A phenomenon known as tolerance occurs when the body becomes accustomed to an opioid for pain management and needs a larger does each time for pain relief.
A person can develop a tolerance to the drug when the drug is used repeatedly. For example, when using morphine or alcohol for a long time, larger and larger doses must be taken to produce the same effect. Most of the time, tolerance develops because the metabolism of the drug increases (often because the liver enzymes involved in the drug become more active) and because of the number of sites (cell receptors) that the drug interacts with them or the strength of the bond (relationship) between. the receptor and the drug decreases.
This phenomenon, known as tolerance, means that you need more of the same medication to achieve the same level of pain relief. Long-term use of opioids can lead to dependence on these drugs and, eventually, addiction.
The longer you use opioids, the higher your risk of becoming addicted. However, even using opioids to control pain for more than a few days increases your risk. Researchers at the Mayo Clinic found that the odds of being on opioids a year after starting a short course increased after just five days on opioids.
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the nurse and nursing assistant are moving a client who slid down in the chair. what does the nurse encourage the assistant to avoid shearing when moving the client to a higher position in the chair?
The medical caretaker urges the right hand to shift the seat back while moving the client to abstain from shearing while moving the client to a higher situation in the seat.
Leave the grinding decreasing sheet set up for the bring move back. While moving a client from bed to a cot, the medical caretakers cooperate to turn the client to situate an exchange board somewhat under the client. One of the main preventive measures is diminishing mechanical burden. On the off chance that patients can't enough turn or reposition themselves, this might prompt tension ulcer improvement. It is basic for attendants to assist with decreasing the mechanical burden for patients. This incorporates regular turning and repositioning of patients. Continuously get as near the patient as you can while lifting. Keep your arms and persistence as near your body as you can to assist with making influence and keep up with the balance. Twist at the knees while keeping your back as straight as could really be expected. Perceive your limits and call for reinforcement when expected to lift the patient.
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methylergonovine is prescribed for a woman to treat postpartum hemorrhage. before administration of methylergonovine, what is the priority nursing assessment?
Methylergonovine is used to stop and manage uterine bleeding that might occur after delivery. It is a member of the ergot alkaloids class of drugs. This medication stops postpartum bleeding by directly impacting the smooth muscles of the uterus.
While certain medications should never be combined, in other circumstances two distinct medications may be given together even if an interaction may happen. Your doctor might wish to adjust the dosage in these circumstances, or other safety measures could be required. It is especially crucial that your healthcare provider be aware if you are taking any of the medications on the following list while you are taking this medication. The postpartum of the following interactions has led to their selection.
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a client is prescribed donepezil. the nurse would expect to administer this drug at which frequency?
Answer:
A client who is prescribed donepezil would typically be instructed to take the drug once daily. Donepezil is a medication used to treat symptoms of Alzheimer's disease and other forms of dementia. It works by increasing the levels of certain chemicals in the brain that are involved in memory, thinking, and behavior. The recommended dose and frequency of donepezil will vary depending on the individual's age, weight, and medical history, as well as the severity of their symptoms. However, in most cases, the drug is taken once daily, usually at bedtime, to help improve cognitive function and reduce the symptoms of dementia. The nurse would expect to administer donepezil at this frequency as part of the client's plan of care.
with , the therapist administers a 1- to 2-milliamp electric current to the scalp; with , repeated pulses surge through a magnetic coil held close to the skull
With electroconvulsive therapy, the therapist administers a 1- to 2-milliamp electric current to the scalp; with repetitive transcranial magnetic stimulation , repeated pulses surge through a magnetic coil held close to the skull and is denoted as option B.
What is Psychosurgery?This is referred to as a rare form of surgery which is used to treat severe mental health problems such as depression and involves electroconvulsive therapy etc.
It is usually the last option of treatment and it involves the trained professional administering electric current to the scalp. There is also repeated pulses surge through a magnetic coil held close to the skull thereby making it the correct choice in this scenario.
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The options are:
A)electroconvulsive therapy; deep brain stimulation
B)electroconvulsive therapy; repetitive transcranial magnetic stimulation
C)transcranial direct current stimulation; repetitive transcranial magnetic stimulation
D)transcranial electrical stimulation; deep brain stimulation
the nurse is assigned to care for a child admitted to the hospital with a diagnosis of suspected bacterial endocarditis. the nurse prepares the child for which diagnostic test that will confirm the diagnosis?
