Discuss why you would administer salbutamol and describe how it works at the cellular level.

the assignment is about Case Study there is 9 question you have to answer each question exactly the right answer make sure to read the guideline step by step and to add the diagram to support the answer, please see the file the guideline for writing.
Assignment Requirements
A 1500 word, structured response answering the specific questions presented in the following case study.
Information provided in your answers must be referenced following academic conventions. A bibliography should be included at the end of your document conforming to Harvard (author/date) format. References and in text citations are not included in the word count.Diagrams can be included to help support your answers – they are not included in the word count.Use the answer template provided by pasting it into a new documentWeighting : 15%
PARA2001: Integrated Clinical Case
Patient Background
You have been tasked Priority 2 to a 75 year old man with chest tightness and shortness of breath. On your arrival you find a very thin, elderly man sitting on a chair with his arms braced on his knees. He looks very dyspnoeic. His initial observations are:
Respiratory rate 45 breaths/minuteHeart rate 120 beats/minuteBlood Pressure 95/50 mmHgOxygen saturation 82%Glasgow Coma Score 13 (E=3,V=4, M=6)
The man’s name is Mr Wenham, and he is only able to speak single words. His wife tells you that his breathing is never very good, because he smoked far too much. She says he sometimes struggles to walk around the house.
Symptoms Shortness of breath, chest tightness, coughOnset “His breathing has been particularly bad for the last two days and much worse for the last hour or so”Chest examination Barrel chested, little chest wall movementBreathing sounds Very quiet breath sounds, occasional wheezeJugular veins Elevated 5cm
You form the view that Mr Wenham is suffering from an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). You administer supplemental oxygen, atrovent and salbutamol (following local guidelines), and prepare for the 60 minute journey to hospital.
Describe the underlying pathology of COPD and the common pathological characteristics of the condition. Discuss the impact these pathological changes have on normal function, including how alveolar ventilation might be different in Mr Wenham compared to a normal individual.(20 marks)
Discuss why you would administer salbutamol and describe how it works at the cellular level.(10 marks)
Mr Wenham’s oxygen saturation improves with supplemental oxygen but he remains tachypnoeic, tachycardic and hypotensive. On arrival at the Emergency Department you go straight to the resuscitation room and an arterial blood gas sample is taken and analysed immediately with the following results:
pH 7.12PaO2 100 mmHg.PaCO2 110 mmHgHCO3 38
Discusswhy they would take an arterial blood gas and explain what the results mean and how they relate to the pathophysiology you described.(10 marks)
The emergency department staff suggest you may have given Mr Wenham too much oxygen. They say they are going to remove the oxygen.
Discuss the normal control of ventilation and the issues surrounding the use of supplemental oxygen therapy in patients with severe exacerbations of COPD. What problems can it cause and why? (20 marks)
When considering his blood gas analysis, do you think it is a good idea to remove Mr Wenham’s oxygen and have him just breathing air? Provide an argument supporting why it is OR why it is not.(10 marks)
The emergency department consultant returns from his lunch break to interrupt the oxygen debate. He suggests that Mr Wenham needs BiPAP.
What is BiPAP? How might BiPAP help to improve Mr Wenham’s clinical condition? (10 marks)
Three days later, after 18 hours of BiPAP, corticosteroids and physiotherapy, Mr Wenham is much improved. The respiratory physician responsible for his care orders spirometry. This shows:
FEV1 0.75 litresFVC 1.5 litresFEV1/FVC 50%
What is spirometry? (5 marks)
Discuss the significance of the results by examining the differences between Mr Wenham’s spirometry and that of a normal individual? (10 marks)
How does the pathology of COPD explain these differences? (5 marks)
PARA2001: Integrated Clinical Case
Answer Template (cut and paste into a new document).
Describe the underlying pathology of COPD and the common pathological characteristics of the condition. Discuss the impact these pathological changes have on normal function, including how alveolar ventilation might be different in Mr Wenham compared to a normal individual. (20 marks)

