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Utica Evaluation and Management of Premature Ventricular Complexes Discussion

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Utica Evaluation and Management of Premature Ventricular Complexes Discussion.

The rhythm in strip four is sinus bradycardia with bigeminal premature ventricular complexes (PVCs), that appear to be R-on-T PVCs. Using the 6 second method the atrial rate is regular at 40 bpm, whilst the ventricular rate is irregular at 80 bpm. The P waves are smooth and rounded, though the second P wave is slightly pointed, and are 0.12 seconds in duration. The PR interval is slightly prolonged at 0.24 seconds and there is approximately 1 mm of depression. The QRS complex is normal at 0.08 seconds in duration. The QT interval is difficult to determine as the PVC complexes cut the T wave off, however it is less than half of the R-R interval. The ST segment has 1 mm of depression. The T wave appears upright in beat 1 but is indeterminable in beats 3 and 4.There are many reasons that people experience PVCs. Some of these include acid-base or electrolyte imbalances, coronary artery disease, cardiomyopathy, medications, exercise, heart failure, hypoxia, stress, anxiety, stimulants such as caffeine or tobacco, valvular heart disease, or ventricular aneurysm (Aehlert, 2018, p. 170). It is important for the nurse caring for a patient with PVCs to assess the patient for chest pain, dizziness, lightheadedness, dyspnea, and to perform vital signs at regular intervals (Farzam & Richards, 2021, History and Physical). When assessing the patient, it is important that the nurse assess that the PVCs have mechanical capture. The patient will need to be on a telemetry monitor and the nurse should be prepared to perform 12-lead ECGs and draw labs (Farzam & Richards, 2021, Evaluation). The nurse should also anticipate cardiology evaluation. This rhythm is dangerous as the R-on-T PVCs could precipitate ventricular fibrillation or ventricular tachycardia (Aehlert, 2018, p. 169-170). I would expect the patient to be treated with oxygen and antiarrhythmic medications, but because the underlying rhythm is sinus bradycardia the nurse should also be prepared to treat the patient for this rhythm. Treatment would also depend on 12-lead ECG analysis and symptoms that the patient is experiencing, i. e. if the rhythm is in response to coronary syndrome or myocardial infarction, which may be the case as the ST segment does have some minor depression.ResourcesAehlert, B. (2018). ECGs made easy. Elsevier.Farzam, K., & Richards, J. (2021). Premature ventricular contraction. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK5329
Utica Evaluation and Management of Premature Ventricular Complexes Discussion