A nurse is tasked with caring for a kid brought to the hospital with such a diagnosis of probable bacterial endocarditis, the nurse prepares him or her for the diagnostic test that will confirm the findings of blood cultures.
A blood culture is a test that searches for microorganisms in the blood, such as bacteria or fungi.
As the nurse gets the youngster ready for the diagnostic procedure that will confirm the diagnosis, there is no contact between the right atrium and the right ventricle.
When bacteria or other pathogens get into circulation and go to the heart, endocarditis occurs. The bacteria then adhere to cardiac tissue or damaged heart valves. A potentially fatal inflammation of the inner layer of the heart's chambers & valves is known as endocarditis.
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the patient is admitted with a diagnosis of acute pancreatitis related to chronic alcohol use. the nurse obtains the patient's vital signs, performs a physical assessment, and reviews the patient's health history. what is the priority intervention by the nurse?
The priority intervention by the nurse for a acute pancreatitis is to stop comsuming alcohol and take a proper diet, fresh fruits, vegetanles, whole grains and lean proteins.
The pancreas is inflamed by pancreatitis. The pancreas is a long, flat gland that is hidden in the upper belly beyond the stomach. In addition to hormones that influence how your body consumes sugar, the pancreas also generates enzymes that aid in digestion (glucose).
The redness and swelling (inflammation) of the pancreas are symptoms of pancreatitis. It could be persistent or sudden (acute) (chronic). Alcohol consumption and lumps of solid matter (gallstones) in the gallbladder are the two most frequent causes. Resting the pancreas and allowing it to recuperate are the main goals of treatment.
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we can reasonably conclude that legalization of drugs will lead to a reduction in what type of drug crime?
We can reasonably conclude that legalizing drugs will reduce drug-defined crime.
The several ways that crime and drugs are connected are summarized as follows:
Drug-defined offenses. This type of crime involves violations of the laws that forbid or regulate the use, possession, manufacturing, or distribution of illicit substances.Drug-related offenses. crimes that are influenced by a drug's pharmacological effects; those that are brought on by a user's desire for money to maintain using; and offenses related to drug distribution altogether.Drug-using lifestyle. Crime and drug use are frequent features of an aberrant lifestyle. Drug users may well not engage in the legal economy and may be exposed to circumstances that foster crime, which increases the chance and frequency of participating in illicit behavior.Learn more about drug abuse here: brainly.com/question/1189815
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what is the difference between hypoglycemia and hyperglycemia and what are the consequences of each? g
High insulin in body is known as hyperglycemia, whereas low blood sugar is known as hypoglycemia. It's Because both can cause health problems for people with diabetes,keep blood sugar in a healthy range.
What are the effects of diabetes-related hypoglycemia and what causes it?When insulin levels are excessively high, the hormone insulin reduces blood sugar (glucose) levels. If you have type 1 or type 2 diabetes and depends upon insulin to manage your blood sugar, taking more insulin than you require may be result in hypoglycemia, which is when your blood sugar level falls dangerously low.
What side effects can hypoglycemia and hyperglycemia cause?Serious problems from diabetes can result from both low and high blood sugar levels. Hypoglycemia left untreated can result in seizures, dizziness, and even death.
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when assessing a newborn for coagulation factors the perinatal nurse recalls that coagulation factors to enable the newborn to effectively clot blood after childbirth are activated by what vitamin?
Vitamin K activates the process of blood clotting after childbirth to help the newborn.
The newborn is in danger of developing a blood clotting deficiency during the first few days of life since vitamin K isn't present at delivery. During the initial treatment and assessment, the infant receives an intramuscular injection of vitamin K, phytonadione (AquaMEPHYTON), to prevent hemorrhagic illness.
Within six hours of birth, your infant receives the injection in the thigh. Your baby only needs one dose to avoid bleeding due to a vitamin K deficiency. Because of this, physicians have advocated since 1961 for all newborns to receive a vitamin K injection at delivery.
