Tuesday, May 26, 2020
What You Dont Know About College Essays
What You Don't Know About College Essays If a college application offers you a distinct prompt, ensure you write on such a topic and not something else. Most colleges ask a fairly generic question for which they want to find a fairly focused answer. If your study group is made up of more than a dozen heads, you can discover that it's more chaotic than educational. College representative wish to observe students who have put time in their college selection search. Lewis once wrote, you've been writing for many years. The middle part of your college personal statement or essay ought to go into a bit more depth what you anticipate majoring in. There's no certain means to compose a fantastic college education important essay, but the 3 points above should always be taken under consideration. When the topic is finalized, it's sensible to prepare a rough draft. In any form of college admission essay, it is essential that you present topics in such a means to impress the admission officers. College Essays - What Is It? Second an ideal essay is one which convinces the college authorities, in which you are able to portray your potential and personality. Students must learn they cannot merely buy their way from a tricky situation they find themselves in. The College Essays Game It isn't hard to edit a college essay in case you have the full information and clarifications from your client. The conclusion another major part. It's understandable to have questions regarding the practice of purchasin g essays from a writing service company. An individual can also borrow supporting evidence from various other writers, acknowledging them. The Most Popular College Essays Many internet essay writing services operate beyond the nation, making it challenging to track. In any sort of editorial solutions, you must have an open communication with your client. If you're writing a book or any multi-sectioned bit of work that needs a table of contents, you need to make sure your submission follows APA style guidelines. The process of producing your title needs time. Guidelines and questions supplied by the college you're applying should also be followed while preparing them. Writing about what you believe the admission staff would like to hear is not a great idea either. While it can be unfortunate if you're asking for a college, it happens to numerous students and it's normal. You should ensure it is relevant which relates to the total subject of your college admission essay. T he Do's and Don'ts of College Essays Whether you're permitted to pick your own topic or you're given strict guidelines, the very best college essays deliver in one of 3 areas. In case the essay is improperly formatted and edited, you are going to have a poor reputation by means of your student clients. You are able to trust us if you wish to get essays online UK. Our custom writing service provides a wide variety of essays from all possible areas of study. Most Noticeable College Essays As an issue of fact, an expert writer knows the way to make College Essay Writing topic oriented and academically about the topic. The second section of the important essay should carry a succinct overview of the work analyzed. The second portion of that is the point where the essay becomes just somewhat tricky. When writing essays, including a counter-argument is a huge method to strengthen your entire piece (apart, naturally, from employing an excellent writing software). Getting the Be st College Essays Reread multitasking essay and search for prospective students thinking away from the box, have basic literacy abilities and capacity to compose essays, it is necessary for many. In academic and scholarship essays, it's particularly important to produce the reader appreciate you. So if you're a scholar and are going to sit for a college entrance exam then here are a few handy ideas to compose an essay and edit it in such a way that it's accepted by the examiner. There are many websites who gives you advice on ways to write a great essay. Above 100 essay writers are readily available to provide meet your needs to get essays. The debut of the important essay should introduce the title, author and the essence of the job under analysis. Therefore to find recognition for your essay it must be unique. Many essays meant for you want an assortment of essays.
Sunday, May 17, 2020
Essay on Brenda Seggerman HP - 612 Words
EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seegerman Patient ID:903321 Date of Admission 3/27/2012 Emergency Room Physician: Alex McClure, MD Admitting Diagnosis: Eptopic Pregnancy CHIEF COMPLAINT: The patient presents to the emergency room this morning complaining of lower abdominal pain. HISTORY OF PRESENT ILLNESS: The patient states that she has been having vaginal bleeding, more like spotting, over the past month. She denies the chance of pregnancy, although she stated that she is sexually active and using no birth control. GYNECOLOGIC HISTORY: Patient is gravid 2, para 1, abortus 1. Her only child is a 15-year-old daughter who lives in Texas with her grandmother. PAST MEDICAL HISTORY:â⬠¦show more contentâ⬠¦Heart: Regular rate and rhythm. Abdomen: Soft with positive tenderness of her lowed abdominal area.Fundus was not palpable above the pubic area. Left adnexa are more tender than the right. Viginal exam: The cervix is closed. A moderate amount of mucopuruent vaginal discharge is noted. The patient would not allow me to perform a bimanual examination due to her pain, so the speculum was withdrawn. Extremities: No clot, no edema. Neurologic exam: Intact, oriented x3. No neurologic deficits. DIAGNOSTIC DATA: Admissions hemoglobin 12.8g, hematocrit 36.6%. Urinalysis is essentially negative. Beta-hCG is positive with a WBC count of 23,278. RADIOLOGY: Pelvic ultrasound shows a 7week 4-day-old viable ectopic pregnancy pre Radiology. The patient was given Demerol 25mg and Phenergan 25 mg IV for the pain after her report was obtained. She was also given Claforan 1 g IV. I paged Dr. Gerard, patientââ¬â¢s GYN physicial, as soon as I recived the ultrasound report at approximately 10 a.m. His office personnel advised me that he is not on call. Dr. Bumbak is on call. I spoke with Dr. Bumbak at approximately 10:25 a.m., and she will be here to take the patient to the operating room. ADMITING DIAGNOSIS: Left ectopic first-trimester pregency. DISPOSITION: The patient received an IV of lactated Ringerââ¬â¢s upon arrival at the emergency room. This was switched to normal saline while we were awaiting Dr. Bumbakââ¬â¢s arrival. The surgical procedure was explained to the patient and her
