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What is the key identifying feature of the coral snake that distinguishes it from other snakes with similar markings? The yellow band is always next to the red band the red band is always next to the black band It has a distinctive bite pattern It has deep pits below the eyes 4-68 virus zero portable air sterilizer reviews discount vantin 100 mg with visa. A person may display which of the following symptom(s) after using a hallucinogenic drug? On patrol antibiotics for dogs for bladder infection cheap vantin 100 mg with mastercard, a member of your unit receives a rattlesnake bite just below the elbow zombie infection pc buy vantin 200 mg with amex. Place a tourniquet 1 inch proximal to the bite site Place a constricting band 2 inches proximal to the bite site Place a constricting band 2 inches distal to the bite site below the elbow Both 2 and 3 above 4-70 infection fighting foods order 200 mg vantin fast delivery. Formalin Dilute ammonia Vinegar Any of the above In caring for drug-intoxicated persons, the Corpsman should perform what actions as his/her first priority? Check for an adequate airway Keep the victim awake Induce vomiting if the victim is awake Transport to a medical facility 4-66. Level 0 1 and 2 3 4 Health Hazard Little or none Slight Extreme Deadly Protection level C. Work in low geographic areas to avoid toxic fumes Decontaminate victims and equipment outside of the hazard zone Stay upwind and upgrade of the incident site Collect a sample of the hazardous material for later examination 4-75. Determine the appropriate dose in milligrams of medication for a child weighing 30 pounds if the average dose for an adult dose is 600 mg. Increase the dosage because of her weight and further increase because of her sex Increase of dosage because of her weight but decrease because of her sex Decrease of dosage because of her sex and further decrease because of her weight Decrease of dosage because of her sex but an increase because of her weight 5-3. What would be the proper dose in milliliters of ampicillin for an 8-year old child if the adult dose is 15 ml? Milk or milk products may interfere with the absorption of which of the following drugs? Cephalexin (Keflex) Tetracycline hydrochloride Streptomycin sulfate Erthromycin 5-10. By chemical characteristics By their brand names By their source By their action on the body 5-17. Supplemental potassium may be required with which of the following categories of drugs? Agents that inhibit the growth of microorganisms without necessarily killing them are known as 1. The correct abbreviations for the metric system of primary units of measure for weight, volume, and linear dimensions are 1. Which of the following organizations is responsible for the licensing of biological agents? Secretary of the Navy Public Health Service American Medical Association Secretary of the Treasury 5-26. Which of the following vaccines should not be administered to individuals who are sensitive to egg products? A poison that is introduced into the body in one location and affects the body in another location is displaying what effect? If 54 grams of the compound is silver nitrite, what is the percentage of silver nitrite? If you dissolve two 1/2 gr tablets of Phenobarbital in 30 ml of water, how much of the solution should the patient receive? How many grams of sodium chloride are required to prepare 1 liter of a 1:5000 solution? Of the following types of pharmaceutical preparations, which incorporates finely powdered medicinal substances into a fatty base? Lotion Suspension Ointment Elixir If you receive a prescription for 1,800 ml of the preceding formula, how many grams of arsenic trioxide will you use? A properly administered drug dosage that has an unintended and noxious effect on the patient is the definition of which of the following terms? Contraindication Drug interaction Adverse reaction Therapeutic incompatibility 5-45. Superscription Inscription Subscription Signa Aluminum acetate, an astringent, is often used to treat which of the following conditions listed below? In conjunction with antacids, which of the following is used to treat duodenal ulcers? Dimenhydrinate Diphenhydramine hydrochloride Ranitidine Pseudoephedrine hydrochloride 5-42.
Syndromes
- Limbitrol
- Nausea
- Mohs surgery: Removing a layer of skin and looking at it immediately under a microscope, then removing many layers of skin until there are no signs of the cancer; usually used for skin cancers on the nose, ears, and other areas of the face.