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All of the following are advantages of purchasing a single-dose unit of a topical anesthetic except one. which one is the exception?a. Dose manageable
b. Cost-effective
c. Less cross-contamination
d. Less messy
The correct option is B ; Cost-effective. (Typically, individual packing of topical anesthetic is more costly. Individual packaging of topical anesthetics is not only less untidy,
but it also helps to avoid cross-contamination and permits monitoring of dose usage.)
While "cost effective" can still be used as an adjective, it is not hyphenated if it is not immediately followed by a noun. Harry went with the most cost-effective option. Sally's answer to the problem was quite inexpensive.
A transaction is cost-effective when the maximum benefit is obtained for the lowest possible price. The notion is widely used while selecting from a number of investment alternatives in order to create the highest potential return for the amount spent.
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he nurse is preparing to administer 0.25 mg of bumetanide (bumex) iv. the medication is available in a vial labeled 1 mg/4 ml. how many ml of medication should the nurse administer?
1 is the answer , bumetanide medication should the nurse administer, Using the formula Desired/Have x Volume: Have = 1 mg Desired = 0.25 mg = 4 ml in volume 1.25 milligrams/1 mg x 4 milliliters.
Bumetanide is a loop diuretic that may result administer in an electrolyte and fluid imbalance. Low blood potassium values may occur in patients using this medication. Peaked T waves are one of the ECG abnormalities linked to higher blood potassium content. The administer intended outcome of bumetanide administration is diuresis. A rise in serum glucose levels necessitates action, however bumetanide treatment was not the cause of this rise.
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a 13-month-old child is undergoing lumbar puncture for confirmation of a diagnosis of bacterial meningitis. during the procedure the nurse notes that the spinal fluid is cloudy. which would this finding indicate?
Asking the parents what they were told about the test and Giving small amounts of clear spinal fluid frequently to prevent bacterial meningitis for a 13-month-old child is undergoing lumbar puncture for confirmation of a diagnosis of bacterial meningitis.
The meninges, which cover and protect the brain and spinal cord, get infected and become meningitis. When the membranes get infected, they enlarge and press against the spinal cord or brain. There could be fatal problems. Meningitis symptoms occur suddenly and worsen quickly. Germs that get into the bloodstream and travel to the brain and spinal cord cause bacterial meningitis. But when bacteria get into the meninges directly, bacterial meningitis can also happen.
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acute inflammation of the nose with profuse nasal discharge is: a.stridor. b.asphyxia. c.coryza. d.fremitus.
Sinusitis is an inflammation of the sinuses or the nasal passages that causes discomfort, swelling, and redness.
Why do people have too much nasal discharge?Allergies, infections, and nasal polyps are some of the most typical causes. Food, drugs, and hormone fluctuations are among more variables that might cause a persistent, clear runny nose. The majority of reasons of a persistently clear runny nose can be managed at home or with over-the-counter drugs.
What exactly is an acute sinus infection of the nose?The cavities inside your nose (sinuses), brought on by acute sinusitis, swell and become inflamed. Mucus accumulates as a result and drainage is hampered. Breathing through your nose may be challenging if you have acute sinusitis.
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a) Discuss the form of viral hepatitis the man is most likely to have, and state why. You should demonstrate your knowledge of hepatitis by giving reasons why other viral forms could be discounted
Viral hepatitis C is the man is most likely to have.
What are the symptoms of viral hepatitis C infection?Hepatitis C is an inflammation of the liver caused by the hepatitis C virus.
The virus can cause both acute and chronic hepatitis, ranging in severity from a mild illness to a serious, lifelong illness including liver cirrhosis and cancer.
The hepatitis C virus is a bloodborne virus and most infection occur through exposure to blood from unsafe injection practices, unsafe health care, unscreened blood transfusions.
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the most common cause of thyrotoxicosis is graves disease. when assessing this client, the nurse should put priority on which sign/symptom?
Overt thyrotoxicosis manifests as heat intolerance, palpitations, anxiety, exhaustion, weight loss, muscle weakness, and, in women, irregular menstruation. Tremor, tachycardia, lid lag, and warm, wet skin are examples of clinical symptoms that may be present.
