A patient has had poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI)
a. 5th intercostal space (ICS) midclavicular line (MCL)
b. 8th ICS MCL
c. 5th ICS, left of MCL
d. 6th ICS, right of MCL

Answers

Answer 1

The most likely position of the patient's point of maximal impulse (PMI) is the 5th intercostal space (ICS), left of the midclavicular line (MCL).

Poorly controlled hypertension can lead to hypertrophy of the left ventricle of the heart. This hypertrophy causes the heart to enlarge and shift its position, resulting in a displaced PMI. The PMI refers to the point on the chest where the heartbeat can be felt or heard most prominently. In the case of long-standing poorly controlled hypertension, the left ventricle becomes enlarged and may shift the PMI to the left side of the chest. The 5th ICS, left of the MCL, is the typical location where the PMI is palpated in individuals with left ventricular hypertrophy. This is because the enlarged left ventricle pushes the apex of the heart outward, leading to the displacement of the PMI. It is important for healthcare providers to assess the PMI during physical examinations, as changes in its location and characteristics can provide valuable information about cardiac health and function. In this scenario, the most likely position of the PMI for a patient with poorly controlled hypertension for more than 10 years would be the 5th ICS, left of the MCL.

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Related Questions

Give a summary of each of the following: CPR (hands only), AED. At least 10 sentences.

Answers

Answer: ↓ Down below ↓

(***Please read all of it, and add if you would like***)

CPR: CPR is an emergency procedure for a person whose heart has stopped or is no longer breathing. When someone's blood flow or breathing stops, seconds count. Permanent brain damage or even death can occur. If you know how to perform CPR or Cardiopulmonary resuscitation, you could save someone's life. CPR can maintain circulation, blood flow, and breathing until medical help arrives. Even if you haven't had CPR training, you can do hands-only CPR for a teen or an adult whose heart has stopped beating. Hands-only CPR is not recommended for children. Hands-only CPR uses chest compressions to keep blood circulating until medical help has arrived. If you have had training, you can use chest compressions, clearing the airway, and do rescue breathing. Rescue breathing helps get oxygen to the lungs for a person who has stopped breathing.  To keep your skills in good form, you should repeat the training every two years which is highly recommended.

AED: An Automated External Defibrillator (AED) is a medical device designed to analyze the heart rhythm and deliver an electric shock to one to restore the heart rhythm/beat back to normal. Uncoordinated heart rhythm is called Ventricular fibrillation. It's often responsible for sudden cardiac arrest, or sudden heartbeat stopping. Sudden cardiac arrests occur when ventricular fibrillation takes place or when the heart stops beating altogether. Without medical attention, the victim may collapse, lose consciousness, becomes unresponsive, and die. Many victims of cardiac arrest have no history of heart disease and are stricken without a warning. Chances of survival from sudden cardiac death diminish by 7 to 10% for each minute without immediate CPR. After 10 minutes, resuscitation rarely succeeds, and the patient or victim... dies.

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GL :)

Write a Paragraph on who started the first blood Bank/history

Answers

Answer:

One of the soonest blood donation centers was set up by Frederic Durán-Jordà during the Spanish Civil War in 1936. Duran joined the Transfusion Service at the Barcelona Hospital toward the beginning of the contention, however the clinic was before long overpowered by the interest for blood and the lack of accessible benefactors. With help from the Department of Health of the Spanish Republican Army, Duran set up a blood donation center for the utilization of injured officers and regular folks. The 300–400 ml of separated blood was blended in with 10% citrate arrangement in an altered Duran Erlenmeyer jar. The blood was put away in a sterile glass encased under tension at 2 °C. During 30 months of work, the Transfusion Service of Barcelona enrolled just about 30,000 givers, and handled 9,000 liters of blood.

Explanation:

As early as the 17th century, blood has been used as a therapy for a variety of ailments. Over the years, there have been many great advances and it is no wonder this precious resource is so valuable. Here is a look at some of the bigger milestones related to blood transfusion over the years.

1628 English physician William Harvey discovers the circulation of blood. Shortly afterward, the earliest known blood transfusion is attempted.

1665 The first recorded successful blood transfusion occurs in England: Physician Richard Lower keeps dogs alive by transfusion of blood from other dogs.

