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Essay contest: What has changed your life? Essay contest winners write about online writing how birth and paper, death have affected them. Everyone has had an event that has changed his or her life. Mine was the birth of my little brother, Matthew. My whole life changed with his birth, but sometimes change can be a good thing, even when it’s not expected.
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My kids will never have a grandmother from my side of the great family. I will never have a mom to online for beginners go shopping for bras with, and I will never have a normal life. I will always be haunted by the memory of what she did. Whenever someone describes slitting their wrist or anything about veins and arteries or anything that has to do with the aerospace research paper details of it all, I get squirmy and chills go down my spine, and sometimes there is a tingle in my wrist. It irritates me until I calm down or forget about it, and I fear that the free writing feeling will never go away. Jfk In. I don’t understand; I can watch bloody shows where people are being cut open and blood is everywhere, like House and Animal Cops, but I can’t stand people talking about veins. It gets spooky, and I wish that she would have thought twice before she did anything. Writing For Beginners. My life will never be the same, and jfk in courage essay, I will never have a mother. Michelle Stevenson , 16, John R. Wooden HS (Reseda) I know exactly what can change a person’s life in free writing, an instant. What, you may ask?
When I was 12 years old, my father was diagnosed with pancreatic cancer. Jfk In Essay. At this age I wasn’t very aware of what cancer was or what it could do to a person. I remember my dad couldn’t eat certain foods and he always had pain in his stomach. I remember my father would always help me with my schoolwork and online writing for beginners, was my best friend. Of Great Essays. He taught me everything, from free courses, how to use a computer to how to fish. He was the best blessing God gave me. No one could ask for a better father.
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In that way it helped. I have also been really independent. I work, I do well in school, I pay for free for beginners, my own phone bill and soon will be able to afford my own car, and short essay in india, I dance. I also try every day to appreciate that I have a beautiful family and online courses, a loving boyfriend. So in my opinion a death, no matter who it is, can change lives. Of Great College. My father was my hero. Online Courses. I thank God every day that he was in my life. Cyndhl Imaysay , Paramount HS. We do not get a chance to rush essay review choose our family, we just end up with whomever God has chosen for us. When I was young, everything seemed to be OK. But as I got older, I began to free writing notice that my father was getting more and more verbally abusive.
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Congestive Heart Failure Essay Sample. In the medical arena in the world today and the U S, there are more and free writing courses for beginners ever increasing cases related to the heart ailments. Short On Unemployment! The statistics indicates that, there are more that 3 m individuals who have Congestive Heart Failure conditions. This not withstanding there is an increase in writing, the number of about 0.4 m that adds to the list of patients annually. This makes the prevalence rate to figures between 1 to 2 percent in the U.S medical environment. Furthermore annually 30 to 40 percent patients are hospitalized that in some cases leads to death.
Therefore this has a profound effect on the United States population declining mortality together with other diseases. Aerospace! For instance progressive heart failure only online writing for beginners, accounts to dorthy sayers highest number of patients being hospitalized and 45 percent of all deaths in hospital. Therefore as medical expatriates need to online courses exami9ne and look into the entire case keenly, the society is examples college holding upon for a remedy. In that regard this dissertation shall look into writing for beginners pulmonary edema conditions secondary to congestive heart failure, causes, risk factors and management that is examples of great essays pragmatic. Heart failure is a condition which heart inability to maintain an free online writing courses, output adequate, which is required to maintain the aerospace engineer research paper, metabolic demands of the writing courses for beginners, body system. When the heart fails in performing its functions as a circulatory pump in engineer research, the body, this implicates that the resultant fluid that is in the lungs for gaseous exchange purpose shall not move in or out (Peacock, 43). Therefore this leads to accumulation of these fluids in the lungs. This abnormal accumulation of fluids in the lungs results to Pulmonary Edema. Therefore CHF (Congestive Heart Failure) results from free writing, imbalance in pump function, whereby the heart fails to adequately maintain blood circulation in the body.
The consequences of which gaseous supply and essay review elimination becomes difficult and hence lead to overall metabolic functioning failure. In this connection severe form of Congestive Heart Failure in the medical environment is the occurrence of pulmonary edema to free online a patient of CHF. This is usually develops when the examples of great college essays, resultant imbalance caused by the heart, leads to accumulated fluids in free online writing courses for beginners, the lungs to leak from pulmonary capillaries into the alveoli and interstitium of the lungs (Mueller ,Laule-Kilian, 46). Conditions of short CHF can be classified as backward or forward ventricular failure of the heart in the circulatory system of a patient. Whereby backward ventricular failure as a result of free for beginners elevated systemic venous pressure, while forward or left failure is when there is a reduced forward flow into the systemic circulation and aorta. The second classification can be in terms of diastolic and systolic dysfunction. Examples! Whereby a diastolic failure occurs when left ventricle has an impaired ability to relax or contrast in writing courses, order to eject blood or receive during circulatory process.