Friday, May 15, 2020
Wednesday, May 6, 2020
Exodus Of The Old Testament - 1453 Words
In the book of Exodus of the Old Testament of the Judeo-Christian Bible, Moses asked God for His Name, and God responded ââ¬Å"I Am that I Amâ⬠, which, in Hebrew is ââ¬Å"Yahwehâ⬠and in Greek it is ââ¬Å"Oh Ohnâ⬠which literally translates as ââ¬Å"The One That Existsâ⬠. The Cosmological Argument attempts to prove that God exists by showing that there cannot be an infinite number of regressions of causes to things that exist. It states that there must be a final uncaused-cause of all things. This uncaused-cause is asserted to be God. The Cosmological Argument takes several forms but is basically represented below. Cosmological Argument 1. Things exist. 2. It is possible for those things to not exist. 3. Whatever has the possibility of non-existence, yet exists, has been caused to exist. 1. Something cannot bring itself into existence since it must exist to bring itself into existence, which is illogical. 4. There cannot be an infinite number of causes to bring something into existence. 1. An infinite regression of causes ultimately has no initial cause, which means there is no cause of existence. 2. Since the universe exists, it must have a cause. 5. Therefore, there must be an uncaused cause of all things. 6. The uncaused cause must be God. In the following paper, I will attempt to argue for the existence of God and that God is the cause of existence because God is existence and nothing exists separate from God. Once upon a time there was a theoryâ⬠¦ ââ¬Å"THE BIG BANG.â⬠This theory proposed thatShow MoreRelatedThe Exodus Of The Old Testament918 Words à |à 4 PagesExodus is the earliest text in the Old Testament that creates a new identity and sense of community to a group of people who had nothing. According to the Exodus there were a group of slaves who fled Egypt and where led by a prophet named Moses, who also is the proclaimed author of the book. These people where on a mission to find the promise land where they can be free from oppression and create their own civilization. These claims are true are still debated to this day, but the text was writtenRead MoreBibl 104 Ot Bible Dictionary Project1120 Words à |à 5 PagesJenna Erickson BIBL 104-D13 04/17/2015 Old Testament Bible Dictionary Project: Exodus/Moses/Sinai Exodus: Exodus is the second book of five in the Pentateuch or Torah of the Old Testament. It is also the second book in the Hebrew Bible, and is known as Vââ¬â¢elleh Shemoth, while in the Greek Bible it is known as Exodus, meaning ââ¬Å"departureâ⬠or ââ¬Å"outgoingâ⬠. Moses is believed to be the author of Exodus, and it was most likely written during the forty years of wandering in the wilderness, between 1451Read MoreThe Structure of Biblical Authority998 Words à |à 4 Pagessuzerain, God sovereignly rules his vassals with covenant stipulations. Part One In chapter one, Formal Origins of Biblical Canon, Kline shows how the origin of the Old Testament canon, coincided with the founding of Israel at the establishment of the covenant at Sinai. It is around this very treaty that the totality of the Old Testament canon was formed. Therefore, canon is inherent in covenant: the same type of covenants which were attested in the ancient world. Therefore, we ought to turn to thisRead MoreThemes from Genesis 1-111238 Words à |à 5 Pages The Pentateuch consists of the first five books of the Old Testament: Genesis, Exodus, Leviticus, Numbers, and Deuteronomy; called Torah in Hebrew. The term Pentateuch is from the Greek for Penta (five) teuchos (books). Both Jewish and Christian traditions view these five books as a single unit, forming the backbone of the rest of the Bible. Both traditions place the Pentateuch first in the divisions of the Old Testament (Law, Prophets, and Writings). Other designations for theRead MoreEssay on The Changing Role of the Supernatural in the Bible1621 Words à |à 7 Pages- The changing role of the supernatural in the bible Almost every religious scripture references to experiences of supernatural phenomenon by holy men and women. The Bible is no exception .The bible in both forms The Exodus, the old Testamant and the Luke in the new Testament is concerned primarily with the existence of god , the nature of god, the relationship of god with his creratures , primarily humanity. Gods role in the history and creation of the world in essence in the Bible is about theRead MoreWorship And Sin Can Not Coexist1233 Words à |à 5 Pagesserved as vital religious components of Judaism. In addition to atonement, tabernacle and temple, further elements of Old Testament worship include scripture, singing, and covenant renewal/remembrance. This essay will go over Old Testament worship practices and the significance of these practices. Atonement is the physical ritual conveying a sentiment of repentance. In the Old Testament, atonement was the method used in order to attain purity and restore relationship with God and the