1818 James Blundell performs the first successful blood transfusion of human blood to treat postpartum hemorrhage.

1840 The first whole blood transfusion to treat hemophilia is successfully completed.

1900 Karl Landsteiner discovers the first three human blood groups, A, B and O.

1902 Landsteiner’s colleagues, Alfred Decastello and Adriano Sturli, add a fourth blood type, AB.

1907 Blood typing and cross matching between donors and patients is attempted to improve the safety of transfusions. The universality of the O blood group is identified.

1914 Adolf Hustin discovers that sodium citrate can anticoagulate blood for transfusion, allowing it to be stored and later transfused safely to patients on the battlefield.

1932 The first blood bank is established at Leningrad hospital.

1939-1940 The Rh blood group is discovered and recognized as the cause behind most transfusion reactions.

1940 The US government establishes a nationwide blood collection program.

1950 Plastic bags allowing for a safer and easier collection system replace breakable glass bottles used for blood collection and storage.

1961 Platelet concentrates are recognized to reduce mortality from hemorrhaging in cancer patients.

1970 Blood banks move towards an all-volunteer donor base.

1972 The process of apheresis is discovered, allowing the extraction of one component of blood, returning the rest to the donor.

1983 Stanford Blood Center is the first blood center to screen for AIDS contaminated blood, using a surrogate test (T-lymphocyte phenotyping) two years before the AIDS virus antibody test is developed.

1985 The first HIV blood-screening test is licensed and implemented by blood banks.

1987 Stanford Blood Center is the first in the country to screen donors for Human T-Lymphotropic Virus Type I (HTLV-I), a virus believed to cause a form of adult leukemia.

1990 A specific test to identify Hepatitis C is introduced.

2002 West Nile Virus is identified as transfusion-transmissible.

At Stanford Blood Center, we lead the fields of transfusion and transplantation medicine by advancing science and technology. We provide hope for the future by teaching the medical leaders of tomorrow. We enhance lives by connecting donors to patients every day.

What is the active ingredient in marijuana?

Answers

The drug itself? Lol I thunk

Why should fitness equipment be purchased new?

Answers

Answer:

So you know that it is reliable.

Explanation:

If you purchase a barbell that someone had before you, how do you knw that it will not break?

why do you feel flexibility is not practiced as often as aerobic or strength training? Why do people need to incorporate flexibility into their fitness routines? How can you incorporate flexibility into your routine?

Answers

Answer:

Flexibility is not as practiced since it's viewed as not as important as things like aerobic and strength. Flexibility should be incorporated into everyone's fitness routines, since exercises that train your flexibility help prevent injuries, back pain. and balance problems. To incorporate flexibility into your routine, you can practice certain stretch exercises.  

Explanation:

i just dont wanna do this - 11 points

Answers

Answer:

That sucks i remember when i had to do it lol i hated it im srry you have to do it

Explanation:

Answer:

i feel your pain i didnt want to read aloud today and i could have read tomorrow but then the teacher said we need more kids and called me up and i got a C which isn't so bad-

Select the skills that you, as a healthcare professional, can use to best meet the following patient's needs. (Check all of the boxes that apply)

An elementary school-aged patient comes to your facility for a minor procedure. She is visibly nervous and shy. Her parents appear nervous and shy, too. You need to explain the procedure and, ideally, get them all to feel at ease. You prepare to use your:

interpersonal skills

skills in providing simple, clear explanations

skills in making eye contact

cultural diversity skills

skills in working with children and their parents

Answers

skills in providing simple,clear explanations

Answer:

interpersonal skills

skills in providing simple, clear explanations

skills in making eye contact

skills in working with children and their parents

Explanation:

.

What is physical health?

Answers

Answer:

Physical health represents one dimension of total well-being. The term refers to the state of your physical body and how well it's operating.


Physical health

It is also the result of regular exercise, proper diet and nutrition, and proper rest for physical recovery. A person who is physically fit will be able to walk or run without getting breathless and they will be able to carry out the activities of everyday living and not need help.

A peson on a vegetarian diet may have issues getting enough of this nutrient.
OA) Water
B) Carbohydrate
C) Protein
D) Fat

Answers

Answer:

fat

Explanation:

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A person on a vegetarian diet may have issues getting enough of fat.