- Carbamyl phosphate synthetase (CPS) deficiency
- Any condition that blocks the flow of cerebrospinal fluid (CSF)
- Electrical "shock" therapy (defibrillation or cardioversion)
- Low blood sugar (hypoglycemia)
- Females age 19 and older: 1.1 mg/day
Most prostheses cannot be worn in the water bacterial vagainal infection buy vantin 200 mg, so the participant may need assistance in the locker room antibiotics for uti urinary tract infection purchase vantin 100 mg with amex, moving to and from the pool antibiotics for sinus infection and drinking generic 100mg vantin with amex, and entering and exiting the water quinolone antibiotics for uti buy vantin 200mg line. Other participants with impaired mobility may use an assistive device for walking (such as a cane, walker, crutches or braces). Allow the person to keep any assistive devices that he normally uses for walking close at hand. Because crutches, braces and canes may slip, even on decks that are kept as dry as possible, consider providing a water chair or walker for participants who normally use crutches or a cane. Paralysis (the loss of voluntary movement, sensation or both) may affect the legs (paraplegia) or the arms and legs (quadriplegia). Hemiplegia and hemiparesis (weakness on one side of the body) are often caused by a stroke (cerebrovascular accident). A person with hemiparesis may have a decreased sense of pain, touch and temperature on the affected side. Special considerations for participants with paralysis include the following: Take steps to avoid cuts or abrasions caused by scraping the hands and feet, especially if sensation is reduced. For example, use transfer mats to reduce the risk for abrasions caused by dragging body parts across the deck, and encourage the participant to wear water shoes to reduce abrasions from the bottom of the pool. Chapter 6 Teaching People Who Move, Learn, Communicate or Behave Differently 123 A participant with paralysis is prone to developing pressure ulcers as a complication of immobility. If a participant has a pressure ulcer, he should not participate in aquatic activities until the pressure ulcer has healed. If the person has a colostomy or urostomy make sure that the person empties the ostomy bag immediately prior to the lesson. Participants with mobility impairments who are able to walk unaided and have good communication and breathing skills should have little difficulty in a regular aquatics program. Participants who use a wheelchair or an assistive device for walking can also enjoy success in a regular aquatics program. For a participant with a mobility impairment, you can facilitate learning in the following ways: Help the participant find a good working position in the water. This may require using flotation rings or other devices to support the desired body position. Once in a horizontal position, some participants with impaired mobility may have difficulty getting their feet back down. Emphasize stroke pull along the midline of the body to decrease body roll for participants with balance problems. Safety Note: Participants with lower back instability (for example, as a result of paralysis or spina bifida) should not dive or engage in activities that can twist the spine. Some people with severely impaired motor function may need specialized instruction. For example, a person limited in all four extremities will need specialized, one-on-one instruction to be successful or to receive rehabilitative benefit. Seizure Disorders A person who has recurring seizures has a condition known as seizure disorder. Seizures are the result of sudden, abnormal electrical activity in the brain lasting from several seconds to several minutes. One very common seizure disorder is epilepsy, but a person can also develop a seizure disorder following a stroke or head injury, or as a result of a brain tumor. When a person is having a seizure, the body may become suddenly rigid, sometimes after a high-pitched cry. The person may lose consciousness and experience convulsions (uncontrolled body movements caused by contraction of the muscles). In the period after the seizure, the person may seem drowsy and confused and may complain of a headache. Someone having a less serious seizure may suddenly stare off into space for a few seconds and then become fully alert again. Some people with seizure disorders experience an unusual sensation (called an aura) before the onset of a seizure. The aura sensation may take the form of a peculiar sound, sight, smell, taste or feeling.
