Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

What is a dividend divisor and quotient

29/12/2021 Client: muhammad11 Deadline: 2 Day

Post Operative PVC’s, When to Worry?DefinitionPVC’s are premature ventricular contractions, also known as Ventricular premature beats (VPBs) or Ventricular Premature Depolarization(VPDs).PVC’s are ectopic impulses originating from a focus distal to the His Purkinje system. PVC’s are the most common ventricular arrhythmia with variable prognostic importance.PathophysiologyEnhanced Automaticity-new site of depolarization in non-nodal ventricular tissue. Associated with electrolyte abnormalities, ischemia, or increased catecholamines.Triggered Activity-early or late afterdepolarizations that can be associated with electrolyte abnormalities, ischemia, or drug toxicity (digoxin, prolonged QT)Reentry-occurswith unidirectional block (slow conducting myocardium next to normal conducting tissue). Occurs in the setting of damaged myocardium.CausesCardiac-Acute MI, Valvular disease (MVP), Cardiomyopathy (ischemia, dilated, hypertrophic), Cardiac Contusion,LVH, CHF (EF<40%), and Tachycardia (associated w/ high catecholamine state), Previous Cardiac Surgery, Congenital Heart Disease (h/o tetrology of fallot)NonCardiac-electrolyte abnormalities (hypokalemia, hypomagnesemia, hypercalcemia), medications (digoxin, TCA, amitriptyline, pseudophedrine, flouoxetine), drugs (cocaine, amphetamines, caffeine, alcohol),stress response (surgery, infection), anesthestics (sevoflurane, droperidol, ondansetron, etc...)EvaluationSymptomatic-palpitations, skipped beat, dizzinessPast Medical/Surgical History/PhysicalExam-high risk patientidentification as well as possible identification of underlying causes (renal failure, acute MI, etc...)Frequency-greater then 10/hr, bigeminy, trigeminyCharacter-multifocal vs.unifocal Work-Up-look for underlying/reversible causesEKG-evaluate for ischemia, prolonged QTElectrolyte Panel-chem. 10 as well as Ca and MgTreatment-only needed for symptomatic pt’s, high risk pt’s (CHF, cardiomyopathy or previous MI and EF<40%), or frequent PVC’sBeta-Blockers-1stline treatmentAmniodarone, Sotalol
Bottom LineWorry If:Pt is high risk: previous MI, CHF, Cardiomyopathy w/ EF<40%PVCs are frequent >10/hr, mutifocal, or bigeminy/trigeminyIf there is any evidence of Acute Ischemia, hemodynamic instability, or altered mental statusReferences:1.Curry T., Gaver R., & White R. Acquired Long QT syndrome and Anesthesia. Pediatric Anesthesia.Feb 2006;16,471-478.2.Clinical Significance and Treatment of VPBs. www.uptodate.com3.Ventricular Premature Complexes. www.emedicine.comKim Howard-Quijano M.D. 9/17/2008

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Academic Mentor
Professional Accountant
Coursework Assignment Help
Supreme Essay Writer
Financial Assignments
Assignment Hut
Writer Writer Name Offer Chat
Academic Mentor

ONLINE

Academic Mentor

I have read your project description carefully and you will get plagiarism free writing according to your requirements. Thank You

$53 Chat With Writer
Professional Accountant

ONLINE

Professional Accountant

I am a PhD writer with 10 years of experience. I will be delivering high-quality, plagiarism-free work to you in the minimum amount of time. Waiting for your message.

$61 Chat With Writer
Coursework Assignment Help

ONLINE

Coursework Assignment Help

I am an experienced researcher here with master education. After reading your posting, I feel, you need an expert research writer to complete your project.Thank You

$77 Chat With Writer
Supreme Essay Writer

ONLINE

Supreme Essay Writer

I have read your project description carefully and you will get plagiarism free writing according to your requirements. Thank You

$60 Chat With Writer
Financial Assignments

ONLINE

Financial Assignments

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$67 Chat With Writer
Assignment Hut

ONLINE

Assignment Hut

Being a Ph.D. in the Business field, I have been doing academic writing for the past 7 years and have a good command over writing research papers, essay, dissertations and all kinds of academic writing and proofreading.

