...dose hypotensive effect May cause angioedema, which can occur up to 1 year after taking drug. Carvedilol- Dizziness and fainting with increased activity Decrease in tolerance for exercise Teach patient to report weight gain >2lbs in 1 day or 5lbs in 1 week. SOB Edema of feet or ankles Increased fatigue or weakness Teach patient to not abruptly stop taking due to risk for angina, heart attacks, sudden death, or rebound hypertension. May have adverse effects such as bradycardia, heart failure, wheezing, bronchospasm, or impotence. Nitroglycerin- Teach to apply to skin, upper arms, and upper...
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...NATURALLY OCCURING ASC * Shift in awareness from external events to internal thoughts * Typically occurs in teenagers more, when there is a lack of stimuli * Purpose: planning and problem solving, increase levels of creativity 2) Meditation – PURPOSELY INDUCED ASC * Progressive muscle relaxation * Deep relaxation, decreases stress 3) Alcohol-induced state – PURPOSELY INDUCED ASC * Consumed substance that slows or depresses the brain and nervous system * Can: impair memory, motor skills, affect emotional responses ect… Define: Hypothetical construct/Psychological – Something we believe exists but cannot be directly measured. INDICATORS OF AN ASC: Physiological (Bodily) * Heart rate (ECG) - may increase during certain ASC involving arousal, but generally will decrease - Eg. Sleeping, meditating * Body temp – Doesn’t change much, but drops about 1 degree whilst sleeping, if it rises too much, resulting in a fever, an ASC may be induced * Galvanic skin response – Indicates skins level of arousal by measuring electrical conductivity - Eg. LOW arousal during sleep,...
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...HEART RHYTHMS * 0.4 sec is the PR wave (it is actually the P-Q wave but called the PR wave) and it should be ≤ 0.20 sec. If it’s ≥ than that it indicates 1° heart block. * NSR: normal sinus rhythm, contraction originates from SA node and beats at 60-100 bpm * Sinus (atrial) Bradycardia: SA node discharges at < 60 bpm. TREATMENT is atropine and pacemaker if they become symptomatic. Usually the contractions are irregular but the same distance apart so they are irregular-regular * Sinus Tachycardia (atrial dysrhythmias): SA node discharges at > 100 bpm. Regular but fast; they won’t have heart block because the SA node is firing too rapidly. TREATMENT is BB or CCB to ↓ HR and BP * PAC (Premature Atrial Contraction): impulse travels across atria via abnormal pathway, creating a disturbed P wave. Contraction originates from ectopic focus in atrium other than the SA node. Caffeine and diet pills predispose people to these but they don’t adversely affect health. TREATMENT is none. * Atrial Flutter: atrial tachycardia resulting in recurring, regular sawtooth flutter waves. The ratio of atrial to ventricle contractions is 3:1. TREATMENT is synchronized cardioversion (like defibrillation but the less Joules, 150-200 vs 300, and you must push the “sync” button to synchronize the energy so as to not direct it onto the T wave and send the patient in V-fib) and ablations. * Valve Replacement: patient must be put on blood thinner afterwards and must be anticoagulated...
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...pain that began 2 hours ago. The patient describes the pain as pressure in the center of his chest. He rates his pain 7/10. He reports the pain is now radiating down his left arm and through to his back, he is diaphoretic, and complaining of shortness of breath. He denies nausea or vomiting. Mr. Smith reports no previous history of chest pain or pressure. He smoked one pack of cigarettes daily for 13 years but quit smoking last year. He denies a family history of heart disease. Upon initial examination he did not have jugular venous distension, no carotid bruits, normal S1 and S2 with an S3 present. No S4 or murmurs auscultated. Lung sounds clear to auscultation bilaterally, bowel sounds normal, all pulses palpable 2+/4, no edema present. Diagnostic data: BP: 165/98 mmHG HR: 96 bpm RR: 30 breaths/min Temp: 37 C SaO2: 96% with 2L/min O2 per nasal cannula Wt:100 kg A 12-lead ECG was performed in the emergency room showed: Normal Sinus Rhythm (NSR) with frequent premature ventricular contractions. ST segment elevation in Leads 1, aVL, and V2 through V6 (3mm). ST segment depression in Leads III and aVF. Q waves in V2 through V4. The chest X-ray revealed slight cardiomegaly with mild congestive heart failure. An echocardiogram reveals an ejection fraction of 30% and mild mitral valve regurgitation. Mr. Smith’s cardiac enzyme lab values were as follows: Admission 2000 Admission 2400 Day 1 0400 |CK (U/L) |255 |7400...