 

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In order to improve the customer reach and popularity of the product lines and demand, numerous… 1 answer below »

• Abstract and Acknowledgement – out of word count • introduction – 800 words • Literature review – 2500 words • Methodology – 2500 words • Results, analysis and discussion – 3500words • Conclusion and recommendations – 700 words • Reference , Appendix, Grant chat – out of word count The same three chapters (with an expanded version to reach your word count along with the modifications) that you included for your proposal should be inspired as the first three chapters in your dissertation too. However, you will have to increase the depth of the discussions in order to increase the word count, probably in literature review and methodology chapters. However you have to think about plagiarisms while keep in place. And your total dissertation will be more than 10,000 as you have added some from proposal b . As you must be already aware, your dissertation is developed based on the plan that you have outlined in your research proposal. Within it you need to cover the following sections and requirements; 1. First page design : first page should be looks like wow , please implement wow factor. 2. Acknowledgement 3. Nice and clear table of contain } Abstract • Is the summary of the research paper • Is the abstract adequate? • What is the purpose of the research? • What are its benefits and implications? • What methodology was used? (sample size, data analysis methods and tools) • What are the results? The abstract should not be a mere a summary what includes the chapters included, instead it should summarise the points such as: • Purpose of the research • Methodology used in the research • Findings of the research • Conclusions and recommendations } Introduction (10%) Is there a clear purpose and rationale for the study? Are there clear set of objectives and research questions? Background This informs the reader of the problem or the situation, and the context you are interested in. Rationale for the study • What is the research issue? • Why is it an issue? • Why is it an issue now? • What could this research shed light on? – (benefits/ implications of the study)In order to improve the customer reach and popularity of the product lines and demand, numerous global beverage brands are implementing social media marketing.As mentioned by Ayanwale et al. (2005) that social media enhances the inner trust and reliability of the customers towards the brand. Due to this regard, the researcher tried to evaluate the effectiveness of social media marketing over the sales and market share for the organization. Along with this, the researcher also discussed the importance of social media marketing over traditional means in this age of extreme competition and bargaining rivalry (Bennett, 2007). However, the social media promotions are not often considered to be a dependable source as several customers’ considers the reviews and suggestions to be exaggerating and fake. The market reach of Coca-Cola might be checked as not all customers frequent their access to the social media. Nevertheless, considering the faster reach and quicker access of social media, the study will consider its impact on earning market share for Coca-Cola, UK.

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Discuss the process of creating a budget for a healthcare facility. Why is budgeting in health care different from many other industries?

Discuss the process of creating a budget for a healthcare facility. Why is budgeting in health care different from many other industries?
1. Describe the various sources of funding beyond third-party reimbursement from which the various types of healthcare facilities can benefit.
3. Discuss the CMS Quality Initiatives that are underway at this time. Do you support these initiatives? Why, or why not? How do you feel these initiatives will affect patient care?
Your response must be at least 200 words in length.
2. Discuss the process of creating a budget for a healthcare facility. Why is budgeting in health care different from many other industries?

 

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1 List of an activity or the process Binomial assumptions.2. A hotel chain claiming that only 10% of