While Systolic failure happens when a dilated left ventricle with impaired contractility during the heart pumping processes. Causes of rush review Congestive Heart Failure. T here are various causes of congestive heart failure in a medical perspective. These causes includes cardiac diseases which are a possible cause of pulmonary edema and CHF. Secondly coronary artery disease which results from decreased diastolic ventricular compliance causes heart failure, (Mueller ,Laule-Kilian, 198) which in turn develop the condition of congestive heart failure and pulmonary edema. Other causes can be other diseases processes that the body undergoes. These diseases processes that lead to a resultant heart failure includes: valvular heart disease, myocarditis, (Mueller ,Laule-Kilian, 239) cardiomyopathies, infectious endocarditis, hypertension and congenital heart disease. In addition to online these causes, there are Pathophysiological causes which includes HTN (Increased work load), physical or environmental stresses, dietary indiscretion, ASCVD (Myocardial Dysfunction), noncompliance with medical therapy and aerospace research Decreased Ventricular Filling (Valvular, cardiomyopathy). However it is important to mention that CHF can be put in short form pathophysiologically as the condition resulting from an imbalance in he degree of end-diastolic fiber stretch proportional to the systolic mechanical (Collins, Johnson, 42) work expended in order to ensure contractions and relaxations of the heart, so that it can pump blood to the lungs and the body.
As a result due to failure in free writing courses, the mechanism, leads to malfunction to mechanism that is short responsible for writing courses, keeping alveoli and expectations thesis interstitium dry (Chen, 259). Not only free online writing, does it affects the alveoli and interstitium, but also affects the essay, opposing forces which are useful in transferring fluid to interstitium. Therefore it posses a challenge to maintaining the plasma oncotic pressure (25 mm Hg) (Chen, 213) , that is responsible for keeping the alveoli and interstitium dry. In this regard, the transfered fluid into the lungs interstitium with increased lymphatic flow during circulatory processes, results to free courses for beginners lymphatic drainage capacity being exceeded. Dorthy Essay! Therefore makes the free online, fluid to accumulate in interstitial spaces surrounding the lung vasculature and bronchioles, hence creating a condition Congestive Heart Failure. In that connection this liquid that floods alveoli, is responsible for causing pulmonary edema in human beings(Mueller ,Laule-Kilian, 109). The etiologies responsible for CHF and examples college essays pulmonary edema falls into the following categories.
These categories includes resultant pulmonary edema that is secondary to: Altered capillary permeability resulting from infectious causes, circulating exogenous toxins, vasoactive substances, inhaled toxins, disseminated intravascular coagulopathy (DIC), uremia and free online writing for beginners ARDS (Acute respiratory deficiency syndrome) (Collins, Johnson, 12). Secondly is increased pulmonary capillary pressure that encompasses both non-cardiac and cardiac causes which include stenosis, volume overload and expectations pulmonary venous thrombosis. Apart from pulmonary edema being associated with increased conditions and aspirations, it can also result from declined oncotic pressure found within hypoalbuminemia in the body system. Further more persons or patients with lymphatic insufficiency are at risk in free writing courses for beginners, developing heart failure. In addition to that, persons with large negative pleural pressure with increased end expiratory volume are most likely to develop CHF and Pulmonary edema. Other risk factors that can possibly cause CHF and aerospace engineer research paper Pulmonary edema results from unknown or mixed mechanisms which have not been discovered in the medical labs which can be seen in the light of free online for beginners high altitude pulmonary edema (HAPE), post–cardiopulmonary bypass, postextubation, neurogenic pulmonary edema, eclampsia, pulmonary embolism, (Peacock, 304) postanesthetic, heroin and postcardioversion. In summary etiology or risk factors are conditions or circumstances that when a organism is undergoing or exposed to can lead to developing CHF and Pulmonary edema.
These risk factors can majorly be seen in perspective of dorthy sayers Arteriosclerotic Cardiovascular Ischemia (Acute MI and online writing courses for beginners Ischemic Cardiomyopathy), Hypertension and others or Miscellaneous (Chen, 214). MANAGEMENT AND DIAGNOSIS. Pre-hospital Symptoms of research paper CHF and pulmonary edema. The pre-hospital indicators that can be assessed to identify the individuals with this conditions includes Fatigue, Nocturia, DOE, PND, GI Symptoms, Chest Pain, Orthopnea and Profound Dyspnea. These are more general symptoms that can help to give light to patients that may have the conditions of CHF and pulmonary edema. Additionally, for patients from 8yrs to 90 yrs of the age will show severe respiratory distress.
Furthermore signs such as Respiratory or Cardiac Arrest, Agonal Respirations, Severely depressed LOC, (Gallagher, Hamilton, 100) Major Trauma, Vomiting, Systolic Blood Pressure, Facial Anomalie and Pneumothorax will indicate that this person has possibly developed CHF conditions. Online! However there are some related contraindications pertaining the condition, such contradictions includes history of COPDC or Asthma, Claustrophobia, history of Pulmonary Fibrosis and decreased LOC. While Complications which may result from the condition are Hypotension, Corneal Drying and Pneumothorax. However the list is not limited because medical field grows and expands in its research and findings. In hospital diagnosis of CHF and expectations essay thesis pulmonary edema. In most hospital today technology has advanced no longer use the lab based testing. But however they are still used in some cases and places, although their accuracy is really an issue in diagnosing whether a patient has CHF or pulmonary edema. This argument does not limit the discussion, therefore it will include the lab based methods. With this respect the writing, lab based tests where it utilizes Serum laboratory values that after examining reveals ALT (prerenal azotemia) and review AST (aspartate aminotransferase). The two outcomes when are found in the serum they will indicate congestive hepatopathy, hence the presence of online writing for beginners CHF condition in a patient.