community of believersRead MoreA Study On Ancient Israelites And The Rise Of Christianity1640 Words à |à 7 Pagesgroup of people trapped in Egypt kept as slaves. Coming into Intro to Old Testament class, I assumed the class would be nothing more than a lecture about everything I had already learned in church. Because I was very familiar with the stories of the bible I anticipated I would be ahead of the game and already know everything there is to know about the Old Testament. Little did I know, I barley knew anything about the Old Testament. I was taught the only the basic stories and my pastorââ¬â¢s interpretationsRead MoreUnderstanding Different Biblical Interpretation, Rather Than, Expressing Personal Thoughts And Emotions Of Old And New Testaments1128 Words à |à 5 Pagespurpose of u nderstanding different biblical interpretation, rather than, expressing personal thoughts and emotions of Old and New Testaments. Introduction: In order to appreciate the role of the Old Testament law in Scripture, need to face all of the Old Testament law is still the word of God for us even though it is not still the command of God to us. Israelââ¬â¢s problem in the Old Testament was not with their inability to keep the law; it was their choosing not to do so. So the role of the law in IsraelRead MoreEssay about The Personality of a Caring God1527 Words à |à 7 Pagesseems, many Christians define the God of the Old Testament as heartless and evil and blatantly disregard his sensitive nature. As confirmed by many casual bible readers, some of the teachings and descriptors of God In the Old Testament may seem harsh and insensible. A more educated bible reader or theologian will plumage into the numerous dimensions of Yahwehs character and discover his very complex personality. After an in-depth look into the Old Testament, one can acknowledge many of Yahwehs interestingRead MoreThe Bible : Genesis, Exodus , Leviticus, Deuteronomy1108 Words à |à 5 PagesThe Pentateuch is comprised of the first five books of the Bible: Genesis, Exodus, Leviticus, Numbers, and Deuteronomy. The word Pentateuch itself is derived of the Greek word penta, meaning five, and teuchos, meaning a volume/book (Belkum). Jews call the first five books the Torah, others call it the Law. Each book contains segments that fit together into the larger whole. These books are the theological framework, or backbone, for the rest of the OT and NT (Malick). Largely, the Pentateuch is made
Political Corruption Has A Lasting Impression On New York...
Political corruption has had a lasting impression on New York City and the empire state all together. It is an attribute to the history and development of the city because it has been an influence on the social, economic and political spheres that are at the heart of society in New York. To develop an understanding of how political corruption shaped New York City and how it has contributed to the cityââ¬â¢s growth is essential to under the history of the city. It is important also to understand how people reacted to it, because it set a foundation for modern times and how people react to government and its role in society. My possible thesis for this research paper would be political corruption was an element to the growth of New York City following the civil war. Through questionable political tactics, officials used their power to negatively and positively push New York City into the 1900s, which would lead to political activism by the cityââ¬â¢s people looking for change. Th e most important aspect in understanding political corruption in New York City during the Gilded Age would have to be identifying how these officials were able to come into power and gain support. In the book, Party Games: Getting, Keeping, and Using Power in Gilded Age Politics, the author Mark Summers has examined just that. The tactics and approaches to government and interaction with New York City citizens were something that was very unique as well as new to American society. The corrupt officialsShow MoreRelatedThe Lack Of The Political Corruption1807 Words à |à 8 Pagesone of the largest negative consequences of the political corruption was the laziness that was displayed officials. To the understanding of the officials, once they were in power, there was no real need to do anything or make any changes. This could potentially stem from the idea that they did not really have any true ideas on how to fix any of the problems that the local populations were concerned about. Ma ny of these men seemed to lack real political experience but decided to run for office becauseRead More The Rise in Police Brutality Essay5198 Words à |à 21 Pagesnothing? While another man has a wooden stick shoved so far up his intestines that they ruptured. Instead of sitting down watching all this happen around you and just being glad it isn?t you. You can do something about it. Prevent police brutality; corrupt cops and the killing of innocent lives. The heinous, cruel and inhumane acts the following cops have done are by no means justified, moral, or legal. The Articles of the International Covenant on Civil and Political Rights states the rightsRead MoreHow Al Capones Empire Grew3749 Words à |à 15 Pagesprobably the most notorious and bloody killing attributable to Capones reign of terror in Chicagos 1920s. However, Capone was more prominent in going against the law of prohibition. While alcohol was outlawed, Capone smuggled whiskey from Canada to New York and then on to Chicago. Bringing in this illegal good is what made Capone $105 million in 1927 alone. Although alcohol is now legal, the United States is still a consumer of illegal substances. One of these main illegal imports is cocaine. It isRead MoreThe Influences of Sor Juana and Julia de Burgos2050 Words à |à 9 PagesThe Influences of Sor Juana and Julia de Burgos Most every human being has encountered a time in their life when he or she has felt suppressed. However, not every person has stood up against the people and forces that have kept them oppressed. It takes a truly extraordinary person to stand up for their self and to take a stand for the greater good of others. According to Clare Booth Luce: ââ¬Å"courage is the ladder on which all the other virtues mount.