1 List of an activity or the process Binomial assumptions.2. A hotel chain claiming that only 10% of their clients end up dissatisfied with your stay at thehotel. 8 Guests are selected at random that they have completed their days in the hotel during thelast week and asked their level of satisfaction with the stay. Consider that the interview process isa Binomial activity and meets the assumptions listed in question 1. The hotel wants to project thefollowing results with respect to the dissatisfaction of the interviewed 8:****to present the probability distribution of X = number of guests dissatisfied 8 interviewed randomly.b. likelihood of exactly 4 express dissatisfaction.c. probability of 4 or less express dissatisfaction (at most dissatisfied 4)d. probability of 5 or more to express dissatisfaction. (at least 5 dissatisfied)e. on average, 8 independent guest many expected that they are dissatisfied with the stay? Whatthe variability of X = number of dissatisfied guests, as measured by the standard deviation?2. In the situation of exercise 2 above, suppose interview 8 randomly selected guests and 5 ofthem expressed dissatisfaction. Analyze the results a-e of question 2, conclusion arrives over theexpressed will of the Hotel that only 10% are dissatisfied. I.e., the result of which 5 of 8 guestsexpress dissatisfaction, does seem in accordance with the claim of the Hotel that only 10% arenot satisfied? Justify your answer.*****3. A program for weight loss ensures that on average are lower µ = 5 lb in the first two weeks ofthe program, with a variability of ? = 3 lbs. To project how often relative claims of the participantswill be heard, the program postulates the Normal distribution as a model of the low-weight duringthe first two weeks of participation. You want to determine:****a probability that the participant lower between 1 and 4 pounds in those two weeksb. likelihood of downside being 2 or fewer pounds.c. likelihood of which is down 8 pounds or more.d. If it is known that participants who fall weight less than 1 pound in those two weeks will asktheir money returned, frequency relative (probability) is expected in that group?e If you have as objective that more than 70% of the participants get off between 3 and 7 pounds,does it comply with that objective? Show your reply.f how many pounds low 10% less weight down?g how many pounds low the lowest 1%?h. What is the low maximum which program would be comfortable to ensure in their ads? Justifyyour answer based on the Normal model.

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What are the most important elements of a managed care pharmacy benefit program? And how are patient prescription benefits typically different under managed care?

What are the most important elements of a managed care pharmacy benefit program? And how are patient prescription benefits typically different under managed care
1) What are the most important elements of a managed care pharmacy benefit program? And how are patient prescription benefits typically different under managed care?
2) What factors surrounding behavioral health create special challenges and special considerations for managed care programs? How is managed behavioral healthcare different from managed acute medical or managed acute surgical care?

 

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Evaluate critically how Dr. King weaves his speech around central concepts of justice and freedom.

MLK/RFK Assignment
Go to You Tube and watch ML King’s two speeches, “I Have Been to the Mountaintop” and “I have a Dream.” Evaluate critically how Dr. King weaves his speech around central concepts of justice and freedom. What words does he repeat to emphasize these concepts in each speech? Focus as well on his tone, inflection, dress, figures of speech and any other characteristic of the speeches. Please also discuss the body language or any other tactic and very important–the rhetorical strategies–ethos, logos, and pathos– that  Rev. King used to get his message apart.
Then look at Robert F. Kennedy’s speech on the occasion of Dr. King’s assassination. What tactics did Kennedy use to calm people down when it was clear that the evening would not be just a campaign speech by him but also an important tribute to a fallen leader? How did the use of poetry help him make his point? What special words or phrases did he use to make his points come alive?
This should be one unified, typed essay i1 and 1/2-2 pages. Due in class in hard copy on designated date..

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Review the collateral information of Case Scenario 1. In the Assessment Data section, review the raw data of the MMPI-2. Appropriately interpret the scores. Based on your review of Therapeutic Risk Typologies, provide a one- to two-page recommendations r

 Review the collateral information of Case Scenario 1. In the Assessment Data section, review the raw data of the MMPI-2. Appropriately interpret the scores. Based on your review of Therapeutic Risk Typologies, provide a one- to two-page recommendations report for child protective services.

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identify at least one organizational practice from each of the areas listed above that can be considered “risky”. Why is it considered risky?