What is vegetarian diet?

Vegetarian diet includes taking every plant based products, vegetables, fruits and dairy product except for meat.

Vegetarian diet involves issues of not getting nutrients like vitamin B12, vitamin D and fatty acids (good source of fat).

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which one is the correct order
pless help​

Answers

Answer:

order of what is there a picture?

Explanation:

Place the following elements of the reflex arc in order (first to last)
Effector
Motor neuron
Sensory neuron
Sensory receptor
Integration center​

Answers

Answer:OW AOW }X/s,dm vv

Explanation:

The author includes several definitions of wellness in order to

make the concept confusing
indicate that health is a controversial topic
show that it is an exceptionally difficult term to define
demonstrate that there are several ways to express what wellness means

Answers

Answer:

D. Demonstrate that there are several ways to express what wellness means.

Explanation:

I majored in Health

what would you do if an emergency happen​

Answers

Answer:

call 911

Explanation:

they might be able to help

Answer:

Take a deep breath.

Count to 10. Tell yourself you can handle the situation.

Check for danger. ...

Try to look at the situation as a whole.

Explanation:

Type O is known as the universal recipient​

Answers

Type is is know as the universal recipient

Need this paper written asap please help.
WRITING: PRINCIPLES OF CARBOHYDRATE LOADING
Write a 300-500 word essay. Explain the purpose of carbohydrate loading. What benefit is it in terms of performance? Give examples of when carbohydrate loading is appropriate and for approximately how long. Give a sample diet for one day of carbohydrate loading; portions are not needed. The emphasis is on food choices. Include three meals and two snacks.

Answers

Answer:

What?

Explanation:

2. Show the relation between man and environment in five points.​

Answers

Explanation:

The relationship between the man and the environment has been established in the early periods itself. Human beings live in the kingdom of nature and interact with it constantly. The influence of nature in the form of the air he breathes, the water he drinks, the food he eats, and the flow of energy and information

Neutral consequences?

A: are neither helpful nor harmful

B: have no effect at all


C: helps you or others


D: harms you or others

Answers

Answer:

A 60% chance, B 40%

Explanation:

The interesting thing here is that both A and B are essentially the same. A consequence that is not helpful but doesn't harm anything means you can do as you please without fear. A consequence that does nothing means you can do as you please without fear. This is one of those questions that has an answer defined by the views of the poser. Most likely A is the answer as it implies SOME consequence will occur where no effect can mean nothing happens at all, not quite the same thing but with the same end result: do as you please.

Examples of being unloved or unwanted​

Answers

Answer:

People who might feel unloved–You might see yourself in one or more of these examples.

   Those from a family of divorce.

   Those who have gone through a divorce themselves.

   Those on the receiving end of infidelity.

   Those who have lost a job.

   Adopted children.

   Those on the receiving end of a breakup.

It means that the person feels that the people around them do not want them there, or do not want them involved. It can be used in a general sense - for instance by someone with depression who feels that they are not wanted by anyone.

Explanation:

are you ok?

the principal form of stored energy in the body is:
- fat
- protein
- carbohydrate

Answers

Answer:

fat is the principal form

how can we control of water borne disases​

Answers

Answer: Ensure the water is visibly clean and free from sand and silt. Filter the water to get rid of visible dirt. Drink only clean and safe water – either portable water or water filtered through water purifiers.

Drag the tiles to the correct boxes to complete the pairs.
Match the terms with their descriptions.
resources
decision making
prioritizing
goals
things you want to accomplish
selecting from available options
things to help you achieve your goals
ranking tasks in their order of importance
Reset
Next

Answers

Answer:

things you want to accomplish-goals

selecting from available options-decision making  

things to help you achieve your goals-resources

ranking tasks in their order of importance-prioritizing

Explanation:

plato

No matter how they are organized, these records create a legal document that describes _____________


medical history
clinical data usage
medical decision making
privacy pratices

Answers

Answer: C. Medical Decision Making

No matter how medical records are organized, they create a legal document that contains important information about a patient's medical history.

What is the medical history of a patient?