â⬠The Mexican writer, Sor JuanaRead MoreUnited States Dependence On Foreign Energy Resources3548 Words à |à 15 Pagesis present or produced. Now transportation can be simply done you need some energy resources to do it .Where do we get this resources? There are 2 basic ways likely: 1. Produce your own resource. 2. Get it from somewhere who has it. We for the past decades United States has been the largest importer of energy resources throughout the world. We consume almost 7 billion barrels of fuel in various forms such as crude oil, petroleum, gasoline, biodiesel etc. And how much do we produce on own? OnlyRead MoreItaly - Research Paper10557 Words à |à 43 PagesGeographically, Italy is comprised of a peninsula that extends into the Mediterranean Sea, as well as two large islands. The shape of Italy has been depicted as a ââ¬Ëbootââ¬â¢ in many cartoons and drawings for years. The country covers over 116,000 square miles, making it approximately the combined size of Florida and Georgia. (Killinger, 2002) Italy is a democratic republic that has a current population of around 60 million people, making it the twenty-third most populous country in the world. Italy is a foundingRead MoreEssay on Winter Olympics 2006 Marketing Plan16242 Words à |à 65 Pagesof Olympic Winter Games Were They? A Preliminary Account From an Organizational and Economic Perspective Piervincenzo Bondonio and Nadia Campaniello Citius, Altius, Fortius! To what extent does the motto of the Olympics relate to Torino 2006? Has the XXth edition of the Olympic Winter Games (OWG) continued the positive trend whereby each edition, with only a few exceptions, surpasses the one before? In which areas have there been improvements, if any? To what extent have the targets set byRead MoreTop Ten Advertising Agency in India11316 Words à |à 46 PagesTop Teââ¬ËAdvertisingââ¬â¢ is a medium meant to propagate ideas to people using any means of communication. Liberalization has empowered advertising and has completely changed the Indian advertising scenario. The major areas touched by advertising are FMCGââ¬â¢s food market, cosmetics etc. Advertising is like the two sides of a coin. Sometimes it may seem that advertisements send out the wrong message or impel people to buy certain products. On the other hand, advertising can be perceived as a means to sellRead MoreNew World Order in Conspiracy Theory13987 Words à |à 56 Pages------------------------------------------------- New World Order (conspiracy theory) This article is about the use of the termà New World Orderà in conspiracy theory. For other uses, seeà New World Order (disambiguation). The reverse side of theà Great Seal of the United Statesà (1776). The Latin phrase novus ordo seclorum, appearing on the reverse side of the Great Seal since 1782 and on the back of theà U.S one-dollar billà since 1935, means New Order of the Ages and only alludes to the beginningRead MoreRastafarian79520 Words à |à 319 PagesBearers Ennis Barrington Edmonds 2003 198 Madison Avenue, New York, New York 10016 Oxford University Press is a department of the University of Oxford It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide in Oxford New York Auckland Bangkok Buenos Aires Cape Town Chennai Dar es Salaam Delhi Hong Kong Istanbul Karachi Kolkata Kuala Lumpur Madrid Melbourne Mexico City Mumbai Nairobi Sà £o Paulo Shanghai Taipei Tokyo Toronto Oxford
Case Study on Orthopaedic Trauma for Surgery-myassignmenthelp
Question: Discuss about theCase Study on Orthopaedic Trauma for Emergency Surgery. Answer: The health care industry has improved significantly over the past few decades, and now the care plans and the strategies are more patient centered and targeted than ever. One of the most targeted patient centered care plans can be the ones focused on the trauma patients. There can be various types of trauma; however this assignment focuses on orthopedic trauma (Panteli, Pountos and Giannoudis 2016). Orthopaedic trauma can be defined as the severe injury of the musculoskeletal system that is often facilitated by any sudden accident and it demands emergency medical attention as well. It has to be understood in this context that orthopedic trauma can easily be life threatening if immediate and adequate medical attention is to given to the patient. And hence, it is very important for the health care initiatives to be taken on an urgent basis and all the while obtaining a clear understanding of the underlying pathophysiological interventions as well (Capone et al. 2014). This assignment w ill attempt to outline the pathophysiology critically with respect to the case study of a patient named Leigh Richards. This assignment focuses on the case study of a critical patient named Leigh Richards who had undergone a devastating accident. The patent in the case study, Leigh is a 39 year old man who had been an irrigation consultant working in the Murray bridge area. During the accident the patient had been a restrained passenger sitting inside the rally car, the car hit a tree because of travelling exceedingly over the permitted speed limit on a dirt road. His injury details as expressed in the case study include being trapped inside the car after the accident by a cabin intrusion that pinned his leg. Following the unfortunate event, the emergency care team cut through the car to rescue the patient and emergency care for his orthopedic trauma had been initiated. In