2. A chest tube, total parenteral nutrition (TPN), and bed rest. Chest tubes are used to remove the leaking chyle from the thoracic region.
TPN nourishes the patient, strengthens their immune system, and reduces thoracic duct flow. Because lymphatic flow rises with activity, bed rest is advised. The client can eat and drink, therefore there is no need for a gastrostomy tube; a high-fat diet is not advised, but bed rest is. The drainage of chyle from the thoracic region has nothing to do with a rectal tube; instead, a low-fat diet and bed rest are advised. Since the thoracic region cannot be drained by the nasogastric tube, a low-fat diet and bed rest are advised. The formation and flow of chyle will be decreased by a low-fat diet rich in medium-chain triglycerides.
The complete question is:
client has a leak of thoracic duct following a radical neck surgery. The nurse expects that the postoperative plan of care will include:
1. A gastrostomy tube, a high fat diet, and bed rest
2. A chest tube, total parenteral nutrition (TPN), and bed rest
3. A rectal tube, a low-fat diet, and increased activity
4. A nasogastric tube, a moderate-fat diet, and increased activity
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When John grabbed the handle of a hot pan on his stove, he sustained burns on the ____ surface of his hand.
A) superior
B) palmar
C) plantar
D) pronate
John burnt the palmar aspect of his finger when he grabbed this same bottom of something like a hot pan from his stove.
Burns are what?An infection to the skin and perhaps other organic tissue known as a burn is one that is primarily brought on by heat, radiation, radioactivity, electricity, friction, or contact with chemicals. Once a portion or all of body's natural cells and perhaps other tissues are damaged by liquids, mechanical (heat) burns result.
What kind of burn is the most painful?Burns to the skin's surface hurt the most at first. A patient feels agonizing agony at the least alteration in the air currents passing by the exposed superficial dermis. Nerve endings become sensitive and vulnerable to stimuli when the protective layer of the epidermis is absent.
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difference between cardioversion and defibrillation
Defibrillation and cardioversion have fundamental differences: Defibrillation Asynchronous energy delivery is what defibrillation is. Energy delivery synchronized with the QRS complex is known as cardioversion.
Which two types of cardioversion are there?Cardioversion can be of two different forms. Drugs that can calm a hyperactive heart are used in chemical cardioversion. One or more swift electric shocks are administered to the heart during electrical cardioversion.
What distinguishes defibrillation from cardioversion?The timing of the transmission of electrical current is one of the primary distinctions between cardioversion and defibrillation. In CARDIOVERSION, the supply of the electrical current is timed to the electrical events occurring in the patient; in DEFIBRILLATION, the delivery of the current is abrupt and untimed.
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a benign tumor that arises in, or resembles, glandular tissue is called
an 82-year-old is suffering from acute anxiety and is prescribed alprazolam (xanax) by the health care provider. what steps can the provider take to ensure that the client will be at a decreased risk for injury?
The provider must prescribe a smaller dose to ensure that the client will be at a decreased risk for injury.
It is far critical that drug references typically utilized by physicians comprise the brand new records approximately lower, powerful drug doses, in order that this records may be disseminated in an organized, ongoing way to enhance medicine remedy and save you dose-associated ADEs. A height is the best degree of a medicine withinside the blood, at the same time as a trough degree shows the bottom awareness. Troughs of medicine awareness arise after the drug has been damaged down and metabolized with the aid of using the body. Social support from a network of family, friends, peers or a support group helps anxious people cope better with stress
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Paper-based medical records still exist; however, they are inefficient, easy to misplace and misfile, and costly to manage, move, and store.
Indicate whether the statement is true or false
The statement is true that Paper-based medical records still exist; however, they are inefficient, easy to misplace and misfile, and costly to manage, move, and store
Paper-based medical records still exist, but they are becoming increasingly inefficient due to the rise of electronic medical records (EMRs). These paper-based records are difficult and time-consuming to manage, move, and store, and they are prone to errors such as misfiling, misplacing, and loss. In addition, paper-based records have limited access and limited use of data.
