- The phrenic nerve is derived from the cervical plexus and receives innervation from the C3, C4, and C5 nerve roots. It is the longest branch of the cervical plexus.
Why does phrenic nerve supply diaphragm?
- The C3-C5 spinal nerves in the neck give rise to the phrenic nerve, a mixed motor and sensory nerve.
- The diaphragm, the main muscle of respiration, is exclusively controlled by the nerve, making it essential for breathing.
What organ does this nerve supply?.
- The jejunum receives both intrinsic and extrinsic nerve supply.
- The preganglionic parasympathetic and postganglionic sympathetic branches of the celiac plexus provide the autonomic extrinsic supply.
- These neurons go via branches of the major vessels from the mesentery into the jejunum.
What are the 4 types of nerves?
It is conventional, however, to describe nerve types on the basis of their function: motor, sensory, autonomic or cranial.
- Motor Nerves.
- Sensory Nerves.
- Autonomic Nerves.
- Cranial Nerves.
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A penetrating abdominal injury with severe respiratory distress has most likely involved Diaphragm.
What is the penetrating abdominal injury ?
Penetrating stomach injuries to the thorax: a wound that enters above the costal border, below the fifth intercostal gap. These wounds have the potential to have started in the chest before moving through the diaphragm and into the abdomen.
What organ sustains damage the most frequently when the abdomen is penetrated?
The following organs are the most frequently injured in abdominal injuries caused by stab wounds: Liver (40%) Small intestine (30%) Diaphragm (20%)
Diaphragmatic injuries are quite uncommon and are brought on by either penetrating or blunt trauma. 1-7% of patients who sustain significant blunt trauma and 10-15% of patients who sustain penetrating trauma to the lower chest experience traumatic diaphragmatic rupture.
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The nurse administers cimetidine to a 75-year-old client diagnosed with a Gastric ulcer the nurse should monitor the client for the following adverse reactions Headache, Sleepiness, Confusion, Dizziness, Nausea which contribute for the change in Metal status.
- Cimetidine is a H Receptor Antagonist.
- Gastric partial cells contains receptors for Histamine.
- Histamine is released from the Enterochromaffin cells upon the stimulation from food intake or from Vagus nerve stimulation.
- Thus Histamine released from Enterochromaffin cells binds to H receptors on the parietal cells and increases the secretion of HCl.
- Cimetidine has totally opposite effect and decreases the secretion of HCl from the parietal cells.
- Not only on gastric cells H receptors are also present in CNS where they stimulate brain cells.
- The above point justifies the adverse effects of Cimetidine.
- Patients over the age of 50 or those who are severely ill may experience transient confusion while taking H blockers, particularly cimetidine.
Hence from these points we can conclude that patients who are above 50 years and receiving Cimetidine medication for gastric ulcer should be monitored for the above mentioned adverse reactions.
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Answer: Make changes in the home
Explanation:
Based on the information given, the best next step is to make changes in the home. This is still a mild elevation which occurs typically from level 10 to 20.
In this case, treating with chelation isn't needed. The assistance of public health and the education for the parents are important in this case. The family should also move out of the lead-contaminated apartment as this isn't good for the child.
Answer:
I'd say C would be the answer