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LOCATION: Inpatient, Hospital PATIENT: Debra Chitzan ATTENDING PHYSICIAN: George Orbitz, M.D. The patient is seen and examined during hemodialysis. Chart is reviewed. The patient appears to be hemodynamically stable and not in any form of respiratory distress or compromise. She is tolerating dialysis without any problems. Predialysis vital signs are stable. Blood pressure is 134/63, heart rate 57, and temperature 98.6F. She weighs 139.8 pounds. Today, we will dialyze her using her left Perm-A-Cath for a total of 3 hours using an HP-150 dialyzer and a 2.0 potassium bath. We will give her a Heparin loading dose of 2000 units and then maintenance of 1ml per hour. At the present time, vital signs are stable. Blood pressure is 117/61, heart rate 57, and she is tolerating a blood flow rate of 350 ml per minute. Normocephalic and atraumatic. Pale palpebral conjunctivae. Anicteric sclerae. No nasal or aural discharge. Moist tongue and buccal mucosa. No pharyngeal hyperemia, congestion, or exudates. Supple neck. No lymphadenopathy; symmetrical chest. No retractions. Positive rhonchi. No crackles or wheezes. S1 and S2 distinct. No S3 or S4. Regular rate and rhythm. Abdomen: Positive bowel sounds, soft and nontender. Status post below-knee amputation. Pulses are fair. Latest labs performed 1 month ago are as follows: Sodium 136, potassium 6.4, chloride 103, CO2 16.8, BUN and creatinine 92/8.7, glucose 74, and calcium 9. Hemogram shows H&H of 11.4/33.9. Because of diarrhea, Clostridium difficile toxin was also studied, and this turned out to be negative. ASSESSMENT/PLAN: 1. Chronic renal failure/end-stage renal disease (on maintenance hemodialysis Tuesday, Thursday, and Saturday) secondary to the following: A. Status post right-sided nephrectomy 7 years ago. B. Left-sided renal artery stenosis/renal vascular hypertension. C. Diabetes II. The patient is tolerating dialysis without any problems. We will give her Zemplar 2.5 mcg after dialysis. ICD-9 and CPT code this case: Answer format: ICD-9 codes first then CPT code ( Hint 7 ICD-9 and 1 CPT) (
This eventually resulted in changes to the law. Why did it take such a startling example to change the law?
Based on Russell and Yilmaz’s (2006) article, how might gap analysis be applied to the system development life cycle? Provide an example of how this might apply in your workplace.
Last week Sarah had exams in Math and in Spanish. On the math exam, the mean was ?=40, with ?=5, and Sarah had a score of X=45. On the Spanish exam, the mean was ?=60 with ?=8 and Sarah had a score of X=68. For which class should Sarah expect the bet..
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Which of the following is the most important benefit of community based tree planting projects in developing countries?
Consider Apple Inc.While the primary focus of the Final Project should be on Apple Inc.'s global operations, integrate information on the regional and national level,
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Choose an IT event or story (current within this semester) that illustrates legal, ethical or moral concepts that this course has covered to date. Prepare an essay that describes the issue - citing factual sources as well as sources that may illumina..
find an article through proquest that discusses strategic skills analysis for selection and development. discuss the
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