RUNNING HEAD: PAIN MANAGEMENT IN A PATIENT WITH MASSIVE BLOOD LOSS Pain Management in a Patient with Massive Blood Loss Without the Use of Analgesia and Sedation due to Severe Hypovolemia Mollie Meador NSG 441 May 7‚ 2010 Introduction A twenty three year old female was admitted to the ICU at South Central Medical Center following uterine rupture and massive blood loss. The patient was ten weeks pregnant and experienced a miscarriage as evidenced by spontaneous vaginal bleeding
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Table 5: Characteristics of human and bovine red blood cells HUMAN MALE HUMAN FEMALE COW WBC COUNT(#of cells/mm^3 of blood) 7000 7250 7450 RBC COUNT(# of cells/mm^3 of blood) 540000 4600000 8000000 HEMATOCRIT (%) 47 42 37 [Hb](g/100ml of blood) 16 14 12 MCV (femtoliters) MCHC(%) 34 33 32 MCH(pinograms) Discussion: 1. RBC count‚ hemotocrit and hemoglobin concentration are higher in males than females. It is because males generally have larger muscle mass and perform more physical
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Kansas. They are prominent and respected members of the community‚ in both Holcomb and the neighboring Garden City‚ and Herb Clutter is known to be a generous employer. Their life is disciplined‚ but pleasant and well provided for. The narration follows the Clutters through the events of November 14th‚ 1959‚ which is ominously referred to as the family’s “last.” In another part of Kansas‚ two men on parole from the Kansas State Penitentiary‚ Dick Hickock and Perry Smith‚ are planning a “score‚” which
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The Blood Type Diet Could the way we should be eating be affected by our blood types? According to many scientists and dieticians‚ the answer is yes. There has not been very much official research regarding the topic‚ however‚ the results from the few experiments that have been conducted are astonishing. One dietician in particular named Peter J. D’Adamo has put together diets specifically pertaining to each of the four major blood types. Peter J. D’Adamo‚ ND has created the very first ever Blood
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abruptly and arbitrarily shattered by two petty criminals. The American dream is fragile‚ and it only functions if marginal people (ex-cons) are not present.” http://www.sparknotes.com/lit/incoldblood/section10.rhtml A second theme of In Cold Blood is the randomness of crime. The Clutter family lived in rural Kansas hundreds of miles from a major city‚ and people of this small community felt a sense of security. The Clutter family murder made national headlines because this crime fit no stereotype
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“The village of Holcomb stands on the high wheat plains of western Kansas‚ a lonesome area that other Kansans call ‘out there.’ . . .The land is flat‚ the views are awesomely extensive; horses‚ herds of cattle‚ a white cluster of grain elevators rising as gracefully as Greek temples are visible long before a traveler reaches them.” pg. 3 The book begins and ends with descriptions of the landscape; the serenity of the plains is an unlikely setting for a tragedy‚ which makes it all the more disturbing
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The thought of alcohol being involved in fatal crashes brings about an emotional response. Recently‚ there has been a movement based on emotion rather than logic to change a certain drinking and driving law. This involves lowering the Blood Alcohol Content (BAC) from 0.10% to 0.08% nationwide. However‚ this attention is misdirected. By looking at my personal experiences‚ statistics‚ and current laws‚ it is clear that there is no need for lowering the BAC. First off‚ I do not drink. Yet‚ I’ve had
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Analysis of Perry In Truman Capote’s spellbinding documentary‚ In Cold Blood‚ Capote utilizes various sources to create a first-hand account of murders that claim four faultless lives on November 15‚ 1959‚ in the small unheard-of town of Holcomb‚ Kansas. Capotes resources for the acclaimed book vary from diaries and letters‚ as well as interviews with Holcomb townspeople‚ and interviews of friends and family of the killers themselves. Murderers Dick and Perry originally set out to rob the Clutter
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Blood gases and acid base balance Normally we do venous/capillary blood gases. Arterial blood gases are only done in the very sick children‚ who have been intubated/ventilated and have arterial lines in situ (usually in the theatre prior to transfer to the PICU in Newcastle. Here is a stepwise approach to blood gas analysis. STEP 1: [pic] STEP 2: Look at pCO2 [pic] STEP 3: Look at Bicarbonate & Base excess (BE) [pic] Base excess (BE): Base excess is the
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In Truman Capote’s book In Cold Blood‚ he describes the events of an actual murder that happened in Holcomb Kansas. The Clutter family of four‚ were savagely murdered in their own home with shotguns during the night. The book follows the murders Dick and Perry through events that follow the murders. The two murders have many similarities‚ but are also very different. Their background‚ affections‚ and mental awareness. Perry and Dicks childhoods couldn’t compare to each other they were so different
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