You are dispatched to a residence for a 59-year-old male with an unknown emergency. when you arrive, you find the patient sitting on the couch. he is conscious, is noticeably diaphoretic, and complains of dizziness and weakness. during your assessment, you note a large, well-healed vertical scar in the center of his chest and a small bulge just under the skin in the upper left part of his chest. his blood pressure is 90/50 mm hg, pulse is 44 beats/min and weak, and respirations are 24 breaths/min and unlabored. what is the most likely cause of this patient's condition?
- Artificial pacemaker failure
Answer:
<u>The best strategy is to start the inhaled coticosteroids, during the tapering of the oral corticosteroids</u>.
Tapering of drug is the reduction of drug dosage gradually so as to manage the withdrawal syndrome and therefore the plasma levels of the drug.<u> The medication is reduced at fixed intervals by the subject.</u>
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This is necessary in this scenario to prevent deficiency in blood cortisol levels as a result of adrenal suppression from long oral corticosteroids treatment. Therefore the inhaled medication should commence when the dosage of oral has reduced,/temperd
Explanation:
Resistance training includes things like weightlifting. When performing this type of exercise, what should we keep in mind about its frequency?
1.High-intensity workouts minimize the need for greater frequency
2.As long as it is done safely, the same muscle groups can be worked daily
3.In order to provide rest, muscle groups should be worked every other day
4.There is no significant difference in the frequency requirements for weight training
Answer:
The difference between the effects of a spinal injury at C3 and one at T3 is due to the fact that the segment of the spinal cord affected, and the functions it controls, are different.
Explanation:
From the spinal cord originate the spinal nerves, which are responsible for controlling both sensory and motor nerve functions.
Each segment of the spinal cord controls a group of specific motor and sensory nerves, known as myotomes and dermatomes.
Vertebral injuries can cause spinal cord inflammation or permanent spinal cord damage. The involvement of a segment of the spinal cord can be evidenced by
- <u><em>Sensory level</em></u><em>: which is the lowest level of sensory function that remains intact. </em>
- <u><em>Motor level</em></u><em>: the lowest level in which motor activity remains functional. </em>
<u><em>The difference between a C3 and T3 lesion is that the cervical lesion affects the dermatome and myotome that control this segment, in addition to all those below it. On the other hand, a T3 lesion can affect this dermatome and myotome, in addition to the lower ones, but the functions above the lesion will not be affected</em></u>.
- A vertebral injury in C3 —third thoracic vertebra— is very high —sensory and motor level with response maintained on the neck— and produces a failure of almost all the peripheral nerves, with paralysis from the neck down. This includes breathing and control of the diagphragm (breathing) and the four limbs.
- Injuries in T3 —third thoracic vertebra— the motor and sensory level is lower, allowing movement of arms and breathing, but with paralysis of part of the trunk, lower extremities and control of the bowel and urinary bladder.