Globalization in Europe and America since 1500 Introduction Globalization includes the physical expansion of geographical domains in the world. Since the past two decades, globalization has become an international aspect of development in countries. Globalization has promoted the world both culturally and scientifically. The increased exchange of capital, trade, and knowledge worldwide, which result from technological innovations facilitate the socio-economic performance of states. In 1500, most trade regions idolized trade through the Indian Ocean, where the traders such as the Portuguese, British, French, and Dutch settled around the Indian Ocean trade routes[1]. The Europeans accelerated their competition in the trade sector by taking control of the sea through their military. The militants created an opportunity for the traders to access the ports for safe transit, leading to increased expansion of the trade domains. Globalization impacted the development of states from 1500 to the present as a result of exploring, finding new land and resources, increased trade deals, and sharing the religion beliefs such as the Americans and Europeans who spread their faith in Christianity globally. Research and Analysis Globalization includes various aspects such as economic, political, social and philosophical aspects. The process consists of international integration which arises from the exchange of world culture, ideas, products and views. The advances in industrialization, increased global travel and transportation, rapid population growth and technology advent exist as some of the impacts of globalization worldwide. The expansion of European countries in 1500 led to the development of the Atlantic System, which connected the New World, West Africa and Europe economies. Apart from the international relations creating a boost in European and American economy, the Atlantic system facilitated the development of the regions’ norms and values such as free labor, nuclear family and monogamy. Social and Philosophical Forces In 1500 the world traders practiced long-distance trade. Trade existed as the main reason for international communication and long travels through the sea and the Indian Ocean. As the traders from all regions in the world interacted in the trade centers, they practiced cultural globalization which included the transmission of world’s values, meanings and ideas. The traders settled around the trade routes and dominated different sections for instance, Europeans had control over the sea routes. International travel and settling facilitated the process of colonization and commodity exchange. Since the long-distance traders had different religious beliefs and social practices, the quest for settlement encouraged the spread and diversification of culture. For instance, the British and European missionaries who moved into the Asian and African countries ensured the spread of Christianity in the regions. On the other hand, the introduction of new education systems in Africa dates back to the missionaries. The existence of limited uniqueness in communities worldwide relates to cultural globalization. In the present day, American culture dominates the world. American and European countries consist of different races such as the African-Americans, Hispanics and Asians who moved and settled in the states during the post-colonial period because of trade, marriage and education. Economic forces Trade played a significant role in the period between 1500 to 1750. The long-distance traders performed the exchange of goods between Europe, Australia, America, Asia and Africa. As trade capitalism increased in the regions, the established economic relations promoted proto-globalization because of the increase in interconnected national markets, transport and infrastructure development and creation of trade institutions. During the 19th century, Europe dominated international trade development because it gained power over sea routes. At the beginning of the 21st century, the Asian countries, especially China, invested more in exports[2]. The United States gained economic dependence from the exchange of lumber, tobacco, dried fish and rice. On the other hand, Europe supplied silver across Africa and Asia. The creation of colonies in the world expanded the German-speaking population, European cities which include Milan, Naples, Genoa and Venice increased in the community. Political Forces During the First World War and Industrial revolution, France, Germany and Britain had power over the economic growth of global markets because they focused on industrial products’ exportation and raw materials’ importation. After the Second World War, international traders adopted national concepts instead of currency and foreign economic policies. Political institutions which were formed during the period ensured proper relations and connection of the global markets. The Bretton Woods Conference, which was held in 1944, facilitated the regulation of financial order and international monetary where many nations were forced to lower trade barriers[3]. The World Trade Organization and the General Agreement on Tariffs and Trade, which were created after the second world war ensured reduced transport costs, free trade zones, global corporations’ subsidies and capital controls’ elimination. Forces of Globalization With the increase in exportation and importation of raw materials and industrial goods, European and American regions gained macro-economic stabilization and structural reforms. The settlement of traders in the regions’ neighborhood such as Asia and Africa encouraged economic investment in the countries. In the present day, China and India exist as the most productive nations in the international markets[4]. The Asian and Latin American nations changed to foreign trade liberalization to gain competition over Europe during the 19th century. The large population in the Asian countries reflects on the migration of traders into the nations. Historical Perspective Globalization originated in 1500 before the Europeans’ cross-country travel. The interaction between the world traders and the development of political trade institutions facilitated the socio-economic growth of the member states[5]. Before World War 1, Europe had the most contribution to the World Gross Domestic Product. America’s expansion began from its involvement in the worldwide exchange of raw material such as tobacco. In the present day, it exists as one of the best innovative nations in the world. It records the leading supplier of technology, for instance, Apple smartphones and iPads get their design from America. Conclusion Globalization promotes states developments through geographical regions’ expansion, exchange of cultures and interrelation among people. Globalization in Europe and America began in 1500 through the long-distance traders. The settlement of the traders around the sea and Indian Ocean routes facilitated culture exchange and increased demand in goods. Colonization and the spread of religions encouraged improved transportation and education systems in various regions such as Africa. Bibliography Berend, Ivan T. An economic history of twentieth-century Europe: economic regimes from laissez-faire to globalization. Cambridge University Press, 2016. Gunn, Geoffrey C. First globalization: the Eurasian exchange, 1500-1800. Rowman

Creating Tourism Uniqueness To Hua Hin

History of Hua Hin Hua Hin is one of the most well-known tourist destinations for decades, and currently, the island has been transformed to a major tourism hub with the well-prepared infrastructure and services to accommodate millions of tourists around the world every year. Hua Hin now can provide highest standards of wellness care, blended with Thai hospitality. The ingredient of world-class wellness service with the charming

IDC Construction Solution According to Sediment Control Plan Discussion

assignment writer IDC Construction Solution According to Sediment Control Plan Discussion.

