Discuss/ summarize the surgical steps of oral or maxilofacial procedures. What are the main surgical instruments required to do a repair.? Are there any specialized equipment \ personnel required to be in the room? This is surgical technologist procedures in surgery must be 225 - 250 250 word discussion on this topic please help

Describe the impact of CMMS on the Healthcare System for the following aspect:

• Cost-effectiveness
• Safety (patient and user)
• Challenges and recommendations

Directions: Circle the correct answer.

1. The apex of the heart is the bottom / top of the heart.

2. The endocardium is the innermost / outermost layer of the heart.

3. At rest, the heart pumps 5000 ml / 500 ml of blood per minute.

4. The pericardial sac normally holds 5 to 20 ml / 150 to 250ml of fluid.

5. Heart valves are made up of endocardial / myocardial tissue covered by fibrous tissue.

6. “Leaky”/ “stiff” heart valves cannot open correctly and are called stenotic.

7. Chordae tendineae and papillary muscles are part of the structure of the A-V / semilunar valves.

8. During ventricular contraction, the semilunar valves would be open / shut.

9. The coronary arteries mainly fill during systole / diastole.

10. From the left ventricle, the openings of the coronary arteries (ostia) are located in the ascending aorta just before / just past the aortic valve.

11. At rest, the greatest concentration of K+ is found inside the cell membrane and the overall charge is negative / positive.

12. Polarization / depolarization are when the cell is resting.

13. After the myocardial cell contracts, the sodium pump actively pumps Na+ into / out of the cell.

14. An action potential causes Ca++ to move into the cell and stimulates the release of calcium from the sarcoplasmic reticulum. As the intercellular C++ levels increase, this causes the muscle fibers to contract / relax.

15. Most of the blood from the atria flows actively / passively to the ventricles.

16. Cardiac output is the volume of blood ejected per minute / hour by the rhythmic ventricular contraction.

17. The end-diastolic volume (EDV) is the amount of blood in the ventricle at the end of diastole and is about 70ml / 140 ml of blood.

18. The volume of blood ejected from the left ventricle during systole is approximately 70ml / 140 ml of blood.

19. Cardiac output = stroke volume x heart rate / end-diastolic volume.

20. Preload increases / decreases with increased end-diastolic volume.

21. If arterial BP is high, or if the aortic valve is stenosed and it takes a lot of pressure to eject the blood from the left ventricle, then afterload is increased / decreased.

22. If the afterload is increased, the amount of blood that the ventricles can eject with each contraction (stroke volume) is less / more than usual.

23. The contractile state of the myocardium refers to the vigor or contraction generated by the myocardium regardless of blood volume and preload. The contractile property of the heart is inotropic / rhythmic state.

24. Sympathetic stimulation increases / decreases myocardial contractility.

25. Metabolic abnormalities, metabolic acidosis, and hypoxemia decrease / increase myocardial contractility.

26. An athlete who is well conditioned will probably have a slow heart rate and a larger/stronger left ventricle. The athlete would have a larger/smaller stroke volume than a normal person.

27. Diastolic blood pressure is the force of blood exerted against the artery walls during edqw23re3the hearts relaxation / contraction.

28. Baroreceptors are stretch-sensitive nerve endings affected by changes in the arterial blood pressure. Increased blood pressure and stimulation of the baroreceptors will cause the body to try to increase / decrease the blood pressure by a relay to the vagus nerve.

29. Parasympathetic nerve endings release the neurotransmitter acetylcholine which increases /decreases the firing of the SA node and the heart rate.

30. Sympathetic hormones released from the adrenal medulla, norepinephrine and epinephrine, will increase / decrease myocardial contractility.

31. Myocardial oxygen consumption will be increased /decreased when the heart rate and force of myocardial contraction are increased.

32. An aging heart will have dilatation / shrinking of the cardiac chambers.

33. An aging heart will have thickened / thinned heart valve structures.

Evaluate the commercially available CMMS (computerized maintenance management system) applied for maintenance management of medical equipment in the hospital:

• Advantages and limitations
• Implementation challenges and recommendations

1. The nurse is caring for a client who is postoperative day 3 following a total colectomy and secretion of an ileostomy. While changing the dressing the nurse notes the ileostomy stoma is dusky in color. How should the nurse interpret this assessment finding? - The client o2 saturation below, - The stoma is blocked. - Circulation to the stoma a compromised - This is a normal assessment finding postoperatively

2. During the first 15 minutes of the transfusion the client complains of chills the nurse understands chills are an indication that the client? - Is having the onset of a seizure - Is having a transfusion reaction - Is having a normal reaction to the blood - Has caught a cold

patient is 9 years old and female presents with her mother complaining of a dry cough that “wakes up everyone in the house” each night for the last 2 weeks. Denies prior hx of the same.

• For the case you have chosen:

• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list:
  • Pertinent positive and negative information
  • Differential and working diagnosis
  • Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

You are a nurse admitting a patient to the hospital from the emergency department with shortness of breath and recent weight loss. After receiving a report from the emergency department nurse,you ready the patients room according to unit specifications and collect the necessary equipment and forms. When the patient arrives she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork,you note that her shortness of breath increases slightly as she answers your questions. Accompanying the patient is her daughter who comments "This is the fourth time she's been admitted to this hospital in the past year ".The patient and her daughter demonstrate a close loving relationship. The daughter not only encourages her mother,but also sets boundaries regarding her mother's anxiety.
a. What data in this scenario are pertinent?
b. Which conditions within the case study could be addressed by a nursing diagnosis?
c. Which conditions within the case study would be addressed by a medical diagnosis?
d. How are medical diagnoses,collaborative diagnoses and nursing diagnoses different?
e. Compare how a medical diagnosis is written versus a nursing diagnosis?

1. A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month.

For the case you have chosen:

• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list:
  • Pertinent positive and negative information
  • Differential and working diagnosis
  • Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

In SOAP format, list: Pertinent positive and negative information Differential and working diagnosis Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

• Discuss why it is important for the APRN to explore the individual stage of development of each family member when analyzing a family’s response to an illness event. Consider your population of interest or study.

What are all important side Effects of Amlodipine?

What elements would you recommend to the chief compliance officer to be included in an overall compliance plan and in a more specific coding compliance plan?

Please show the work

1. What is the total flow for a 35% venture mask set at 10 liters per minute at the flow meter?

2. How long will an E cylinder last if the flow rate is set at 5, and there is 1500 PSIG on the pressure gauge?

3. What is the total flow for a 50% venture mask set at 15 liters per minute at the flow meter?