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...The Future of Cardiovascular Diagnostics THE MARKET, TRENDS & FUTURE DIRECTIONS Extracted on: 20 Apr 2011 Reference Code: BI00021-008 Publication Date: 02 Mar 2010 Publisher: Datamonitor © Datamonitor This content is a licensed product, no part of this publication shall be reproduced, sold, modified or stored in a retrieval system or transmitted in any form by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Datamonitor. The information in this document has been extracted from published research by a registered user of the Datamonitor360 platform. Datamonitor shall not be responsible for any loss of original context and for any changes made to information following its extraction. All information was current at the time of extraction although the original content may have been subsequently updated. Please refer back to the website http://360.datamonitor.com/ to view the most recent content and the original source of the information. To the maximum extent permitted by applicable law we exclude all representations, warranties and conditions relating to the facts of all publications. At time of publication no guarantee of accuracy or suitability, whether express or implied, shall attach to this publication (including, without limitation, any warranties implied by law of satisfactory quality, fitness for purpose and/or the use of reasonable care and skill). Please note that the findings, conclusions and recommendations...
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...J christine August 17, 2013 Tuesday Clinical Background Information Patient: Betty Boop Sex: Female Married status: Widowed Age: 79 No. of children: 2 Occupation: Disabled Date admitted: 09/03/13 Admitting diagnosis: Hematemesis, melanotic stools, cirrhosis, hepatorenal syndrome. Allergies: Codeine Signs and symptoms on admission: fatigue, lethargic, oriented x 1, vomiting bright red blood, reported recent black stools, jaundice. Summary of History and Physical on admission: Patient has a history of hepatitis C, alcohol abuse, cirrhosis, GI bleed, and pancreatitis. Patient was lethargic, with mental status changes. Patient’s appearance is jaundice, stomach distended and tender to palpation. History of Surgical Procedures with dates: Not Known Patient was brought to Memorial ER by her neighbor who was with patient when she collapsed while checking the mail. She has multiple home medications including lactulose. She has a history of hepatitis C, pancreatitis, cirrhosis, and alcohol abuse. Patient is allergic to codeine. She is suspected to have hepatic portal hypertension. She is on Protonix, multi-vitamins, folic acid, thiamine and lactulose at home. Skin appears to be jaundice. Seems confused and is only oriented to place. Pupil’s dilated, not reactive to light and conjunctivae pallor. Patient is in no respiratory distress. Her abdomen is hard and tender. Blood Pressure 79/46, pulse of 59, respiratory rate of 22, and temp of . Patient possibly...
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...Summary. Various anthropometric studies have been conducted in the last decade in order to investigate how different physiological or behavioral human characteristics can be used as identity evidence to prove the individuality of each person. Some of these characteristics are: face, eyes, ears, teeth, fingers, hands, feet, veins, voice, signature, typing style and gait. Since the first biometric security systems appeared in the market, an increasing demand for novel techniques that will cover all different scenarios, has been observed. Every new method appears to outmatch some of its competitors but, at the same time, presents disadvantages compared to others. However, there is still no method that consists a single panacea to all different scenarios and demands for security. This is the reason for which researchers are on a continuous effort for more efficient and generic biometric modalities that can be used in various applications. In this chapter, emerging biometric modalities that appeared in the last years in order to improve the performance of biometric recognition systems, are presented. The presented methods are divided in two major categories, intrusive and non-intrusive ones, according to the level of user nuisance that each system sets off. 1 Introduction Biometric recognition is a well-known research area that aims to provide more efficient solutions to everyday growing human need for security. Biometrics refers to methods that can be used for uniquely recognizing...