Auckland Council has decided to build a new library on New North Road (plot number 30). The duration of the project is 100 days (1st May-10th August). Your team is going to build the new library. To do so, according to Auckland Council rules, you have to gain earthwork permission from the Auckland Council. To get the permission you need to submit a detailed sediment control plan. Please check the Auckland Council sediment control guidelines and develop a detailed sediment control plan. Keep the sediment inside your work area (please check the given drawing). Consider the water runoff from the adjacent roads and provide a solution so that this water does not enter your site. 2. Provide a solution to retain the sediment water in your site and discharge the clean water in the estuary and storm water line
IDC Construction Solution According to Sediment Control Plan Discussion

Vincennes University Misconception on Evolution Research Paper

Vincennes University Misconception on Evolution Research Paper.

I’m working on a biology writing question and need an explanation to help me study.

For this assignment, you will be writing an essay with the goal of convincing someone who thinks that species do not evolve over time that this is actually a misconception from a scientific perspective. Some people think that a change in the gene frequency a population from one generation to the next (known as microevolution) does not happen and that the formation of new species from an existing species (known as macroevolution) has never occurred. After completing the reading and assignments for Chapters 13-15 of your textbook over the last few weeks, you will write your essay based on what you have learned from these chapters to convince someone that does not share your scientific perspective that you are in fact correct in your support of the scientific theory of evolution. In your final paper, be sure to include the following elements to your argument:1) Clearly state the misconception that you are trying to refute, which is that evolution does not occur.2) Include several specific facts, details, reasons, and/or examples that show or demonstrate why the misconception is inaccurate from a scientific perspective.3) Explain how evolution can be described as ‘descent with modification’.4) Include several specific facts, details, reasons, and/or examples that show or demonstrate the difference between microevolution and macroevolution.5) Present your ideas in a clear and logical order, including an introduction, body, and conclusion.6) Use the vocabulary that you learned in Chapters 14-16 and from the videos to show that you truly understand the information these chapters presented and can effectively use this information to support/discuss a scientific concept.7) Use correct grammar, punctuation, and check for proper spelling. If you would like to send me your rough draft, I will happily give you feedback and help with proofreading.8) The length requirement for this assignment is 2 full pages, 12 pt font, with single spacing.The overview video explaining this assignment can be found at the following link: https://youtu.be/w33aZ8wO0bUAnd at the screencast-o-matic link: http://somup.com/crfrIFFoAaREMEMBER that this final essay is serving as our final exam, so if you have any questions regarding the
Vincennes University Misconception on Evolution Research Paper

In this essay you will identify and explain 3-5 of your core values. You will also discuss the origins

In this essay you will identify and explain 3-5 of your core values. You will also discuss the origins of these core values. Include an introductory paragraph, where you grab the reader’s attention, provide a transitional statement, give a clear thesis statement, and map out the 3-5 key points that will support your thesis. (review elements of an introduction) Include 3-5 body paragraphs where you include details and examples to help you develop and support your key points. (review body paragraph structure) End your essay with a concluding paragraph where you restate your thesis, summarize your key points, and leave the reader with the “so what?” (review successful concluding paragraph As a writer, you are free to decide how you use language, keeping the following in mind: style: your language choices should result in a consistent writing style that is purposeful and aligned with your goals readability: your language choices should ensure that your ideas are clear and easy to follow When composing your paper, think about the conventions for academic writing, including: punctuation: this includes things such as recommended use of commas, colons, and apostrophes. word-level accuracy: this includes things such as capitalization, spelling, word-tense, and usage. sentence-level accuracy: this includes things such as sentence boundaries, subject-verb agreement, and pronoun-antecedent agreement. Take time to review your language choices after you’ve written your essay. Think about your goals for the style of this essay and your own writing habits (like using “text-speak,” omitting capitalization, or writing sentence fragments). Revise as necessary to accomplish your style and readability goals. Reading your paper aloud is a helpful technique when reviewing your language choices for style and readability. Sources and Documentation You are not required to use sources for this assignment. Format and Length At the top of the page, include your name, the assignment name, and a title that reflects your specific essay focus. (See example below.) Your paper should be typed, double-spaced and in 11 or 12-point font. Your final product should be a minimum of five paragraphs (about 700-1000 words) in length. However, the quality of the content of this essay is most important. Be sure to fully answer the prompt. MLA format! On a separate sheet of paper, please answer the following reflection questions: 1.Aside from simply meeting the requirements, what were your personal goals for this assignment? 2.When reviewing your language choices, what choices did you make to approach your goals for staying within or moving beyond conventions for academic writing? 3.What parts of your work on this assignment are you most proud of? 4.What challenged you in this assignment and/or where do you need additional support from your instructor?

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