this regard the patient had a daughter who is a second year nursing student who did not understand the use of pharmacology in the orthopedic trauma that her father had been facing (Rossaint et al. 2010). It has to be understood that in this case the patient had sustained a severe injury in his leg due to an accident that caused a cabin intrusion to pin his legs inside the car. Now orthopedic trauma comprises of severe injuries in the different parts of the musculoskeletal system including the bones, joints and the ligaments. The most common and frequently observed interventions for such conditions include surgical procedures however, in certain cases, especially for pain management, wound management and hemorrhage management purposes, the role of pharmacological interventions are also crucial (Zhang 2012). According to the signs and symptoms that has been discovered in the case study the most the patient has been suffering from pins and needles and functions in his legs as well, which is a very common condition with respect to compartment syndrome. In relation to the different signs and symptoms discovered in the case study the most probable diagnosis for the patient is compartment syndrome which can be a devastating condition if not rapidly diagnosed or properly managed in the patient. On a more elaborative note, it has to be mentioned that compartment syndrome is of grief medical condition that involves an acute increase in the pressure located in the muscle compartment which can be resolved it by a crush injury and can easily lead to muscle and nerve damage restricting the blood flow through the body surrounding the affected muscle tissue (Roscoe, Roberts and Hulse 2015). Compartment can be defined as the confined space in the thick layer of tissue called fascia present in between t he muscles separating the groups of muscles in arms and legs. In this case is the compartment syndrome caused by the car accident on the patient resulted to applying an acute pressure on the compartments in between the muscles leading to accumulated pressure on the muscles blood vessels and nerves leading to the excess pressure on the fascia. Due to the fact that the fascia are not capable of stretching the direct response of the pressure is exerted on the muscles, capillaries and nerves in the compartment obstructing the blood flow to muscles and the nerve cells. According to the Cone and Inaba (2017), compartment syndrome occurs when the pressure within any defined compartmental space increases past the critical pressure threshold leading to decreasing the perfusion pressure to that particular compartment. It has to be mentioned that compartment syndrome has a range of clinical manifestations, however pain and paresthesia is the most plausible type of compromise complications. Par esthesia can be described as the altered sensation, which generally begins with pins and needles sensation, numbness and tingling sensation. The patient in the case study, Leigh Richards, has been exhibiting pins and needles sensation as well in the injury site along with acute pain, hence it can be stated that for the patient acute compartment syndrome manifested as pain and onset of paresthesia (Von Keudell et al. 2015). Pharmacology can be defined as the branch of biology that focuses on drug interaction and their physiological effect on the body. It basically deals with the theories of pharmacokinetics involving ADME of the drug or pharmacon used, elaborating more, this theoretical concept discusses the absorption, distribution, metabolism and excretion of the drugs used with respect to the biological system of the body (Kier 2012). Another very important theory on which the ADME of the pharmacon are based includes the receptor theory. This theory serves as the operational model for exploring and analyzing the drug-receptor interaction in the functional system with respect to the G-protein coupled receptor behavior (Pan et al. 2013). These theories serve in helping to understand the sequence of physiological effect on the biological system of the patient and to understand the action on the disease pathology. In order to discuss the pharmacology of compartment syndrome, the major health issue of the patient in the present scenario, the primary focus needs to be on pain management. Analgesics are the most common medication type that is used to relive the patient of the acute pain that the patient had been suffering from, most of which have sedative properties, which is extremely beneficial for patients with trauma. In this case, the patient had already been given Fentanyl for pain management in the theatre, hence in the next phase the patient would require Oxycodon for pain management. Oxycodon is a narcotic medication that is used to relieve severe pain in the patients. It is either administered as extended release tablets or on the form of concentrated solutions. This drug belongs to the class of opioid analgesics and it is a semisynthetic derivative of derivative of codaine that acts as a narcotic analgesic with considerable effectiveness making it apt for the trauma patients. The mechanism of action of this medication can be best understood while correlating with drug receptor theory. According to Okura, Higuchi and Deguchi (2015), the active agent works as a weak agonist of the mu, kappa and delta opioid receptors of the central nervous system. It mainly targets the mu receptor which remains coupled with G-protein receptors and act as modulators of synaptic transmission. The opiate binds to the key receptor and stimulates the conversion of GTP into GDP in the G-protein complex. It helps in targeting the cyclic AMP system and as a result into closing the N type voltage operated calcium channels and results into hyperpolarization which reduced neuronal excitability of the