For instance, physicians in different locations cannot easily access the same patient records, and data analysis is nearly impossible. Furthermore, paper-based records are costly to maintain, as they require extensive storage space and require physical transport for archival.
In contrast, EMRs are far more efficient and convenient, as they offer real-time patient information, provide easy access to data, and can be retrieved and analyzed quickly. As such, paper-based medical records are becoming increasingly obsolete in the modern healthcare system.
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hyperventilation respiratory acidosis or alkalosis
which of the following statements about dietary protein intake is true? a. athletes have higher protein needs than sedentary adults. b. the rda for protein for sedentary adults is 1.2 g per kg of body weight c. on average, protein intake recommendations are lower for older adults than for young and middle-age adults. d. the amdr for protein is 10% to 25% of total energy intake.
The right answer is that athletes require more protein than sedentary adults do.
Athletes who focus on strength and endurance may need 50–100% more protein than the RDA. As long as kcal requirements are satisfied, protein supplements are typically not required. A lot of athletes consume a lot of protein. High-protein diets are now recommended for weight loss and recovery from strenuous exercise or injuries, though they are most frequently linked to muscle hypertrophy and strength.Because many high-protein foods you consume are high in total and saturated fat, consuming too much protein can also result in elevated blood lipid levels and heart disease. People who are predisposed to kidney disease run an additional risk from consuming too much protein, which can strain the kidneys.
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which nursing intervention has the highestpriority when providing care to a client after an arthroscopy?
The loftiest precedence nursing intervention when furnishing care to a customer after an arthroscopy is to cover the customer’s vital signs.
This includes taking their temperature, palpitation, respiration rate, and blood pressure. It's important to cover these vital signs nearly to insure that the customer is recovering meetly and that there are no signs of infection or farther complications. also, it's important to observe the customer for signs of pain, anxiety, and discomfort, and administer pain drug as demanded. It's also important to cover the customer’s urine affair and insure acceptable hydration situations. It's also important to check the gash point for signs of infection, as well as to give dressing changes and crack care as demanded.
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a nurse is about to enter the room of a client with a strain of influenza a. the nurse prepares to don ppe. which would be appropriate? select all that apply.
A nurse is about to enter a client's room who has a strain of influenza A. The nurse is getting ready to do ppe: Gloves, Gown, Mask with face shield.
What is influenza?The flu wreaks havoc on the lungs, nose, and throat. Young children, elderly people, pregnant women, and people with chronic diseases or weakened immune systems are especially vulnerable. Fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue are some of the symptoms. The flu is primarily treated with rest and fluids to allow the body to fight the infection on its own. Anti-inflammatory pain relievers sold over-the-counter may help with symptoms. An annual flu vaccine can help prevent and limit the severity of the flu. An influenza virus causes the flu. Most people get the flu by breathing in tiny airborne droplets from someone else's coughs or sneezes.
Here,
A nurse is about to enter a client's room who has a strain of influenza A. The nurse is getting ready to do ppe: Gloves, a gown, and a mask with a face shield.
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Complete Question:
a nurse is about to enter the room of a client with a strain of influenza a. the nurse prepares to don ppe. which would be appropriate? select all that apply.
Non-sterile gloves
Masks
Gowns
Protective eye wear
the nurse is called to a client's room 15 minutes after the client has received a new medication. the client reports pruritus as well as nausea. the nurse notes that the client appears pale, is sweating, and has begun to cough and wheeze. the nurse determines that the client is experiencing what type of reaction related to the new medication?
Although the physiologic similarities with an itch and nausea may not be immediately apparent, they both play a part in the body's defense mechanism against irritants and toxins by inducing scratching & vomiting, respectively. Additionally, in some disorders like uraemia, itch and nausea usually coexist.
What conditions can have nausea as a symptom?In contrast to popular belief, nausea and vomiting are symptoms of a wide range of medical illnesses, including infection (sometimes known as "stomach flu"), foodborne illness, motion sickness, overeating, obstructed intestines, illness, concussion and brain injury, appendicitis, and migraines.
When should I worry if I feel queasy?Consult your doctor right away if: Vomiting can last for more than 2 days in adults, for 24 hours in children under two, and for 12 hours in newborns. It has been more than a month since you last experienced episodes of nausea and vomiting. You've lost weight without cause, and you've also been sick to your stomach.
