Answer: The number of available symptomatic treatments has markedly enhanced the care of patients with Amyotrophic Lateral Sclerosis (ALS). Once thought to be “untreatable”, patients with ALS today clearly benefit from multidisciplinary care. The impact of such care on the disease course, including rate of progression and mortality, has surpassed the treatment effects commonly sought in clinical drug trials. Unfortunately, there are few randomized controlled trials of medications or interventions addressing symptom management which has resulted in the need for physicians to base their selection of specific therapies upon personal experience and anecdotal reports (1 Forshew). In this review, we will provide the level of evidence, when available, for each intervention that is currently considered “standard of care” by consensus opinion.
Explanation:
The above statement is false and the reason is explained further below.
<h3>What is Diagnostic and Statistical Manual?</h3>
Diagnostic and Statistical Manual (DSM) is the manual that is published by the American psychiatric association.
This manual is us d by the psychiatrist and psychologists in the treatment and diagnosis of mental disorders because it contains:
- up-to-date criteria for diagnosing mental disorders and
- extensive descriptive text, providing a common language for clinicians to communicate about their patients.
Therefore, the statement is false because the manual is published by American Psychiatric Association not World Health Organization.
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The fluid requirement of the patient weighing 43lb is 1475ml.
<h3>
What is fluid requirement?</h3>
Fluids are necessary for a variety of bodily processes, such as removing waste products, controlling body temperature, and delivering nutrients to the cells. A healthy adult requires, on average, one quart of water for every 50 pounds of body weight, according to Clemson State University. According to the U.S. Geological Survey, water comprises around 60% of the human body, 70% of the brain, 90% of the lungs, 75% of lean muscular tissue, 10% of body fat, 22% of bones, and 83 percent of blood.
The patient's total fluid demand, expressed as ml/24 hours, is determined by multiplying the calculated fluid requirement by the patient's bodyweight.
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