levels?
- What are the potential barriers and facilitators to implementing a napping program for night shift workers, and how can they be addressed?
- How does the cost of implementing a napping program compare to the potential benefits in terms of worker safety and productivity?These are just a few examples of the types of research questions that could be explored in a study on napping during the night shift in healthcare settings.
The research question for the project "Napping on the Night Shift: A Two-Hospital Implementation Project" could be: "How does implementing a structured napping intervention during night shifts affect the health, well-being, and performance of healthcare workers in two different hospitals?"
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How do the circulatory and respiratory system work together to circulate blood and oxygen throughhout the body
Answer:
The circulatory and respiratory systems work together to circulate blood and oxygen throughout the body. Air moves in and out of the lungs through the trachea, bronchi, and bronchioles. Blood moves in and out of the lungs through the pulmonary arteries and veins that connect to the heart.
Explanation:
Catapres(R) decreases stimulation of the GI tract and acts as a mild sedative. It is known as the only alpha-receptor drug used to treat
a. Crohn's disease.
b. GERD
c. ulcerative colitis
d. vertigo
Answer:
C. Ulcerative colitis
Explanation:
I calculated it logically