patient. Considering the ADME of the drug, this drug is well absorbed in adults and the oral bioavailability of the drug is 60 to 87%. And the distribution volume is 2.6 L/kg. The protein binding capacity is 45% and metabolism is hepatic. The excretion mechanism of this medication and it's metabolites are primarily via the kidney. The most suitable dosage for Oxycodon in case of trauma patients are at least 20mg orally on a daily basis, however given the need for analgesia for Leigh Richards 40mg of extended release capsules will be the most suitable for the patient. The side effects of this medication include constipation, drowsiness, nausea, stomach pain, loss of appetite, sleepiness, tiredness, dry mouth headache and fatigue. This particular medicated against a varied range of different health conditions such as brain tumor, hypothyroidism, addison's disease, extreme loss of body water, depression, suicidal thoughts, addiction, alcohol intoxication, slow heartbeat, irritable bowel disease, liver problems etc. However oxycodone can be taken with any food item without any restrictions all the alcohol is contraindicated while taking oxycodone. Drug interaction of this meditation is associated with CYP3A4 enzyme activity, any drug group that apps on this particular enzyme activity has probability of interacting with oxycodone like antibiotics such as Erythromycin Fluconazole Erythromycin etc. Nursing consideration for patients that are taking oxycodone includes checking if the patient has applied allergy which can lead to hypersensitivity reactions after taking off the coat on and checking if the patient has any of the concentrated health conditions before administering the medication (Wirz et al. 2018). Another very important component of pharmacology of this particular disease and the present health conditions of latest depression in the case study, proper wound management and infection control has to be mentioned. Given the present conditions of the patient and the severity of compartment syndrome and taking oxycodone the most plausible and suitable antibiotics that can be given to the patient includes cefalotin and metronidazole. Considering cefalotin first, this particular medication is second generation derivative of antibiotics cephalosporin and is used to treat many kinds of infection as a potent broad spectrum antibiotic. The mechanism of action of this medication is based on the bacteriocidal activity of the agent. It is facilitated by cell wall synthesis in aviation with respect to the affinity of penicillin binding proteins. It has to be mentioned in this context that these proteins are vital in the peptidoglycan synthesis and their inhibition inhibits synthesis of vital cell wall components. The dosage for his medication that can be prescribed to leave Richards is 7.15 kg per mg single IV dose administered in a 6 hourly basis. Considering the ADME of this drug, this particular drug is absorbed rapidly from the site of injection. The distribution volume is 0.26 litre per kg and metabolism is hepatic (Sadleir, Clarke and Platt 2016). The medication is metabolized to a least active desacetyl metabolite which is excreted unchanged through the urine of the patient. All that has to be mentioned that the renal excretion of this medication is less than 65%. Considering the contraindications of this medication skeleton is contraindicated against health conditions including renal dysfunction, colitis, dialysis, and sodium restriction. Considering the drug interactions, cefalotin interacts with calcium gluconate, diphenhydramine, furosemide, penicillamine, probenecid and amikacin. Side effect of this medication includes local irritation such as Rash itching redness at injection site, hypersensitivity reaction such as bronchospasm fever anaphylaxis and urticarial or maculopapular rash. Renal insufficiency and nephrotoxicity are two least common side effects of this medication. Considering the nursing consideration it has to be mentioned that the nurse administering this particular medication must be where the patient has any allergic reactions to cephalosporin kind of antibiotics or if the patient has anyone else disorders with sodium restriction. This particular medicine also results in diarrhoea hence the nurse administering medication will have to educate the patient regarding the side effects and possible antique precautionary action for diarrhoea nausea and vomiting which can occur after taking his medication (Yang et al. 2015). The next suitable antibiotics for this patient should be metronidazole. It is a medication that is used to treat selective anaerobic bacteria infection. The mechanism of action for this medication is associated with the ability of selected anaerobic bacteria to reduce metronidazole to its active form which then binds to the DNA disrupting the helical structure and intern results in indicating bacterial nucleic acid synthesis and facilitates cell death. Considering the ATM of this particular medication it has to be mentioned that his medication is excellently absorbed 80% from the injection site. The distribution of this medication is 0.51 to 1.1 litre per kg in adults. The metabolism of metronidazole is hepatic facilitated by hydroxylation oxidation and glucoronudation (Jakobsson et al. 2017). The excretion is via urine in the form of nitro containing compounds which are the derivatives of this medication after metabolism. The dosage of this medication for an adult patient like Leigh Richards the patient the case study, is given in 15 mg per kg per single IV dose. The contraindication of this medication includes history of blood dyscrasias, active organic disease of the central nervous system, and hypersensitivity to this group of antibiotics. The adverse reactions include gastrointestinal such as candida growth, hematological