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... |2+1 |- |4 | | |C Programming and Data Structures |3+1 |- |6 | | |Network Analysis |2+1 |- |4 | | |Electronic Devices and Circuits |3+1 |- |6 | | |Engineering Drawing |- |3 |4 | | |Computer Programming Lab. |- |3 |4 | | |IT Workshop |- |3 |4 | | |Electronic Devices and Circuits Lab |- |3 |4 | | |English Language Communication Skills Lab. |- |3 |4 | | |Total |25 |15 |56 | EBOOKS FOR JNTU SUBJECTS : www.jntuworld.com JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY HYDERABAD. B.TECH. ELECTRONICS AND...
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...UNIVERSITY OF KERALA B. TECH DEGREE COURSE 2008 SCHEME ELECTRICAL AND ELECTRONICS ENGINEERING I to VIII SEMESTER SCHEME AND SYLLABUS BOARD OF STUDIES IN ENGINEERING AND FACULTY OF ENGINEERING AND TECHNOLOGY UNIVERSITY OF KERALA B.Tech Degree Course – 2008 Scheme REGULATIONS 1. Conditions for Admission Candidates for admission to the B.Tech degree course shall be required to have passed the Higher Secondary Examination, Kerala or 12th Standard V.H.S.E., C.B.S.E., I.S.C. or any examination accepted by the university as equivalent thereto obtaining not less than 50% in Mathematics and 50% in Mathematics, Physics and Chemistry/ Bio- technology/ Computer Science/ Biology put together, or a diploma in Engineering awarded by the Board of Technical Education, Kerala or an examination recognized as equivalent thereto after undergoing an institutional course of at least three years securing a minimum of 50 % marks in the final diploma examination subject to the usual concessions allowed for backward classes and other communities as specified from time to time. 2. Duration of the course i) The course for the B.Tech Degree shall extend over a period of four academic years comprising of eight semesters. The first and second semester shall be combined and each semester from third semester onwards shall cover the groups of subjects as given in the curriculum and scheme of examination ii) Each semester shall ordinarily comprise of not less than 400 working periods each of 60 minutes...
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...INSTRUCTOR GUIDE Human Anatomy & Physiology Laboratory Manual MAIN VERSION, Eighth Edition Update CAT VERSION, Ninth Edition Update FETAL PIG VERSION, Ninth Edition Update ELAINE N. MARIEB, R.N., Ph.D Holyoke Community College SUSAN T. BAXLEY, M.A. Troy University, Montgomery Campus NANCY G. KINCAID, Ph.D Troy University, Montgomery Campus PhysioEx™ Exercises authored by Peter Z. Zao, North Idaho College Timothy Stabler, Indiana University Northwest Lori Smith, American River College Greta Peterson, Middlesex Community College Andrew Lokuta, University of Wisconsin—Madison San Francisco • Boston • New York Cape Town • Hong Kong • London • Madrid • Mexico City Montreal • Munich • Paris • Singapore • Sydney • Tokyo • Toronto Editor-in-Chief: Serina Beauparlant Project Editor: Sabrina Larson PhysioEx Project Editor: Erik Fortier Editorial Assistant: Nicole Graziano Managing Editor: Wendy Earl Production Editor: Leslie Austin Composition: Cecelia G. Morales Cover Design: Riezebos Holzbaur Design Group Senior Manufacturing Buyer: Stacey Weinberger Marketing Manager: Gordon Lee Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings, 1301 Sansome St., San Francisco, CA 94111. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means...
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...0 8 2 C 8 6 8 5 6 2 3 0 0 38 8 8 8 8 6 2 0 0 40 8 8 6 6 6 2 2 2 40 6 6 8 2 Course No EC-1101 CS-1101 MA-1102 ME-1101 PH-1101/ CH-1101 CS-1111 EE-1111 PH-1111/ CH-1111 Course Name Semester-2 Basic Electronics Introduction to Computing Mathematics-II Engineering Mechanics Physics/Chemistry Computing Laboratory Electrical Science Laboratory Physics/Chemistry Laboratory Physical Training –II NCC/NSO/NSS Semester-4 Structural Analysis-I Hydraulics Environmental Engg-I Structural Design-I Managerial Economics Engg. Geology Laboratory Hydraulics Laboratory Physical Training-IV NCC/NSO/NSS Semester-6 Structural Design-II Structural Analysis-III Foundation Engineering Transportation Engineering-II Hydrology &Flood Control Concrete Lab Structural Engineering Lab L 3 3 3 3 3 0 0 0 0 0 15 3 3 3 3 3 0 0 0 0 15 3 3 3 3 3 0 0 T 0 0 1 1 1 0 0 0 0 0 3 1 1 0 1 0 0 0 0 0 3 1 1 1 0 0 0 0 P 0 0 0 0 0 2 2 2 2 2 6 0 0 0 0 0 2 2 2 2 4 0 0 0 0 0 2 2 C 6 6 8 8 8 2 2 2 0 0 42 8 8 6 8 6 2 2 0 0 40 8 8 8 6 6 2 2 MA-1201 CE- 1201 CE -1202 CE -1203 CE-1204 CE-1211 Semester-3 Mathematics-III Building Materials and...
