Answer:
Histamine, is the chemical mediator initiates an inflammatory reaction. An inflammatory mediator is basically defined as that act in blood vessels and cells for promote response of inflammatory mediator. Histamine is the main chemical mediator which are released from the cells during inflammation, which increases vascular permeability. It is stored in granules and mast cells and get released immediately when the cells get injured.
<u>Behavior of Jack, the manager:</u>
Jack is the manager, he does have the authority to correct Samantha but it is also his responsibility to make Samantha comfortable. He could have explained the situation to her calmly and make her understand the problem.
He failed to some extent but he could rectify the mistake by apologizing and providing Samantha a clear explanation about how she can improve her performance. If Samantha does go to the PR and reports Jack, both of them leave the problem unsolved indicating lack of proper communication.
A manager should be able to interact well with their workers and make them see the benefits for the company and their personal interests and then invest their effort into better performance.
The Director of nursing would be most concerned with the safety standards established by the clinical laboratories’ improvement amendments or CLIA.
<h3>What is CLIA?</h3>
The Public Health Services Act was amended by the Clinical Laboratory Improvement Amendments of 1988 law, in which Congress altered the federal scheme for accreditation and oversight of clinical laboratory testing.
Federal standards that apply to all U.S. facilities or locations that test human specimens for health assessment or to diagnose, prevent, or treat disease are included in the Clinical Laboratory Improvement Amendments of 1988 (CLIA) rules.
Testing performed for forensic reasons (criminal investigations), testing carried out on human specimens for research or surveillance, and testing carried out on human specimens when patient-specific results are not reported are all exempt from the CLIA regulations.
These tests include employment-related drug testing by SAMSHA-certified laboratories.
To know more about CLIA, visit:
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Answer:
Patients who suffer from respiratory pathologies, generally present an increase in fluid in the alveoli, where they produce the gas exchange, that is why if we put the patient to bed completely, the gas exchange surface will be less, because the liquid that presents by the pulmonary emphysema is dispersed in more alveoli and therefore the difficulty of breathing is greater.
The ideal position then in this type of patient, where the problem is in the respiratory system, in the position of approximately 130 degrees, or an intermediate position between 180 and 90 degrees, since in this way the upper limb will not be at the same Height than the lower limb, the emphysema fluid does not disperse through the alveoli on a larger surface, but on a smaller surface, and thus the patient will be able to breathe better, and improve their gas exchange capacity.
Explanation:
The greater the occupied alveolar surface, the less capacity for gas exchange and therefore greater difficulty in breathing ... This would happen in patients who are fully reclined, that is, at 180 degrees.
If we position it well, between 90 and 180, approximately 130 degrees, less alveolar surface occupied by the fluid of the emphysema, greater gas exchange and therefore better breathing.