What contributes to thyrotoxicosis the most frequently?
Graves' disease, toxic multinodular goiter (TMNG), and toxic adenoma are the three most common causes of thyrotoxicosis, respectively [7]. In addition, there are other reasons, such as pregnant hyperthyroidism, subacute thyroiditis, and thyroiditis without symptoms.
Which sign of Graves disease is clinically significant?
Only Graves' disease, also known as Graves' ophthalmopathy or orbitopathy, can cause inflammation of the eyes, swelling of the tissues around the eyes, and bulging of the eyes.
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complete the following paragraph to describe the two processes by which the influenza virus evolves.
Recall that antigens are substances, like viruses and their parts, that cause our immune system to start an immune response.
Viruses are antigenic , meaning that they develop methods to avoid detection by the immune system.
How to describe the two processes by which the influenza virus evolves?When small changes to the surface spikes of the virus allow it to evade detection by the immune system, it is referred to as antigenic drift.
This process can occur quickly in the influenza virus and other RNA viruses because the enzyme required to convert ANA into DNA has low fidelity, meaning it makes many mistakes during replication.
When two different forms of a virus infect the same host cell and viral particles are reassembled into a new form, it is referred to as antigenic shift.
This causes a rapid change in the virus, so the immune system takes longer to respond, meaning it's more likely to cause an outbreak.
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a school nurse provides care in a large elementary school. many of the students have diagnoses of adhd. for which child with adhd would the use of methylphenidate most likely be safe and effective?
Methylphenidate is a stimulant medication used to treat Attention Deficit Hyperactivity Disorder (ADHD).
The safety and effectiveness of this medication depend on the individual child and the severity of their symptoms. Generally, methylphenidate is considered safe and effective for children aged six and over who have been diagnosed with moderate to severe ADHD.
When considering whether to prescribe methylphenidate for a specific child, the school nurse would need to assess the child's medical history and current symptoms. The school nurse would need to take into account any other medications the child is taking, as well as any underlying medical conditions they may have. The school nurse should also consider the child's age and physical maturity, as methylphenidate may not be suitable for younger children or those with low body weight.
It is important to note that methylphenidate should not be given to children who have certain medical conditions, including glaucoma, tics, or a history of substance abuse. The school nurse should also be aware of the potential side effects of methylphenidate, including loss of appetite, trouble sleeping, and mood swings.
Overall, methylphenidate can be a safe and effective treatment option for children with moderate to severe ADHD. For the use of methylphenidate to be safe and effective, the school nurse should assess the individual child and take into account their medical history and current symptoms.
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For most people, as exercise intensity increases from moderate intensity to high intensity, which of the following would contribute to an increase in cardiac output?
Group of answer choices
Increase in SNS activity
Increase stroke volume
Increase in heart rate
Increase in VO2
For most people, as exercise intensity increases from moderate intensity to high intensity, Increase in heart rate would contribute to an increase in cardiac output. The correct option to this question is C.
Exercise causes many changes in the body, including an increase in blood pressure, heart rate, and respiratory rate. There is also an increase in the oxygen demand on body tissues.
Two significant changes in blood flow are made to fulfill the need for oxygen: an increase in the heart's cardiac output, or the amount of blood it pumps out every minute, and a redistribution of blood flow from passive organs to active skeletal muscle.
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which prescribe medication should the nurse give first to a patient who has just been admitted to a hospital with an acute angle closure
Acute angle-closure glaucoma manifests as a sudden, intense headache or pain in one eye, along with nausea, vomiting, rainbow-colored halos surrounding bright lights, and blurred vision. A fixed midway pupil and a foggy or hazy cornea with obvious conjunctival injection are visible on physical examination.
Which patient situation would the nurse refuse to administer the timolol as directed?
Patients with a history of severe chronic obstructive pulmonary disease (COPD), bronchial asthma, or other lung conditions that place them at risk for acute bronchospasm should not use timolol.
What should be evaluated before administering timolol?
Regularly check for dyspnea, rales or crackles, weight increase, peripheral edema, and jugular venous distention—signs of CHF and pulmonary edema.