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Laboratory tests which can contribute toward the diagnosis of Glanzmann Thrombasthenia include all of the following EXCEPT:A. PT and aPTTB. Non-anticoagulated blood films (e.g. smears from a finger stick)C. Platelet aggregation testsD. Flow cytometry
The results of laboratory tests with severe Glanzmann Thrombasthenia demonstrate no platelet aggregation in response to any physiologic agonists and minimal or no clot retraction.
What is clot retraction?A blood clot "shrines" over a period of days and is known as clot retraction. In doing so, the blood vessel wall's edges at the site of the injury are gradually brought back together to repair the harm that was done.
Platelets trapped in the fibrin mesh of the clot must release various coagulation factors in order for the clot to retract. Thus, inability to retract may indicate thrombocytopenia or the uncommon condition thrombasthenia. Before this condition manifests, blood clot prevention may be beneficial.
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The thermic effect of food accounts for approximately ______ of energy consumed each day.
O 5% to 10%
O 11% to 15%
O 16% to 20%
O None of these
Approximately 10% of daily energy expenditure is attributable to thermic effects of meals.
What proportion of your daily energy is provided by food consumption?About 10% The increase in energy required to absorb, digest, and process food is known as the thermic effect of food. Generally speaking, it accounts for 10% of an individual's total energy usage.
What does the body use up, say, 50% or more of its energy each day?The biggest daily energy expenditure is determined by the body's BMR (50–80 per cent of your daily energy use). Your body utilizes energy to breakdown the food and liquids you consume as well as to absorb, transport, and store their contents. This process is known as the thermogenic effect of food (also known as thermogenesis).
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as the baby boomer generation ages, more and more joint replacement surgeries take place each year. hip replacement surgery is the gold standard of all joint replacement surgeries, with many patients able to walk just a few hours after surgery and return home the very next day. in contrast, knee replacement surgery usually requires hospital stays of several days, followed by weeks to months of physical therapy. what best explains why the recovery after hip replacement surgery is so much faster than after knee replacement surgery?
More structures than the hip joint stabilise the knee joint.
An operation to replace a hip is significantly less painful. After using crutches for a while, people's hips feel normal again. However, the knee doesn't feel completely normal for six to twelve months after total knee surgery. As a result, full recovery times for replacement hips are typically quicker than those for replacement knees. A complete recovery typically takes 3–12 months for a knee replacement and 2–6 months for a hip replacement.An operation to replace a hip is significantly less painful. After using crutches for a while, people's hips feel normal again. But even after recovering from a total knee replacement, it takes six to a year for the knee to feel normal.
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a/an ____ is the noxious, unintended response to a drug that occurs at doses normally used in humans for prevention, diagnosis, or treatment of disease. while a/an ____ is the peripheral or secondary effect caused by drugs and is usually predictable and dose-dependent.
An adverse drug reaction is the noxious, unintended response to a drug that occurs at doses normally used in humans. while a side effect is the peripheral or secondary effect caused by drugs.
an adverse drug reaction as "an drastically harmful or unpleasant reaction, on account of an intervention associated with using a medicinal product, which predicts danger from destiny administration and warrants prevention or particular remedy, or alteration of the dosage regimen, or withdrawal of the product." Such reactions are currently suggested by way of use of who's negative response Terminology, with a view to in the end come to be a subset of the global type of illnesses. negative drug reactions are classified into six types (with mnemonics): dose-related (Augmented), non-dose-related (bizarre), dose-related and time-related (chronic), time-associated (not on time), withdrawal (quit of use), and failure of therapy (Failure). Timing, the sample of infection, the results of investigations, and rechallenge can assist characteristic causality to a suspected detrimental drug reaction. control consists of withdrawal of the drug if viable and particular treatment of its outcomes. Suspected negative drug reactions must be mentioned. Surveillance techniques can hit upon reactions and prove institutions
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during a health history interview, a nurse asks a client about childhood illnesses, past surgeries, and allergies. the nurse knows that this information will be charted in what section of the initial comprehensive assessment database?
