Writing III – Acid-Base Balance Congestive heart failure (CHF) is caused by the inability of the heart to fill correctly‚ eject blood completely‚ or a combination of the two‚ which results in a decrease in cardiac output. Chronic hypertension (CH) is a constantly elevated blood pressure. Peripheral vascular disease (PVD) causes a restriction in blood circulation due to atherosclerosis‚ fatty deposits on the inner linings of the arteries that cause a blockage of blood flow; arteriosclerosis‚ loss
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acquaintance with evil through the literary concepts of characterization‚ symbol‚ writer in context‚ ideology and‚ reader positioning and the point of view. There are essentially only two characters that are significant to the notions and plot of Heart of Darkness‚ namely Marlow and Kurtz. The two characters are distinctly different from each other‚ although both are equally characterized with physical and mental traits by Conrad. The reader is involved with the interaction between the two characters
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Case Study 3 – Congestive Heart Failure Patient Case Question 1. Based on the limited amount of information given above‚ do you suspect that this patient has developed left-sided CHF‚ right-sided CHF‚ or total CHF? right-sided CHF Patient Case Question 2. How did you arrive at your answer to Question 1? right-sided CHF = fluid may back up into your abdomen‚ legs and feet‚ causing swelling. Patient Case Question 3. What is a likely cause for this patient’s heart failure? Increasing
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Addie Zebrowski Moral Ambiguity in Heart of Darkness In _Heart of Darkness_‚ by Joseph Conrad‚ the character Marlow‚ through his actions and experiences‚ shows himself to be morally ambiguous in that he goes on the European’s malevolent expedition to Africa yet he seems to despise the events he sees there and in that he performs both noble and ignoble deeds. These experiences and actions drive Conrad’s theme of European influence and colonialism corrupting‚ in this case‚ Africa. Marlow is a sailor
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Congestive heart failure (CHF) is a situation where the heart is not able to pump adequate blood to the other organs of the body. Causes of CHF are coronary artery disease‚ past myocardial infarction‚ hypertension‚ heart valve disease‚ cardiomyopathy‚ congenital heart defects‚ endocarditis and myocarditis (American heart association‚ 2013) .In the case scenario of Mr. P 76 year old man comes with the history of cardiomyopathy and CHF and in the past repeatedly admitted for the management of CHF
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On the surface Joseph Conrad’s Heart of Darkness is a story of adventure‚ suspense‚ and mystery‚ but beneath its literal exterior lays a philosophical undercurrent: the quest towards self-actualization. The novel begins on the Thames River in London where five seamen sit "with silence onboard the yacht" watching the sun set‚ feeling "meditative‚ and fit for nothing but placid staring." The adventure is prefaced and foreshadowed by the images created by in the opening pages. The narrator first describes
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Chronic Heart Failure Exacerbation Preparation Questions 1. List the risk factors for chronic left-sided heart failure related to coronary artery disease. Coronary Artery disease‚ Hypertension‚ Substance abuse‚ Dysrhythmias‚ Diabetes mellitus‚ Smoking/tobacco use‚ Obesity 2. Explain the cause of the compensations for chronic heart failure. Insufficient cardiac output causes compensatory mechanisms work to improve cardiac output. They include‚ sympathetic nervous system stimulation‚ Renin=angiotensin
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Heart of Darkness Study Questions Chapter 1 1. The setting of the story begins on the Nellie‚ a ship. The turn of the tide is significant because it gives the men on board extra time to talk‚ and Marlow begins telling his story. In addition‚ symbolically‚ the turning of the tide conveys a change‚ and perhaps‚ foreshadowing of the story. The author spends a lot of time dealing with light because it is the main symbol in the novella. Light and darkness are universal symbols that represent good and
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The novel opens with the Nellie‚ a small ship‚ dropping an anchor in the Thames River. This unnamed narrator names the men on board the ship‚ the Director of Companies‚ the Lawyer‚ the Accountant‚ and Charles Marlow. The unnamed narrator thinks about the long history of British exploration and conquest with fondness as he looks over the river. After two or three small paragraphs the point of view shifts to Marlow‚ who becomes the main narrator of the rest of the novel. He observes to several friends
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Joseph Conrad’s “The Heart of Darkness” takes place on the deck of the Nellie. Marlow begins to tell his story about the time he ventured out on a steamboat up the Congo River. He discovers “The Company”‚ a larger ivory trading firm and there witnesses tragedy‚ corruption‚ waste‚ and chaos. It “has been one of the darkest places of earth” (Conrad 5) Marlow said once. After‚ Marlow stumbles upon the introduction of the “ Marvelous” Mr‚ Kurtz‚ The Company’s best agent. Marlow initiates the repair of
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