Reference no: EM131392449
Select one of the two questions from the discussion questions listed below.
Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates' posts. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.
Discussion Question 1
EP is a fifty-year-old woman who reports experiencing two to three hot flashes per day, occasionally associated with insomnia. She also states she is awakened from sleep about two to three times per week, needing to change her bedclothes and linens due to sweating. Her symptoms began about three months ago, and over that time, her symptoms have worsened to the point where they have become very bothersome. She is concerned about starting any hormonal treatment because she has read news stories that the medication is not safe.
She has been successfully treated for depression and is currently doing well on paroxetine. Her current medications include omeprazole 20 mg daily, paroxetine 20 mg, Synthroid 0.075 mg daily, and hydrochlorothiazide 25 mg daily. Her physical exam is normal; her blood pressure is 128/86, her pulse is 78, and her body mass index (BMI) is 30.5. Answer the following questions:
Is there any additional information you would want to collect?
What are the variables you would take into account before deciding how to help her?
What treatment will you recommend?
What nonpharmacological treatment would you suggest?
For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.
Discussion Question 2
VG is a thirty-one-year-old female who comes in for a routine follow-up. She reports that she has been feeling excessive fatigue over the last month. She also notes that she is having some problems at work, not only because of her fatigue but also because of difficulty concentrating. She also notes that she has gained 10 pounds over the last month, and she is unable to identify the cause of the weight gain. She also notes that her periods are a little heavier and more irregular.
She is currently taking daily ferrous sulfate and over-the-counter calcium. According to her medical record, she had a TSH level of 4.2 mIL/L about a year ago. Although this is slightly elevated, no further follow-up was deemed necessary at the time. Repeat blood work today reveals a TSH level of 9.8 mIL/L and a free T4 of 0.72 ng/dL. Answer the following questions:
What additional findings on the physical exam would you look for?
What implication does the previous TSH level have?
What therapy would you institute?
If VG becomes pregnant, what adjustment, if any, would be needed in her thyroid medication?
For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.
Does the voltage vary linearly with resistance
: Prepare graphs of the divider voltage versus transducer resistance for given Problem. Does the voltage vary linearly with resistance?
|
Transportation costs are immaterial
: In a world where transportation costs are immaterial (close to zero), where trade barriers are very low or do not exist, and where differences between nations as regards to labor and other conditions are real, firms must expand internationally if the..
|
Assume that the uncovered interest parity condition
: Suppose the country of Utopia is an open economy and its only trading partner is the United States. In addition, we assume that the uncovered interest parity (UIP) condition holds between both countries. The government of Utopia is currently running ..
|
Situation using budget constraint and indifference curve
: Suppose that good X is on the horizontal axis and good Y is on the vertical axis. Good X costs twice as much as good Y. Ann chooses a bundle that takes up all of her budget. The MRS of X for Y at this bundle is equal to 2. Please illustrate this situ..
|
What implication does the previous tsh level have
: EP is a fifty-year-old woman who reports experiencing two to three hot flashes per day, occasionally associated with insomnia. She also states she is awakened from sleep about two to three times per week, needing to change her bedclothes and linen..
|
What are some of barriers to obtaining appropriate evidence
: The quality of an internal auditor's conclusions depend on their ability to gather and evaluate evidence. What are some of the barriers/obstacles to obtaining appropriate and sufficient evidence?
|
Use a current to voltage converter
: A process signal varies from 4 to 20 mA. The setpoint is 9.5 mA. Use a current-to voltage converter and a summing amplifier to get a voltage error signal with a scale factor of 0.5 V/mA.
|
Discovery of input and its subsequent use in production
: Assume that your business firm is a price taker and that the company sells widgets at $10 apiece. Your firm is maximizing profits. What price will you charge for your widgets following the discovery of the input and its subsequent use in production? ..
|
Determine the noise on the output as percent fs
: A pressure sensor outputs a voltage varying as 100 mV/psi and has a 2.5 kΩ output impedance. Develop signal conditioning to provide 0 to 2.5 V as the pressure varies from 50 to 150 psi.
|