The reason of the health records is to gather subjective records—what the individual says approximately him or herself. "What is your important fitness challenge at this time?"
A nurse collects records approximately a customer's own circle of relatives fitness records. The nurse must start through asking a non-threatening open-ended query such as "have you ever ever had a hassle with intellectual or emotional illness?" Asking in particular approximately medicinal drug for melancholy assumes the customer has a records of melancholy. What medications do you take at home? What is each medicine for? What is the dose? What medications do you take for your conditions?
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when self-administering insulin, your patient asks you about different sites he can use when he is discharged home. which statement by the patient reflects an accurate understanding of the education provided?
The patient reflects an accurate understanding of the education provided is "Absorption from the abdomen is the fastest."
Self-administering of insulin can result in higher timing of doses and higher blood glucose levels. However, insulin may be risky if an wrong dose is administered. Your nurse will want to evaluate whether or not it's miles secure as a way to administer your very own insulin doses at the same time as you are in hospital. The speed at which peak serum concentrations are reached depends on the site for injection. Absorption from the abdomen is the fastest. Patients should rotate sites within one particular site, but not to different anatomic sites. The arm is no less painful. Exercise will increase the absorption rate, not slow it down.
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the nurse should caution an older adult client against using diphenhydramine hydrochloride because of what increased risk?
Diphenhydramine hydrochloride is the antihistamine generally used to treat disinclinations or to help with sleep.
For aged grown-ups, this drug carries an increased threat of side goods, including doziness, confusion, and difficulty concentrating. In some cases, this drug can also beget an irregular twinkle or indeed an increase in the threat of cascade. Aged grown-ups should be advised against the use of this drug and should bandy the pitfalls and benefits of this drug with their healthcare provider before taking it. also, they should be apprehensive of any other specifics they're taking and how they could interact with diphenhydramine hydrochloride, as this could increase the threat of side effect.
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true/false. if you were going to eat a morrell mushroom, it would be best to cut it open longwise first to determine if it was toxic
A researcher develops a 7-point Likert scale to evaluate feelings of well-being in patients who are undergoing chemotherapy. The researcher administers this measure to other, similar patients in other medical centers.
Answer: A Likert scale is a type of rating scale that is often used in survey research to measure attitudes, beliefs, or feelings. The 7-point Likert scale developed by the researcher in this scenario is designed to evaluate feelings of well-being in patients who are undergoing chemotherapy. The researcher intends to use this scale to measure the patients' self-reported feelings of well-being and to gather data on how well the patients are coping with the chemotherapy.
The researcher administers this measure to other, similar patients in other medical centers. This allows the researcher to gather a larger sample size and to generalize the findings from the study to a larger population of patients who are undergoing chemotherapy. Additionally, administering the measure in other medical centers allows the researcher to control for potential confounding variables that may be unique to the original medical center.
It is important to note that in order to ensure the validity and reliability of the measure, the researcher should ensure that the study is conducted in a controlled environment and that the sample size is large enough, also the researcher should analyze the data using appropriate statistical methods.
Explanation:
The researcher administers this measure to the same patients at other medical centers. This is done to improve test-retest reliability.
What is Likert scale?
A Likert scale is defined as a type of rating scale often used in survey research to measure attitudes, beliefs, or feelings, where in this scenario the 7-point Likert scale developed by the researcher is used to measure feelings of well-being is designed to evaluate the patients who are undergoing chemotherapy.
The researcher wants to use this scale to measure patients' self-reported feelings of well-being and collect data on how well patients are coping with chemotherapy, so they administered this measure to similar patients at other medical centers.
This allows the researcher to collect a larger sample size and generalize the findings from the study to a larger population of patients who are undergoing chemotherapy.
Thus, the researcher administers this measure to the same patients at other medical centers. This is done to improve test-retest reliability.
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during a well-child visit for a 2-month-old infant, the nurse explains the need to perform a hearing screening on the child within the next few months. the child's mother reports she has not noticed any deficits and does not see the need for this being done. which response by the nurse is indicated?
