Hematopoietic And Cardiovascular

J.D. is a 37 year old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.

Case Study Questions
1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

Case Study Questions
1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

Note

Submission Instructions:
• You must complete both case studies.
• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
• Each question must be answered individually. Not in an essay format.
o Example: Question 1, followed by the answer to question 1; Question 2, followed by the answer to question 2; etc.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) Your response should be at least 150 words.
• All replies must be constructive and use literature where possible.

Government And Politics

Good evening, scholars Hope you all had a good week. This week will contain two assignments. The first assignment will be based on the first chapter you read. Please answer the following questions in written form, The questions will form the thesis of your answers toward drilling down on other aspects of the chapter you wish to include. 1. The authors reference a particular voting group; millennials. What is the significance of focusing on this particular group? How are they characterized, what makes them unique? How do millennials view politics? What makes them so historically difference from other generations of the same age group? 2. The US is a representative democracy. In this political science assignment help define this term, and what according to the text are forms of representative democracy? 3. Describe in detail elite ruling theory, and pluralism. Which of these theories in your opinion accurately captures the expression or political power in the US? 4. John Locke’s theory underpins the US’s political philosophy. Explain in detail the fundamentals of this theory, and the role and relationship between the government and the governed. In your opinion, are you of the view that the governed are playing their role in this theory. Assignment 2. Please watch this video below, and write a one-page reaction giving justifications for your opinions.

According to O’Sullivan, (2018), as of 2012, some 7.6 billion people were living on the planet with the projections having that the population will be 9.6 billion by 2050 (O’Sullivan, 201]8). In that case, the agency developed a model that there would be three levels of population projections namely: high, medium, and low. The lowest level of projection has it that people will have to adopt effective family planning methods that will ensure that future population growth trends rely solely on one need to procreate.

As an individual, the idea is detrimental in that the most developed economies have many people who have a huge impact on their labor levels. As such I would have to struggle to sustain what I have while at the same time trying to adapt to changes. At the same time, medium population growth doesn’t promise anything. People will be living at equilibrium and the available resources will be enough to sustain a viable life {writing help, 2017). Unless otherwise, I would employ a survival instinct that would allow me to lead a sustainable life while hoping for a better future from past experiences. In essence, that means that a decline or improvement in fertility levels will make the future unpredictable. https://onlyessayhelp.com/assignment-detailswhat-can-movies-and-television-shows-communicate-to-people-about-gender-roles-and/

In most cases, the high level of population growth focuses on data gotten from risen years by the UN suggests that future trends in human sociology patterns influenced by population growth giants such as Africa and Asia mean that the adoption of current thinking trends will have to change with people starting to think more of smaller families (O’Sullivan, 2018). As such, the general focus on the future would be of much more focus to me than it was before.

Clearly, one of the main issues presented in Decelerate Blue is technology. Clearly, the book shows us some of the down sides of technology. Of course, it is logically false to say “All blanks are blank” and so, for this work, you are going to be tasked at looking at multiple sides of one aspect of technology, be it hardware or software, presenting all sides as “fact” and then doing a deep analysis, using what we learned about logical fallacies to determine what is valid. It is OK if you determine neither side is valid.

The rules:

Pick a topic. Pick something that has a lot of coverage. Think big headline issues, not something local that has limited coverage.
All the sources must be dated either 2021 or 2022. We want current information here. Even if you are using a source that gives some history of your topic, you still need to find one that is current. Think of it this way; a book about women’s suffrage written in 1921, one year after it happened is going to have a lot less information and context than a book written in 2021, 101 years afterward as there will be more data, anecdotes and context.
You must have a minimum of TWO sources per side of the issue for a total of FOUR sources. You may use more but they must be equal. If you feel you need a third source for one side of the issue, you must then find another or the other side. You may use one unique source for the introduction if you feel it is absolutely necessary to explain the issue.
Review the Everything you wanted to know about citing tab in the vital information module BEFORE submitting this work. You are held accountable for the information presented there. APA formatting is explained in graphic detail there.
NO DIRECT QUOTES! Paraphrase, summarize and cite your work.
6.Review the the Purdue Owl’s page on what constitutes a good paragraph (Links to an external site.) .

Note

Introduction: 300-500 words

This is where you simply explain the topic chosen and WHY you chose it. That means you may write this section in first person. If you want to discuss social media, pick a particular kind. Write about Twitter or Facebook or Tik Tok NOT all three because the do different things and have different rules. However, if you wanted to write about a type of app like a dating app or a gaming app, that is OK because your focus would be on the good and bad of that kind of app. However, if you just wanted to focus on Fortnite, you could. Find your focus. Focus is the key.

The perspectives: 500-750 words per side (1000-1500 words total)

In this section you will present the main points of each of your sources. This must be in third person, written with an eye toward objectivity. Do NOT include your opinion here. You are giving each side of this issue a fair shake. Paraphrase and summarize the main points. Write to a general audience.

Note

Analysis: 750-1000 words

Now that you’ve done all of this research apply critical thinking strategies to all the arguments presented in all the articles you have used. Point out logical fallacies. NAME the fallacy and explain why you think that fallacy was employed.

Note

Conclusion: 300-500 words

How has evaluating these sources this way affected what you know about this issue? Have your own personal views on the issue change? If so, in what way? If not, why not? If so, has your opinion about that changed?

Reference Page: Proper APA Format

Race and ethnicity

1) Discuss from a sociological perspective the difference between race and ethnicity, along with the terms prejudice, racism and scapegoat. Explain how your racial or ethnic identity has played a significant (positive or negative) role in your life?

2) Racial and ethnic stereotypes are everywhere in the mass media (social media, television ads, magazines etc). Surveying some of these mediums, identify racial or ethnic stereotypes in the media. Who were the targets?

Note

250 words in total, 0-1 references.

development of emergency management

Based on your readings thus far from the text and your own research, summarize the development of emergency management in the U.S. Next,

describe what interests you the most about the field of emergency management and discuss the one type of threat or hazard that interests you the most and why?