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29-year-old g2 p1001 in her third trimester presents to the clinic for a routine check up. you take her vitals and note that her blood pressure is elevated to 150/95. on interview, she complains about some mild ruq pain that she has had for the last few days. you confirm this on physical exam and also take note of facial puffiness. a urine dipstick in the office shows 3 proteinuria. what are the laboratory features of the particular syndrome this patient has likely developed?
It sounds like the patient may have developed gestational hypertension, also known as pregnancy-induced hypertension (PIH). This is a condition in which a woman develops high blood pressure during pregnancy. It is often accompanied by proteinuria, or the presence of protein in the urine, and edema, or swelling, which can cause facial puffiness. Other laboratory features that may be present in a patient with gestational hypertension include an elevated white blood cell count, which can indicate inflammation or infection, and an elevated creatinine level, which can indicate kidney dysfunction. It is important for the healthcare provider to closely monitor the patient's blood pressure and other laboratory values to ensure the well-being of both the mother and the baby.
a client who has been prescribed bethanechol asks a nurse to explain how the drug works. what would be a correct response?
A correct response would be expected as a direct-acting cholinergic medication called bethanechol promotes bladder smooth muscle contraction and urine flow.
A direct-acting cholinergic medication called bethanechol promotes the contraction of the smooth bladder muscles and urine flow. Bethanechol is neither a diuretic nor a medication with indirect cholinergic action. Since the kidneys don't create water, it has no effect on how much water is produced there. Patients should have routine drug evaluations for lower urinary tract symptoms, urine incontinence, and therapy tolerance. Bethanechol side effects include hypotension, increased sweating, and salivation, headache, cramps, diarrhea, nausea, and vomiting, as well as an escalation of asthma.
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which nursing action would be beneficial for a patient with a terminal illness who is experiencing diarrhea
The nursing action that would be beneficial for a patient with a terminal illness who is experiencing diarrhea is to provide a bedside commode.
Loose, watery, and sometimes more frequent bowel motions, also known as diarrhea, are typical issues. It could exist by itself or come along with other symptoms including vomiting, nausea, back pain, or weight loss.
Numerous factors might cause diarrhea, which often clears up on its own in one to three days. You could feel the want to urgently run to the bathroom when you have diarrhea, and this might happen more frequently than usual. Additionally, you could have nausea sometimes, lower stomach cramps, and bloating.
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rising levels of this hormone then induce the ____________ phase of the menstrual cycle.
Answer:
proliferative
Explanation:
nina was recently diagnosed with generalized anxiety disorder and was prescribed xanax. who can prescribe medication in every u.s. state?
Intense anxiety or panic sensations that are directly attributed to a physical health issue are included in anxiety disorders that are caused by medical conditions.
What is Anxiety disorder?Anxiety and worry about things that are commonplace or routine, as well as persistent and excessive anxiety, are symptoms of generalized anxiety disorder.
The worry is excessive compared to the situation, hard to regulate, and has an impact on how you physically feel. It frequently co-occurs with depression or other anxiety disorders.
Repeated episodes of abrupt, acute anxiety, fear, or terror that peak in intensity in a matter of minutes are symptoms of panic disorder (panic attacks). Shortness of breath, chest pain, or a fast, fluttering, or pounding heart are possible signs of imminent catastrophe (heart palpitations).
Therefore, Intense anxiety or panic sensations that are directly attributed to a physical health issue are included in anxiety disorders that are caused by medical conditions.
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a client has been prescribed tinidazole for the treatment of a protozoal infection. what statement by the client indicates to the nurse that further teaching is warranted?
Answer:
If a client has been prescribed tinidazole for the treatment of a protozoal infection and they say "I'm going to take this medication for five days, just like I did with my last antibiotic," this would indicate to the nurse that further teaching is warranted. This is because tinidazole is not an antibiotic, and the duration of treatment with tinidazole is typically longer than five days. It is important for the client to understand the correct duration of treatment with tinidazole in order to ensure that their infection is effectively treated. The nurse should provide the client with additional information and education about the medication, including how long they should take it and any potential side effects they may experience.
In LASIK surgery, a laser is used to reshape the cornea of the eye to improve vision. The laser produces extremely short pulses of light, each containing of energy. a. In each pulse there are photons. What is the wavelength of the laser? b. Each pulse lasts only 20 ns. What is the average power delivered to the eye during a pulse?