Unfortunately, baby hearing loss is frequent, so it's judicious to have your child's hearing checked before they come 6 months old to rule out any issues. A six- month old should have their hailchecked. However, this will grease early intervention, If necessary.
What about the nursing leadership roles?A nanny leader makes choices and attends patient care enterprises while supervising a platoon of nursers.They're committed to enhancing patient health issues and retain superior clinical knowledge.A nanny leader's main duties include effects like keeping up with medical exploration developments.Leadership capacities are used by clinical and bedside nursers to plan, direct, and support case care as well as other healthcare platoon members.They're also patient advocates and have strong communication capacities.No matter what their title, nursers in all positions are anticipated to parade leadership, and they must push both themselves and the assiduity to make important leadership doctrines.A leadership position involves managing a group of people or an entire association.Communication chops are pivotal for a nanny leader, especially when it comes to patient care.These chops are necessary for any strong leader and are more important for a nanny leader.Because it encourages better case issues and increased job satisfaction among staff nurses, exploration reveals that the transformational leadership style in nursing is generally regarded as the gold standard in nursing leadership.Learn more about nursing leadership role here:
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What factors might influence a pharmacy technician's wage? Check all that apply.
Oworking nights or weekends
O personal expenses
O geographic location
O certification
O interest in the work
+
The following factors might influence a pharmacy technician's wage are-
working nights or weekends, geographic location and certification.
What factors affect the pay of a pharmacy technician?
A number of factors, such as experience, place of employment (a company or location), particular job responsibilities, the medical setting, and educational background, can affect a pharmacy technician's pay.
Pharmacy is the preparation and standardization of drugs; it is a science and an art. The growing of medicinal plants, creating chemical compounds with medicinal value, and examining therapeutic agents are all included in its purview.
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what is the purpose of placing a child in cervical traction after sustaining a fractured cervical vertebra
A number of cervical disorders can be symptomatically treated with cervical traction, a non-invasive treatment. Although it may provide short-term symptom alleviation, there is little information on its long-term safety and therapeutic effectiveness.
The interprofessional team's role in providing care for patients who need cervical traction is highlighted in this activity, which discusses the indications, contraindications, and techniques involved in performing cervical traction.
Hippocrates originally is the mentioned spinal traction as a method of treating kyphosis in the fourth century BC, when it was already a common procedure. Later, it was used for additional spinal disorders such myelopathy and cervical discomfort.
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an elderly client comes into the clinic with a family member. the client reports back pain. the health care provider prescribes cyclobenzaprine (flexeril) for the client. what type of adverse effects should the nurse educate the client and family about?
The type of side effects of cyclobenzaprine (Flexeril) that nurses must teach elderly clients and their families is "After taking cyclobenzaprine it is likely to cause drowsiness, blurred vision, nausea or pain in the stomach."
What is cyclobenzaprine?
Cyclobenzaprine is a drug used on a short-term basis to treat muscle spasms. In order for the drug to work optimally, you should also do rest and physical therapy. This medication works by helping to relax tense muscles.
The most common side effects of using the drug cyclobenzaprine are:
Dry mouth or throatBlurred visionsleepyDizzyTired feelingLoss of appetiteNauseousAbdominal painBloatedDiarrhea or constipationNot everyone experiences these side effects.
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which medication with the nurse identify as a potential cause for the formation of abnormal small eyes
nitrofurantoin medication with the nurse identify as a potential cause for the formation of abnormal small eyes in newborn baby.
Urinary tract infections are treated with nitrofurantoin. The drug nitrofurantoin belongs to the category of drugs known as antibiotics. It functions by eradicating the infection-causing germs.
Colds, the flu, or any other viral infections will not be treated by antibiotics like nitrofurantoin. Antibiotic overuse raises the likelihood that you'll get an infection later on that is resistant to antibiotic therapy.
Both a liquid solution and capsule form of nitrofurantoin are available for oral use. For at least 7 days, nitrofurantoin is often given two or four times day with food. Try to take nitrofurantoin every day at the same times.
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what is the purpose of a spacer or extender used with a metered-dose inhaler?