$77 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Viking invader ridgeway hill england - Ccu strategic objectives - Discussion Board Unit IV - International Accounting 2 Page Essay - Cinema audiences blink at the same time - Gmdss goc renewal form - Serving it right answers - Digital Marketing Strategies 2020 and Beyond: https://www.youtube.com/watch?v=bGQG_-OG6fs - Mens kilts for sale - Tlmt 601 - Operation management quiz with answers - You told harpo to beat me - Andrew jose jlife london - Swot analysis emergency department - How many milliliters in a liter - Brigg to scunthorpe bus - Scheme of analysis of simple salts - Arizonian silver edition iii 215 65r16 - Realpresence desktop user guide - Ntsb investigation process - Canon macro lens for dental photography - How to make a sarcophagus out of paper - Socioautobiography - Facilities management duties responsibilities - Class One: Part Two - Ct5 actuarial study material pdf - Educational stock market game - 101 lindeman road beerwah - How to write a report at university level - Fire in a bangladesh garment factory case study - Advanced placement economics microeconomics student resource manual answers - Instruments of darkness macbeth - In rogerian therapy, the _____ is responsible for discovering maladaptive patterns. - Bioecological model template - Balloon circumference vs temperature experiment - Cpcccm1015a carry out measurements and calculations - When were fiber optic cables invented - Tarasoff vs regents university california brief - Masterpiece cakeshop v colorado civil rights commission oyez - Cloud Computing - Practical Connection - 5 hours - Moral relativism strengths and weaknesses - Pettit hydrocoat ablative antifouling marine paint - Principles of marketing. (Business Buying Behavior) - Www greenwichcollege edu au goals - Organizational theory design and change chapter 1 - Spss correlation table apa format - Dentural denture cleaner boots - How to report findings - Umuc mba 620 project 1 - You can insert ____ different kinds of pictures into powerpoint - Prokaryotes vs eukaryotes venn diagram - Ibsl math formula booklet - Hspi the pogil project answer key - Iasb fasb conceptual framework - Literature class midterm paper regards Dante's inferno - Https cs signal army mil dodiaa default asp - What is international marketing task - Normal distribution worksheet with answers pdf - Cole national group - Emily hart maurice blackburn - Character sketch of jesus christ - Swot analysis of biotech industry - Your firm has identified three potential investment projects - Consumer perception towards maruti suzuki project - Essay - How did the role of women change over time in the American colonies and the early American Republic? - Breast milk storage aba - Bike shop semaphore road - Vcat civil claims list - Write a program that calculates and displays a person’s body mass index (bmi). - Wk 4 - Apply: Signature Assignment: Globalization and Information Research - I need a 470 words on copywrite project on 32 short messages template in English need to reform. - Primary sources of tutankhamun - Stage directions theatre definition - Determine the moment of inertia of the shaded area - Autodesk inventor icons list - Stephen covey seek first to understand - Strong room in bank - Explain how the flexpath program aligns with your career goals - Lesson 54 sorry charlie charles law worksheet answers - So sick noah and alex - Y 3x 2 2 - Building the great wall of china documentary - Heat of solution lab answers - City of stirling town planning scheme map - Van itallie v franklin lakes - Locked bag 555 silverwater - How to calculate sa to volume ratio - We cannot not communicate theory - Phyiscs Online class lab. lab #5 - Nick's pizza crystal lake - What did terman's groundbreaking study of gifted children accomplish - Como se dice color tornasol en ingles - Does domestic partnership affect fafsa - Midshires College of Midwifery and Nursing - Cora unashamed full movie - Aritco 7000 platform lift - Kakavas v crown melbourne ltd summary - Opentable computer system - Several years ago the jakob company