including transient leukopenia, neurological such as convulsions seizure meningitis and optic and peripheral neuropathy. Along with that liver dysfunction and mild rashes have also been reported as side effects of this particular medication. This particular medication interacts with Other Drugs including cyclosporine, disulfiram, fluorouracil, phenytoin, cimetidine, bisulfan, corticosteroids and BCNU. Nursing consideration for this medication includes educating the patient regarding the precautions and side effects of this medication checking for any hypersensitivity reaction and whether the patient has any contraindicated diseases before administering this medication. While administering this medication the patient will also have to check if the patient has had the following complications such as aseptic meningitis long-term therapy Candidiasis sodium restriction, impaired functions, etc (Vardakas et al., 2012). These medications will help the patient with the pain and the wound infection risk that the patient had been in the next 24-48 hours and will be able to help him to his recovery. However, in case the compartment syndrome, a few nonpharmacological interventions will be needed to applied such as proper dressing of the wound and the cutting the cast, followed by 10-20% pressure reduction. And in case the condition persists, fasciotomy is indicated to help the patient recover (Dalton et al. 2014). Conclusion: On a concluding note, it can be stated that the patient under discussion in the case study represented a unique and severe orthopedic injury. On further assessment of the patient condition, the patient was discovered to be having severe laceration injuries in the entire left side of his body facilitated by the accident and the cabin intrusion pining his leg that required inline extrication by the SAAS ambulatory services in order to rescue him. It has to be mentioned that for such severe orthopedic injuries there are various pharmacological procedures involved and each of them have a significant impact on the recovery of the patient and the hospital stays. Along with that, it has to be mentioned that for the care plan to be effective for the patient, a detailed idea of the pharmacology of compartment syndrome and how it impacts the patient after a musculoskeletal injury or trauma, is crucial for both the nursing professional and the patient family as well. This assignment outlined the key pharmacological use in orthopedic injury effectively and helped understand the pathophysiology of the key signs and symptoms exhibited by the patient and the targeted pharmacological interventions for the symptoms. Overall it helped attain a detailed understanding of the use of different pharmacological interventions after a traumatic musculoskeletal injury. References: Capone, A., Orgiano, F., Pianu, F. and Planta, M., 2014. Orthopaedic surgeons strategies in pharmacological treatment of fragility fractures.Clinical Cases in Mineral and Bone Cone, J. and Inaba, K., 2017. Lower extremity compartment syndrome. Trauma Surgery Acute Care Open, 2(1), p.e000094. Dalton, D.M., Munigangaiah, S., Subramaniam, T. and McCabe, J.P., 2014. Acute bilateral spontaneous forearm compartment syndrome.Hand Surgery,19(01), pp.99-102. Jakobsson, H., Jernberg, C., Sjlund, M., Jansson, J. and Engstrand, L., 2017. Molecular analysis of ecological changes in the human normal microflora after treatment with clarithromycin and metronidazole. Kier, L., 2012.Molecular orbital theory in drug research(Vol. 10). Elsevier. Okura, T., Higuchi, K. and Deguchi, Y., 2015. The blood-brain barrier transport mechanism controlling analgesic effects of opioid drugs in CNS. Yakugaku zasshi: Journal of the Pharmaceutical Society of Japan, 135(5), pp.697-702. Pan, A.C., Borhani, D.W., Dror, R.O. and Shaw, D.E., 2013. Molecular determinants of drugreceptor binding kinetics. Drug discovery today, 18(13-14), pp.667-673. Panteli, M., Pountos, I. and Giannoudis, P.V., 2016. Pharmacological adjuncts to stop bleeding: options and effectiveness.European Journal of Trauma and Emergency Surgery,42(3), pp.303-310. Roscoe, D., Roberts, A.J. and Hulse, D., 2015. Intramuscular compartment pressure measurement in chronic exertional compartment syndrome: new and improved diagnostic criteria. The American journal of sports medicine, 43(2), pp.392-398. Rossaint, R., Bouillon, B., Cerny, V., Coats, T.J., Duranteau, J., Fernndez-Mondjar, E., Hunt, B.J., Komadina, R., Nardi, G., Neugebauer, E. and Ozier, Y., 2010. Management of bleeding following major trauma: an updated European guideline.Critical care,14(2), p.R52. Sadleir, P.H.M., Clarke, R.C. and Platt, P.R., 2016. Cefalotin as antimicrobial prophylaxis in patients with known intraoperative anaphylaxis to cefazolin. British journal of anaesthesia, 117(4), pp.464-469. Vardakas, K.Z., Polyzos, K.A., Patouni, K., Rafailidis, P.I., Samonis, G. and Falagas, M.E., 2012. Treatment failure and recurrence of Clostridium difficile infection following treatment with vancomycin or metronidazole: a systematic review of the evidence. International journal of antimicrobial agents, 40(1), pp.1-8. Von Keudell, A.G., Weaver, M.J., Appleton, P.T., Bae, D.S., Dyer, G.S., Heng, M., Jupiter, J.B. and Vrahas, M.S., 2015. Diagnosis and treatment of acute extremity compartment syndrome. The Lancet, 386(10000), pp.1299-1310. Wirz, S., Ellerkmann, R.K., Soehle, M. and Wirtz, C.D., 2018. Oxycodone is safe and effective for general anesthesia. Journal of Opioid Management, 14(2), pp.125-130. Yang, M., Liu, H., Qiu, Y., Wang, X. and Zhang, W., 2015. Separation and characterization of a new isomeric impurity in cefalotin sodium by HPLC and MEKC. Journal of Liquid Chromatography Related Technologies, 38(7), pp.816-822. Zhang, Y., 2012.Clinical epidemiology of orthopedic trauma. Thieme.