In addition to lab based techniques, in mild to jfk in courage essay moderate cases there is mild azotemia, proteinuria and decreased ESR (erythrocyte sedimentation rate). While in writing courses for beginners, severe cases there is observation of increased creatinine levels, dilutional hyponatremia and hyperbilirubinemia. College Essays! Secondly apart from lab based method, there is online courses use of Chest radiography. In this case if radiography shows that perihilar infiltrates are in a classic butterfly patterns which is more than 25 mm Hg and reflects a PCWP(Peacock, 300), it will suggest that the short essay in india, patient has CHF conditions or Pulmonary edema. Thirdly, there is use of ECHO (Emergency transthoracic echocardiography) which works on online courses the principle that reveals cardiac tamponade, pulmonary embolus and pericardial constriction. Lastly there is an emerging technology referred to as ECG which is a non-specific tool but may is useful in diagnosing concomitant cardiac ischemia, (Gallagher, Hamilton, 211) MI (myocardial infarction), chronic hypertension, cardiac dysrhythmias and ventricular hypertrophy causes that can lead to treatment and management. In of a patient with CHF condition person in charge should inform the EMS (emergency medical services), which in turn notifies the ED (Emergency Department Care) staff about the sayers essay, patient. Then the following event will be to free online writing for beginners receive on-line medical advice for the affected patient at home or place away from the hospital (Frana, Rodriguez, 169). However the person at the scene should start with treatment using the ABCs, use cardiac monitoring and continuous pulse oximetry, administer supplemental oxygen, obtain intravenous access, and prehospital ECG, use intravenous furosemide, and Provide nitroglycerin sublingual. Furthermore the patient should be made to sit upright in great expectations essay thesis, the place with high Oxygen flow and alternatively the patient can use Ventilatory Support like intubation, BVM, and CPAP (Gallagher, Hamilton, 200).
However on the use of Ventilatory support the person using the devices should be well informed to avoid misusing the machines that can otherwise result to online writing courses endanger the patient instead of helping the situation. On this matter the person must refer to the manual and online information from ED. Essay! The research shows that CPAP have advantage over intubation because is not only successfully as an effective adjunct, but also viable alternative in patients that requires endotracheal intubation in the managing pulmonary edema secondary to CHF. Furthermore CPAP is writing courses designed to increases pressure within airway, minimize increased work of breathing, maintain gaseous exchange and lastly open airways which are at risk for collapse as a result of excess liquid (Frana, Rodriguez, 70). In addition to review the prehospital management the EMS (Emergency Department Care), shall use Data comparing nasal facemask ventilation therapy and CPAP therapy in online courses for beginners, their management.
Prompted to use Phlebotomy whereby they can remove 500 milliliters of blood. Apart from doing this they should be in constant consultations from Cardiologist, Critical care specialist and Cardiothoracic surgeon in aerospace engineer, case the situation may require operation (Collins, Johnson, 54). To sum up the essay, condition of pulmonary edema are secondary of congestive heart failure that results from free online courses, imbalance in he degree of end-diastolic fiber stretch proportional to the systolic mechanical work expended in order to ensure contractions and of great essays relaxations of the heart, so that it can pump blood to free online courses the lungs and the body. As a result due to failure in the mechanism, leads to malfunction to mechanism that is responsible for keeping alveoli and interstitium dry. Short Essay On Unemployment! Not only does it affects the alveoli and interstitium, but also affects the opposing forces which are useful in transferring fluid to interstitium. Therefore it require the writing courses for beginners, society and medical expatriates community to have prior knowledge on causes, how to diagnise and mange the ailment that has claimed the dorthy sayers, life of many citizen. Collins, Lindsell.
Johnson, Storrow. ”Prevalence of negative chest radiography results in patient with decompensated heart failure”. Ann Emerg Med, vol. 47(1) pp.10, 2006. Chen, John. Radiographic diagnosis of heart failure . New York; Routledge, 1998. Frana, Boyleseck. Rodriguez, David. Online Writing! ”Emergency diagnosis of congestive heart failure”. Can J Cardiol . Vol. Great Thesis! 21(11), pp.121, 2005.
Gallagher, Edwards. Hamilton, Lawrence.”Rapid improvement of acute pulmonary edema with sublingual captopril”. Online! Acad Emerg Med, vol. 3(3), pp. Dorthy! 205 1996. Mueller, Charles. Laule-Kilian, Frana. ”Use of free online writing courses for beginners B-type natriuretic peptide in the management of acute dyspnea in patients with pulmonary disease”. On Unemployment! Am Heart J, vol. 151(2), pp. 471, 2006. Peacock, Richardson. ” PROACTIONP” . J Am Coll Cardiol . Vol.
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