Answer:
the appropriate tone to use in this instance would be a stern but kind and understanding tone. you don't want to be too forecul in order to avoid the patient rebelling however, you must be stern since it is a matter of life and death; the best course of action is to be entirely honest about the serious effects his habits have on his health. Based on his past actions of following the regimens prescribed by other doctors, he seems to want to lose weight and do better. The best way is to entirely avoid the point of temptation and try to keep it out of sight and out of mind. being kind is important since people react better to kindness rather than control, showing how much you care could cause the patient to want to do better.
Answer:
Arterial blood gas (ABG) results from a 68-year-old woman with difficulty breathing show:
- Oxygenation (PaO₂): hypoxemia
- pH: acidosis
- PaCO₂: Hypercapnia
- HCO₃⁻: normal
whose interpretation is: <u>respiratory acidosis</u>.
Hypercapnia can produce symptoms such as confusion, drowsiness or lethargy, headache, nausea and vomiting and, in severe states, can cause severe unconsciousness and coma.
Explanation:
Respiratory acidosis is due to a failure in the breathing process that produces <u>hypoventilation</u>, decreasing the partial pressure of oxygen (PaO₂) —hypoxemia— and increasing the partial pressure of CO₂ (PaCO₂), called hypercapnia.
- <u><em>Acidosis</em></u><em> is the result of the accumulation of CO₂ in the body, which is reflected as a decrease in </em><em>pH</em><em> below 7.35, with no change in bicarbonate content.</em>
- <u><em>Hypoxemia</em></u><em> is the decrease of PaO₂ below 60 mmHg.</em>
- <u><em>Hypercapnia</em></u><em> is the increase of PaCO₂ in ABG above 45 mmHg.</em>
- <em>Normal </em><em>bicarbonate</em><em> </em><em>(HCO₃⁻) </em><em>values range from 22 to 28 mEq/L in ABG. This compound can be altered in metabolic acidosis.</em>
<u>Hypercapnia mainly affects the nervous system</u>, producing symptoms that alter the state of consciousness of the affected, also producing headache and even nausea and vomiting.
Incorporate more schools that serve breakfast.
The Department of Health and Human Services in the US has proposed a program called Healthy People 2020 to encourage the prevention of acute and chronic illness for all US residents.
One of the more than 1300 specific goals of Healthy People 2020 is to increase the number of schools that serve breakfast. This is a crucial goal because, regrettably, not all parents provide their kids with a healthy breakfast because of financial hardship, carelessness, etc.
Children would benefit from breakfast being served at school either for free or at a reduced cost since they would start the day with nourishment and better health and nutrition from a nutritious breakfast.
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