LASIK or Lasik, commonly referred to as laser eye surgery or laser vision correction,.
What is Lasik surgery?
Lasik (Laser-Assisted in Situ Keratomileusis) surgery is a type of laser eye surgery that is used to correct vision problems such as near-sightedness (myopia), far-sightedness (hyperopia), and astigmatism. During the procedure, a thin flap is cut in the cornea and the eye surgeon uses a laser to reshape the cornea and improve vision. After the surgery is complete, the flap is put back in place and the eye will naturally heal. Lasik surgery is generally considered a safe and effective way to improve vision, and many people experience a dramatic improvement in vision following the procedure. The typical recovery time for Lasik surgery is a few days, and the majority of patients can return to their normal activities within a few weeks.
a. The laser's current wavelength is
We understand that,
E=nhv
E=nhc/lamda.
lamda =nhc/E
lamda=9.7*1014 *6.625*10-34*3*108/1.0*10-3
lamda =192.78*10-9m
lamda =193nm.
Only (t) = 20 ns separates each pulse.
b. In a pulse(p), the average power delivered to the eye is equal to
Pluse (p) = E/t
Pluse (p)=1.0*10-3/20*10-9
Pluse (p)=0.05*106
Pluse (p)=50kW.
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the primary health care provider (phcp) has prescribed an antibiotic for a child. the average adult dose is 500 mg. the child has a body surface area (bsa) of 0.63 m2. what is the dose for the child? fill in the blank.
The primary health care provider (phcp) has prescribed an antibiotic for a child. the average adult dose is 500 mg. the child has a body surface area (bsa) of 0.63 m2. what is the dose for the child 182 mg.
A particular class of antimicrobial agent that works against bacteria is an antibiotic. Antibiotic drugs are often employed in the treatment and prevention of bacterial infections because they are the most effective form of antibacterial agent for doing so.
Bacteria may be killed or have their growth suppressed. Only a few antibiotics also have antiprotozoal properties. Antibiotics are ineffective against viruses like the flu or the common cold; instead, antiviral medicines or antivirals are used to describe medications that prevent the development of viruses.
Additionally, they are ineffective against fungi; antifungal medications are those that prevent the growth of fungus.
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can you differentiate the short-term complications of diabetes mellitus? for each complication, drag and drop the statements that apply to the complication to the box.primary signs of diabetes mellitus
Short-term complications incorporate successive peeing, expanded thirst, obscured vision, weakness, and cerebral pain. Keeping tight control of your glucose is perhaps the main thing diabetic patients require to do to stay away from additional serious inconveniences from creating.
Short-term complications of type 2 diabetes are hypoglycemia (extremely low blood glucose) and hyperosmolar hyperglycemic nonketotic disorder (HHNS), which is exceptionally high blood glucose. Long haul complexities of type 2 are diabetic retinopathy, kidney infection (nephropathy), diabetic neuropathy, and macrovascular issues. Normal diabetes unexpected issues incorporate coronary illness, ongoing kidney infection, nerve harm, and different issues with feet, oral wellbeing, vision, hearing, and emotional well-being.
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your friend alexander is being treated with medicine for his depression. which type of medicine is he most likely to be receiving?
If Alexander is being treated with medicine for his depression, then the type of medicine that most likely he receives is Selective serotonin reuptake inhibitors (SSRIs).
What are Selective serotonin reuptake inhibitors (SSRIs)?
Selective serotonin reuptake inhibitors (SSRIs) are medical drugs that act by increasing the concentration of serotonin neurotransmitters in the brain, which has an anti-depressive effect and therefore they can be used to treat this disease.
Therefore, with this data, we can see that selective serotonin reuptake inhibitors (SSRIs) can be used as antidepressants due to the generation of serotonin.
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why is it important for healthcare workers to wear personal protective equipment? standard precautions require it standard precautions require it for protection from pathogens for protection from pathogens for protection from blood and bodily fluid for protection from blood and bodily fluid all of the above
Answer:
all of the above
Explanation:
All of the answer choices are reasons as to why it is important for healthcare workers to wear personal protective equipment.