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... Pays the required amount at OPD registration counter OPD file preparation by OPD executive Prescription is given by the doctor Further investigation (pathological/radiological) is done if prescribed Consultation charges are to be repaid on every 14th day of previous consultation. Functions of OPD • General Diagnosis and Treatment. • Prescription for further investigation and diagnosis. Organization of OPD Staff of OPD is made up of four major organizational components: 1. Medical Staff. o Most important and central to the organization. o Include the Doctors and Consultants. 2. Nursing staff: It includes registered nurses. 3. Ancillary staff: It includes Lab technicians. 4. Clerical Staff: It includes Staff which carries out registration, Billing, Cashiering, Secretarial and Medical record functions. II. RECEPTION AND ENQUIRY Reception is the main place of contact between patient and the hospital. An outpatient is usually a frightened person who needs reassurance...
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...Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India CONTENTS Message Foreword Preface Acknowledgements Executive Summary Indian Public Health Standards (IPHS) for Community Health Centres v vi vii viii 1 3 Introduction�������������������������������������������������������������������������������������������������������������������������������������������������������� 3 Objectives of Indian Public Health Standards (IPHS) for CHCs���������������������������������������������������������������������������� 3 Service Delivery in CHCs�������������������������������������������������������������������������������������������������������������������������������������� 3 Manpower����������������������������������������������������������������������������������������������������������������������������������������������������������� 8 Equipment��������������������������������������������������������������������������������������������������������������������������������������������������������� 11 Drugs�����������������������������������������������������������������������������������������������������������������������������������������������������������������...
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...Instructor’s Manual for the Laboratory Manual to Accompany Hole’s Essentials of Human Anatomy and Physiology Eighth Edition Terry R. Martin Kishwaukee College [pic] [pic] Instructor’s Manual for the Laboratory Manual to Accompany Hole’s essentials of human anatomy and physiology, eighth edition David shier, jackie butler, and ricki lewis Published by McGraw-Hill Higher Education, an imprint of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY 10020. Copyright © The McGraw-Hill Companies, Inc, 2003, 2000, 1998. All rights reserved. The contents, or parts thereof, may be reproduced in print form solely for classroom use with Hole’s essentials of human anatomy and physiology, eighth edition, provided such reproductions bear copyright notice, but may not be reproduced in any other form or for any other purpose without the prior written consent of The McGraw-Hill Companies, Inc., including, but not limited to, in any network or other electronic storage or transmission, or broadcast for distance learning. www.mhhe.com Contents PREFACE V An Overview vi Instructional Approaches viii Correlation of Textbook Chapters and Laboratory Exercises ix Suggested Time Schedule xi Fundamentals of Human Anatomy and Physiology Exercise 1 Scientific Method and Measurements 1 Exercise 2 Body Organization...
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...Essentials Ruth E. McCall, BS, MT (ASCP) Retired Program Director and Instructor Central New Mexico Community College Albuquerque, New Mexico President, NuHealth Educators, LLC Faculty, Emeritus Phoenix College Phoenix, Arizona Fifth Edition Cathee M. Tankersley, BS, MT (ASCP) Acquisitions Editor: Peter Sabatini Product Manager: Meredith L. Brittain Marketing Manager: Shauna Kelley Designer: Holly McLaughlin Production Services: Aptara, Inc. Fifth Edition Copyright © 2012, 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Two Commerce Square 2001 Market Street Philadelphia, PA 19103 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress...
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