Part 1
250 words with one reference and intext citation in APA format.
Taking risks is often seen as necessary in the pursuit of business growth. In context of business and human management, there are many areas of business were risk is often present and can be easily controlled. Yet despite this fact, business organizations seem to have the most difficulty controlling risks in the following areas:
Equitable pay
Stock option practices
Fair selection/promotion practices
Wage and hour laws
While there is government oversight in the above areas, this oversight is not the equivalent as operations compliance. What is the difference between the two?
Next, identify at least one organizational practice from each of the areas listed above that can be considered “risky”. Why is it considered risky? What are possible consequences for not controlling the identified risk? What is a recommended control method for this practice? Provide justifications as to why you think this control method would be ideal.
Part 2
250 words with one reference and intext citation in APA format.
Figure 17.1 from our textbook presents a general framework for managing diversity in organizations. See attachment for photo.
The model suggests that an organization’s diversity approach is a function of internal and external pressures for and against diversity. Management’s perspectives and priorities with respect to diversity can range from resistance to active learning and from marginal to strategic. Within management’s priorities, the organization’s strategic responses can range from reactive to proactive.
What are some methods you would use to ensure that would move from a more reactive response to a more proactive approach?
attachmentPart2.docx

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A rigid cylinder with a moveable piston contains a 2.

A rigid cylinder with a moveable piston contains a 2.0 liter sample of neon gas at stp what is the volume of this sample when its temperature is incresed to 30 degrees celcius while its pressure is decreased to 90 kilopascals?The post A rigid cylinder with a moveable piston contains a 2. first appeared on Nursing School Essays.

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Based on your knowledge of employment law, conflict management, and investigation procedures, what would be the best way to handle this situation

Read the attached article:
Lytle, T. (2015). Confronting conflict. HR Magazine, 60(6), 26-31. Retrieved from
After reading the article, analyze the scenarios provided below, and choose one to discuss in the case study paper. In the case study, be sure to address the following items:
Include a brief statement that identifies your style of conflict management.
Use the information provided in this unit to develop a process to resolve the conflict.
Describe how you would handle the workplace investigation for the chosen scenario.
As a result of a merger, the organization decided to decentralize its human resource management (HRM) functions and create area human resource (HR) generalists across the United States. One of their responsibilities is to handle all employee relations issues. You report directly to the senior vice president of HRM in the corporate headquarters in New York, and there is a dotted line reporting relationship to the vice president of field operations in your area, which is located in the Midwest. You just arrived at your new location for this position about six days ago.
Armed with the information you have learned in Units I and II and aided by your own experience and ability to research, please read the scenarios below, and select one for this assignment. Please answer the questions, and follow the guidelines presented.
Scenario:
Your senior vice president (SVP) of HRM has received a complaint from two branch managers in your geographic area. They are separate but similar complaints concerning Robert, the SVP of Area Operations. Both managers say Robert touches them and other women in the office inappropriately by rubbing their shoulders; the managers also report that Robert makes remarks about their alluring attire and comments that he is in love with them for the great job they are doing. Knowing you are housed in the same area office with this SVP, your boss asks you if you can objectively investigate this complaint. You talk it over with your boss and know he will support your efforts, and you agree to do the investigation. Almost as soon as you give your answer to your boss, you receive a phone call from the area SVP’s wife, who somehow already knows you will be interviewing her husband for a harassment complaint. She is irate and states that the charges are ridiculous. She becomes belligerent and begins to degrade the female managers.
Based on your knowledge of employment law, conflict management, and investigation procedures, what would be the best way to handle this situation? For example, what laws are involved? Where do you start? Who do you notify? When do you start? What do you tell the area SVP’s wife?
In this situation, you are the employee relations representative for the organization. What is your role in the investigative process? Describe the steps you take to investigate this employee complaint.
In your response to the scenario you have chosen, follow the guidelines below:
Be sure to include academic sources to support your positions/conclusions. You are required to use at least two outside sources.
Be sure that your analysis is highly relevant, thorough, and remains on topic.
Accuracy should be strong, with close attention to detail in all parts of the assignment.
Writing should be clear and concise with solid sentence structure and should be free of grammar, punctuation, and spelling errors.
The paper should be at least three pages in length.
All sources used must be referenced; paraphrased and quoted material must have accompanying citations in APA format.
attachmentcase_article.pdf

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