A spacer is an accessory for metered-dose inhalers. It helps the medicine to reach till lungs instead of inhaling it through the mouth.
It is frequently advised to use a spacer since using the proper technique with a metered-dose inhaler can be challenging. A spacer is a part of meter dosed inhalers which is used to direct medicine to lung airway instead of giving it through the mouth. This improves the medication's effectiveness and reduces negative effects.
Steps to Use a Spacer with an MDI (Meter Dosed Inhalers)
Shake the spacer after inserting the inhaler or canister.Breathe out.In your mouth, place the spacer mouthpiece.Once, apply pressure on the inhaler.Inhale gently (for 3-5 seconds).10 second breath hold.To learn more about inhalers click here:
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As a future physical therapist, how will you decrease the social stigma brought about by the mental disorder of your patient?
the client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. at 6 hours postpartum, the client's systolic blood pressure (bp) dropped 20 points, the diastolic bp dropped 10 points, and her pulse is 120 beats per minute. the client is very anxious and restless. the nurse is told that the client has a vulvar hematoma. based on this diagnosis, the nurse would plan which action?
The first few days after delivery, your bleeding (also called lochia) is bright red; it changes to dark red, then brown, much like a normal period.
What is epidural anesthesia?
Epidural anesthesia is a technique for perioperative pain management with multiple applications in anesthesiology.An epidural is the most common type of anesthetic used for pain relief during labor.You'll likely experience a minor pinch when your provider injects the local anesthetic to numb the area before the epidural procedure. You may feel pressure, tingling, a burning sensation or momentary shooting pain when your provider injects the epidural. Or you may not feel anything.
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a 73.26 pound (lbs) child with asthma is prescribed aminophylline 16mg/kg/day oral solution by mouth in 3 divided doses. the medication label reads 105mg/5ml. how many ml will the nurse administer per dose? round the answer to the nearest one tenth of a milliliter.
The nurse will administer the medicine - 1.69 ml/dose.
What is asthma?Asthma is a chronic lung disease that inflames and narrows the airways. Symptoms include shortness of breath, chest tightness, coughing, and wheezing. Asthma can be triggered by allergens, air pollution, cold air, exercise, and stress. Treatment includes medications, lifestyle changes, and avoiding triggers.
In the given question,
The child's weight in kilograms is 33.34 kg.
16 mg/kg/day x 33.34 kg = 530.144 mg/day
530.144 mg/day / 3 doses = 176.7146 mg/dose
176.7146 mg/dose / 105 mg/5ml = 1.6886 ml/dose
1.69 ml/dose (rounded to the nearest one tenth of a milliliter)
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which finding will the nurse expect during the assesment when a client with ahistory of chronic myelogenous leuemia and splenomegaly
The nurse will look for left upper quadrant soreness during the examination of a patient who has a history of chronic myelogenous leukemia and splenomegaly.
Normal spleens are not palpable, but splenomegaly, which frequently goes hand in hand with chronic myelogenous leukemia, causes a palpable and tender lump in the left upper abdomen. These conditions have no impact on urine output. Increased metabolic rate brought on by leukaemias causes weight loss. Anemia results from decreased erythrocyte production and increased erythrocyte breakdown associated with leukemia and splenomegaly.
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antihypertensive medications that stimulate rather than inhibit type 2 and 4 angiotensin ii receptors is
The medications are ARBs, thia-zide diu-retics, and DiC-CBs are generally thought to upregulate angiotensin II production,
Angi-otensin receptor blockers (ARBs), additionally called angi-otensin II receptor antag-onists, are used to deal with excessive blood stress and coronary heart failure. They also are used for persistent kidney disorder and prescribed following a coronary heart attack. They encompass irbesartan, valsartan, losartan and candesartan. ARBs are desired for sufferers who have negative reactions to ACE inhibitors. (SOR A, primarily based totally on a meta-analysis.) ARBs reason much less cough than ACE inhibitors, and sufferers are much less probable to stop ARBs due to negative effects.
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Complete question:
What medications stimulate type 2 and 4 angiotensin II receptors, antihypertensive medications that stimulate rather than inhibit type 2 and 4 angiotensin ii receptors is?