Tuesday, May 5, 2020
Acadian History free essay sample
Acadian History This section of the web site is devoted to the history of the Acadian people. It explains how and why the French lived in this place and called it Acadia, it was the part of New France. How a group of less that 100 families, including Francois Girouard and his wife Jeanne Aucoin, took a chance and left France to inhabit this new land and call it home. This Colony of people managed to prosper even under strict English rule. I can thinking the how the Acadian people lived and in what kind of the houses, and what food they eat In 1755, everything changed. The years between 1755 and 1762 was a tragic time for the Acadians and the Girouard Family. The British and French were feuding over the control of rights and land. Until 1713, all the Acadian were asked to swear loyalty to the British. When they refused the British authority decided for enforce a deportation. We will write a custom essay sample on Acadian History or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It was a bad news for Acadian. Acadians lost all of their rights and lands and were forced to leave in the hold of overcrowded ships bound to a unknown place. The story of the Acadian deportation is not pretty. During the late summer and fall f that year, troops acting under the authority of colonial officials rounded up about seven thousand French-speaking, Catholic Acadians. They were crowded into the holds of transport ship and dispersed in small groups throughout the British North American colonies. Many families were separated, some never to meet again. Another eleven thousand Acadians escaped into the woods and spent years as homeless refugees. At least three thousand were captured and sent to France, while others took up arms in guerrilla resistance. * Why did this happen? What offense had the Acadians committed? They had refused to take an unconditional oath of allegiance, insisting on remaining neutral in the violent and destructive imperial warfare between the colonial empires of Great Britain and France. They were willing to swear loyalty to the British crown, they declared, but only with the inclusion of a condition: that we will take up arms neither against his Britannic Majesty, nor against France, nor against any of their subjects or allies. * British colonial authorities tactily agreed to those terms for nearly forty years, and the Acadians became known as the neutral French. But in 1755, on the eve of what would prove to the climactic war with the French in North America, British authorities used Acadian neutrality as the pretext for their expulsion. The deportation of the Acadians began in the fall of 1755 and lasted until 1778. The first removals, comprising about 7000 people, were from settlements around the Bay of Fundy. After the British captured ile Royale and ile Saint-Jean and raided the Gaspe and the Saint Jonn River in 1 58, turtner Acadians were captured and deported. Farms and businesses were destroyed. A British officer arriving at Annapolis Royal in October 1757 observed ruined habitations, and extensive orchards well planted with apple and pear trees,bending under their weight of fruit . Acadians were shipped to many points around the Atlantic. Large numbers were deported to the continental colonies, others to France. Some managed to escape to New France (Quebec). A handful arrived in the Upper Saint John Valley. Many moved several times; a great number left the American colonies at the end of the war and returned to Nova Scotia; many of those in France moved to the French Caribbean or o Louisiana, where they formed the basis of the Cajun population. Those Acadians who returned to Nova Scotia in the 1780s and 1790s found their former settlements occupied by American settlers and Loyalists. As a result, the Acadians occupied new areas in western Nova Scotia, Cape Breton Island, Prince Edward Island, the eastern shore of New Brunswick, and the Gaspà © Peninsula. In these areas, they drew a living from farming, inshore fishing, lumbering, and shipbuilding The National Historic Park at Grand-prà © remember the Acadian deportation. The tatue represents the maid Evangeline, the hero of Henry Wadsworth LongfelloWs famous poem about the deportation published in 1847. Recently, the Queen of England acknowledged that this was a mistake. In order to remember this event 250th anniversary, the Canadian postal service distributes a commemorative stamp, in the postage stamp design ticket the ticket for Canada in 1930 the commemorative stamp which distributed for this event 175th anniversary, the design for the same year Arab League Cady Asias gospel church. In this kind of ticket the ticket design mentality is the Canadian postal service postage stamp dvisory commissions suggestion. This postage stamp by Pierre-Yves the Pelletier design, the face value is 0. 50 Canadian dollar, the postage stamp specification for 39. 65x48mm, edition 16, the perforation 13+ degree, print by Canadian India Paper money Factory, the quantity issued is 2,500,000. * The British and Canadian government have now acknowledged their responsibility for the wrong done to the Acadians. The role of New Englanders as the perpetrators in this episode of ethnic cleansing suggests that Americans ought to reflect on the larger context of our national history.
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