The medical history of a patient is a record of their past and current health status, including information about any medical conditions, treatments, surgeries, hospitalizations, medications, allergies, and family history of illness. The medical history helps healthcare providers understand a patient's health status, including any chronic or acute conditions that they may have and guides them in making decisions about diagnosis, treatment, and ongoing care.

No matter how medical records are organized, they create a legal document that contains important information about a patient's medical history, including diagnoses, treatments, medications, test results, and other relevant clinical data.

Medical records are used by healthcare providers to make informed medical decisions, and they are also important for ensuring patient safety, maintaining continuity of care, and meeting legal and regulatory requirements. Medical records may also contain information about a patient's privacy practices, such as consent forms for sharing information with other healthcare providers or for research purposes.

Therefore, A) medical history is the correct option.

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Study skills and strategies improve your ability to recall facts and concepts from what kind of memory?

neural

non-declarative

cognitive

declarative

Answers

Answer:

explicit memory. . . . . .

Study skills and strategies improve your ability to recall facts and concepts from declarative memory. The correct option is D.

What is declarative memory?

Declarative memory is concerned with the processing of names, dates, places, facts, events, and so on.

These are entities that are thought to be symbolically encoded and thus can be described with language. Declarative memory, in terms of function, is optimized for rapid processing and learning.

Declarative memory is made up of facts and events that can be consciously recalled or "declared."

It is also known as explicit memory because it is made up of information that can be explicitly stored and retrieved.

The temporal lobe stores declarative memory, while the cerebellum stores procedural memory.

Thus, it can be concluded that the correct option is D.

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interpret the poem

"Don't think you can direct the course of love, For love, if it finds you worthy, Directs your course." - Khalil Gibran​

Answers

You find love on your own. It cannot be planned or forced, and once you find love, if it's true, you will do anything for that person.

Poem are often rewritten by people with messages imbedded on them. The interpretation of this poem is talking about the power of love and that Love will lead you to that particular or right person if they allow it to do so. Through the act of trusting in Love to do the guiding and directing, one can be said to be worthy of it.

Most times, picture perfect story of finding one true love, Prince Charming or The Trophy wife does not always go the way we plan as most times we are often led by emotions, lust or material things.

Khahil's poem shows the powerful forces behind love or that is imbedded in love and it can control's one's life course even without us knowing if we allow it to.

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1. Is this a situation that would benefit from collaborative decision making, or is it better for you, the doctor, to make the call yourself?

Answers

Answer:

The doctor.

Explanation:

The doctor is the right person to make decision about the patient as compared to other people because doctor knows what is right and wrong about their patients. Doctor knows all the technicalities about a specific problem and knows how to deal with it so doctor is considered as the right person to make decisions about the treatment of a patient.

Essential nutrients are substances that the body cannot make in a quantity needed to sustain life. true or false

Answers

Answer:

true

Explanation:

please help me with science ')

During dinner, Siti's grandmother complained that the soup was tasteless but Siti felt the soup was salty. Both Siti and grandmother did not have the flu. Why do these two people taste differ from what they drink?​

Answers

You put this in the health and fitness section but I’m pretty sure it would be because the grandma has older taste buds when you get to the age of 60m it is harder for you to tast super sweet or salty foods I’m 100% sure

Answer:

grandma has older taste buds

What do summarizing mean ?

Answers

Explanation:

give a brief statement of the main points of (something).

BRAINLIST

5 reasons life is beautiful. Whoever has the best answer gets Brainly.

Answers

Answer:

Friends for all 5

Explanation:

Answer:

Explanation:

1. Nature. we get to expirience life and all the natural beauties around us :)

2. Love. We get to expirience the feeling of having someone care for us, and make us feel safe and loved.

3. Learning. Life is beautiful because we get to learn and discover new things every single day, and its amazing!

4. Fun. life is beautiful because we get to have great times with our loved ones, and we also get to have the best times in many ways. This is how to enjoy life.

5. because you are in it :)

What would your life be like if you were allergic to chocolate? Me personally I would die because I would eat it anyway lol.

Answers

Answer:

If we talk about our own preferences, i too wouldn't be able to live without it. But I'm sure people allergic to chocolates value their life...

I’m technacally alergic to chocolate, but if I was badly alergic to it, I’d probably eat it then throw it up.

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