H.E.L.P. This position, the Heat Escape Lessening Position, or H.E.L.P., aims to protect some of the areas of your body most prone to heat loss - the head, neck, sides of the chest cavity and the groin area. If you are wearing a life jacket, this position can be very effective.
Answer:
a. a student decides to cut herself
the student decided to so then its obviously intentional
1)well day care mean you will watch the children till bout noon, evening care mean you would watch the at night and sometimes over night if you are willing
2)there are different types of abuse:
-there is verbal abuse-which mean you talk bad to your child and tell them all types of horrible things
-physical abuse-to where as you beat them and leave scars and sometimes were people beat their kids so bad till they go to the hospital
4)It's not good to overact to a child when they tell you thay they being abuse you should calmly talk to them so that way they tell you everything that going on and you can tell the cops everything is going on and they don't make themselves feel like they did anything wrong
5)there could be change in behavior or they way they start speaking or start isolating themselves from the family or the way they act towards other children
Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
Deciding on a goal, the goal always comes first.
