Acute renal failure is the sudden loss of the kidneys ability to function; affecting more than 100‚000 people in the United States alone each year (NIDDK‚ 2008). This paper will discuss the basic pathophysiology of acute renal failure‚ including its cause‚ disease mechanisms‚ symptoms‚ some of the treatments and pharmacological therapies. Pathophysiology Acute renal failure (ARF) is the rapid loss of kidney function occurring when high levels of uremic toxins accumulate in the blood
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You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M‚ a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension‚ shoulder discomfort‚ and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks
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care‚ it can really take a toll on the patient‚ his or her family‚ as well as the physician. This can be due to the fact that end-of-life care is usually seen as the end. To make this worse‚ the healthcare providers do not always relay such information in a way that the family will completely understand. Sometimes‚ the healthcare professional will not let the family know that end-of-life care is necessary; he or she will just continue to give the patient medications that are futile to their well-being
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Job of Stage Directions What do I think is the purpose of stage directions in general? I think the purpose of stage direction in general show the mood and how the character feels to make the audience understand what situation the character. It also tells the audience part of the story‚ it tell about the atmosphere and the setting‚ like where they are‚ in what kind of town. It also leads to the theme of the play and when it was set. Like for the play “Journey’s End”‚ it leads to the harsh reality
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Panel Survey‚ (MEPS‚ 2008) estimated that the percentage of uninsured Americans under age 65 represented 27% of the population. According the MEPS data‚ nearly 54 million Americans under the age of 65 were uninsured in the first-half of 2007. The study also shows that based on the effects of the recession alone (not job loss); it is projected that nearly seven (7) million Americans will lose their health insurance coverage between 2008 and 2010 (DeNavas et al.‚ 2007). Urban Institute researchers
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Time for an End Run? November 29‚ 2014 Scotia Assurance‚ a 150-year old UK insurance company‚ is ending a bad year as the company is being investigated for a securities fraud scandal. The CEO and his chosen successor‚ the CFO‚ have been forced to resign. Arlyn James‚ the head of human resources‚ would like to take the opportunity to improve the current situation and recommends some changes to the company. Arlyn shares her suggestions with the chairman of the board but he does not
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PROBLEM Coronary Artery Disease or Coronary Heart Disease (CAD/ CHD) is the primary cause which leads to the majority of all problems of the heart (AHA). More than 600‚000 Americans suffer from Coronary Heart Disease (CHD) ("Coronary heart disease" 2012). In order for an individual to be diagnosed with CAD there has to be a significant amount of plaque buildup which in time‚ if not treated could lead to atherosclerosis‚ the narrowing of arteries. (CDC‚ AHA). This disease has been established as
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Renal failure can be caused by many different factors. Something that would cause a failure would be impaired blood flow to the kidney. Ways this could happen could be: blood or fluid loss blood pressure medications‚ heart attack‚ heart disease‚ infection‚ liver failure‚ use of aspirin‚ ibuprofen (Advil‚ Motrin IB‚ others)‚ naproxen (Aleve‚ others) or related drugs‚ severe allergic reaction (anaphylaxis)‚ severe burns‚ or severe dehydration. Another way renal failure could occur is if there is direct
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How does the Reggio Emilia Approach support the themes of the Early Years Foundation Stage? ‘A Reggio pre-school is a special kind of place‚ one in which young human beings are invited to grow in mind‚ in sensibility and in belonging to a broader community.’ (Learning and teaching Scotland‚ 2006) For this case study I am going to look at the four themes of the Early Years Foundation Stage‚ also known as the EYFS. The EYFS sets the standards that all early years providers must meet to ensure
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Leishmaniasis Name of the disease understudy The World Health Organization (WHO) website reports that Leishmaniasis was discovered actually many hundreds of years ago. Leishmaniasis’ signs and symptoms were described in the writings of the Inca period in the 15th and 16th centuries. According to the WHO‚ “One of the first and most important clinical descriptions was made in 1756 by Alexander Russell following an examination of a Turkish patient.” (XX) Brief description of the disease Leishmaniasis is
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