There is no known “safe” amount of alcohol consumption when pregnant. Even a small amount can cause complications.
Answer:
ECG paper is a grid where time is measured along the horizontal axis.
Each small square is 1 mm in length and represents 0.04 seconds.
Each larger square is 5 mm in length and represents 0.2 seconds.
Voltage is measured along the vertical axis.
10 mm is equal to 1mV in voltage.
The diagram below illustrates the configuration of ECG graph paper and where to measure the components of the ECG wave form
Heart rate can be easily calculated from the ECG strip:
When the rhythm is regular, the heart rate is 300 divided by the number of large squares between the QRS complexes.
For example, if there are 4 large squares between regular QRS complexes, the heart rate is 75 (300/4=75).
The second method can be used with an irregular rhythm to estimate the rate. Count the number of R waves in a 6 second strip and multiply by 10.
For example, if there are 7 R waves in a 6 second strip, the heart rate is 70 (7x10=70).
Answer: check her medical history to see if she has had these issues before during your physical exam alway check above and below the area the patient is complaining about. So for sinuses palpate the sinus drainage passage with the digits of your fingers. For below palpate the back of the neck ask if there’s any tenderness or pain also examine the throat and check the lymph nodes and tonsils. Do an oral exam look at the tonsils tongue teeth look for any inflammation or redness. Look in the nasal cavity to see if you see a deviated septum dryness bleeding any blockage after a full physical exam like that order your x-ray which would typically not be done on an acute patient with these symptoms but in a patient with chronic issues continuing I would immediately get a consult to a specialist which in her case would be an ENT( ears,nose,throat). A simple clinical treatment for sinus issues would to just put the patient on a antihistamine some examples are (Benadryl, Allegra and Clara tin) I’d recommend the patient follow up within a week to see if that helped at all and then if not follow through with the plan I set in place above. If you do place the patient on an antibiotic I would recommend (amoxicillin).
Hm2(FMF) Gill
Explanation:
Answer:
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Cerebrospinal Fluid (CSF) flows through the four ventricles and then flows between the meninges in an area called the subarachnoid space. CSF cushions the brain and spinal cord against forceful blows distributes important substances and carries away waste products.