267-269‚ 277-280 * Direct calorimetry uses the measurement of heat production as an indication of metabolic rate. * Indirect calorimetry estimates metabolic rate via the measurement of oxygen consumption. * Energy expenditure can be expressed in L•min-1‚ kcal•min-1‚ ml•kg-1•min-1‚ METs‚ and kcal•kg-1•hr-1. * To convert L•min-1 to kcal•min-1‚ multiply by 5.0 kcal•L-1. * To convert L•min-1 to ml•kg-1•min-1‚ multiply by 1000 and divide by body weight in kilograms. * To convert
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The ulnar nerve is formed from the medial cord nerve roots of C7-T1. Originating in the brachial plexus‚ it descends down the arm before passing around the medial epicondyle of the elbow (the so-called funny bone) and then passes between the heads of flexor carpi ulnaris (FCU). It gives some cutaneous branches just before the wrist whilst the motor branches pass around the hook of hamate. Its motor contribution is to all small muscles of the hand except the lateral two lumbricals as well as FCU
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Universal Self Care Requisite of activity and rest and social interaction. In short‚ attaining a level of health and normalcy for a patient with this level of lung disease is difficult. Nursing assessment in this type of patient would include: • palpation of the head‚ neck‚ and chest for use of accessory muscles or chest wall contraction indicating distress • observe nail beds for cyanosis and capillary refill • look for cyanosis around the mouth and lips • observe respiratory pattern and watch
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EXAMINATION: Ramzi is alert‚ oriented‚ playful‚ and in no apparent distress. The patient does have erythema surrounding the tip of his right distal failings‚ middle finger. There is mild purulence from the area. The area is minimally tender to palpation. The nail appears to be lifting off from the nail bed itself. He has good capillary refill and has good flexion and extension of that finger. ASSESSMENT: This is a 2-year-old male with paronychia. PLAN: Follow up with me at 9am tomorrow. Mother
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Patient states she has to use 2 pillows at night to sleep. Oxygen @ 2L per nasal cannula‚ patient wears 24/7. Heart rate and rhythm regular‚ S1/S2 auscultated‚ apical pulse 68‚ no gallops noted‚ no murmurs auscultated. Abdomen soft‚ nontender to palpation‚ scar from belly button to pelvis (patient has history of C-section and hysterectomy)‚ Bowel sounds present and active x 4 quadrants‚ patient states that last BM was normal earlier this AM. Patient states that she has frequent nausea and vomiting
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her fingers. At time those fingers get locked and she has to full them to strait them out. Also she has intermittent numbness and tingling sensations in most of her fingertips. Right and left inter pharyngeal joints enlarged‚ tenderness with palpation‚ warmth present in Joints‚ Tenderness in the palm at
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These complaints have regressed since the previous visit. On examination‚ there is tension noted upon palpation at C1-7 and T1-8. Patient was diagnosed with cervical disc displacement C3-C7 and C7-T1 and sprain thoracic spine ligaments. Recommendation was made for chiropractic adjustments‚ modalities‚ electric stimulation and manual traction twice weekly
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Running head: HEALTH ASSESSMENT 1 Health History Paper Jane Doe Norfolk State University HEALTH ASSESSMENT HEALTH ASSESSMENT 2 Date of Interview: 07/13/11 1. BIOGRAPHICAL DATA A.A.‚ a 37 year old African male‚ present today for an annual health assessment. Patient is married and has three children. Patient states patient states “I am happy with the way things are with me‚ and I am taking good care of myself‚ I don’t smoke or drink.” Patients states he is healthy and hardly visits
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Physical Assessment Instruments: a. weighing scale b. penlight c. gloves d. magnifying glass/slides (diascopy) e. thermometer f. drapes (bed sheet) g. lubricants (oil‚ water based) h. BP apparatus i. Stethoscope j. Disposable pods k. tape measure l. tongue depressor m. ophthalmoscope (eyes) n. otoscope (ears) o. Snellen Eye Chart (Rosen Baum Chart) p. nasal speculum (nose) q. vagina speculum r. alcohol Client’s Position a. Supine b. Prone
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his left index finger. TM refused any ibuprofen or acetaminophen‚ stating that he has difficulty swallowing the pills. O: On inspection of the left index finger a finger mild swelling‚ nail bed intact‚ and a subungual Hematoma the fingernail. On palpation‚
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