Tambiйn es relativamente frecuente la aplicaciуn de apoyos de los profesionales especializados del бmbito sociosanitario (fisioterapeutas do antibiotics help for sinus infection proven vantin 100mg, psicуlogos vyrus 986 m2 for sale buy discount vantin 100mg line, etc xeno antibiotics order vantin 100 mg line. Familiares residentes en el hogar Familiares no residentes Profesional especializado Profesional no especializado Allegado/a o voluntario/a 1 bacteria at 8 degrees order vantin 200 mg with amex,0 Fuente: Elaboraciуn propia 3,06 1,75 2,49 2,20 1,68 2,0 3,0 4,0 El apoyo de los familiares en el hogar, como podemos ver en el grбfico, es mбs frecuente que ningъn otro, sobre todo para los afectados por enfermedades del sistema nervioso (R =,100; sig 0,028). La necesidad de una mayor frecuencia de apoyo por parte de los familiares en el hogar, implica tambiйn una mayor frecuencia de apoyos del resto de actores representados en el grбfico anterior: familiares no residentes (R =,413; sig 0,000), profesional especializado (R =,441; sig 0,000), profesional no especializado (R =,252; sig 0,000) o allegados/ voluntarios (R =,348; sig 0,000). Por lo general, hay una relaciуn positiva entre todos estos posibles emisores de apoyo: la mayor frecuencia de apoyo de uno de ellos implica una mayor frecuencia de los demбs, lo que refleja que todos estos actores (familiares, profesionales especializados y no especializados, voluntarios. Parece no resultar, aъn asн, demasiado elevada la atenciуn a los afectados por parte de cuidadores profesionales (profesionales no especializados en el grбfico: auxiliares de enfermerнa, de ayuda a domicilio, etc. No obstante, los datos tambiйn apuntan a la importancia del componente econуmico a la hora de acceder o no a la atenciуn por parte de los cuidadores profesionales, pues a mayor nivel de ingresos se seсala un mayor uso de este recurso. Ante la posibilidad de recibir un servicio de ayuda a domicilio u optar por una prestaciуn econуmica para el cuidador principal (principalmente cuidadora), las familias prefieren optar por esto ъltimo y continuar asн haciendo una tarea que se conocen muy bien debido al alto nъmero de aсos que pueden llevar cuidando diariamente al afectado. Como dato curioso, destaca que los que acuden como mayor frecuencia a los especialistas pъblicos reciben un menor apoyo de profesionales no especializados (R = -,125; sig 0,016), centrбndose principalmente la atenciуn en los familiares. Madre de niсo afectado (El apoyo en el hogar) es realizado por los familiares con quienes convive, los padres o la familia mбs cercana. Por parte del ayuntamiento, y aportando la madre una parte econуmica, acuden unas auxiliares a casa, pero esto no siempre es asн, ya que la empresa tiene unos horarios muy estrictos y poco flexibles que no siempre son compatibles con las necesidades. Cuestionario a asociaciones Entre los familiares que dispensan esos apoyos, la responsabilidad recae principalmente en los padres (un 41,12% sobre el total de personas que realizan los apoyos), pero tambiйn es dispensado por hermanos/as (1 7,75%), esposos/as (14,26%) o abuelos/as (10,62%), entre otros. Fuente: Elaboraciуn propia 80 La atenciуn en el бmbito familiar es claramente asumida por las mujeres, situбndose la razуn de sexo (nъmero de mujeres que realizan apoyos por cada varуn que los hace), en 1,22, razуn que se amplifica en el caso de las hermanas frente a los hermanos (1,71 hermanas por cada hermano) o de los abuelos (3,5 abuelas por cada abuelo). Como podemos comprobar, en este colectivo existe una cierta feminizaciуn de los cuidados, sуlo invertido en el caso de los esposos y esposas, quizб por la mayor presencia femenina entre las personas afectadas adultas de la muestra. Madre de niсo afectado Mi hijo con su enfermedad no dormнa y yo me he tirado 15 dнas de noche y de dнa sin dormir, mi hijo estaba chillando y tenнas que estar con йl, yo tenнa otra hija pequeсa y durante el dнa mientras йl dormнa tъ no podнas dormir porque tenнas que hacer lo otro. Representante de entidad de afectados El tiempo medio de dedicaciуn a estos cuidados es de casi 5 horas diarias, aunque el 43,08% dicen no necesitar apoyos personales diarios. Entre los que sн los necesitan, un 42,51% lo precisa mбs de 8 horas diarias (esto es, mбs de una jornada completa de trabajo). Incluso hay familias que destacan que el apoyo es necesario las 24 horas del dнa, tambiйn por la noche. Esto nos permite hacernos una idea de la heterogeneidad existente en cuanto a gravedad, necesidades de apoyo e intensidades de los mismos en las enfermedades raras, que en algunos casos es muy significativa. Grбfico 25: Distribuciуn de la muestra en funciуn del nъmero de horas de apoyo personal que necesita al dнa Fuente: Elaboraciуn propia Repercusiones de la asistencia personal en los cuidadores principales Es evidente que la asistencia personal cotidiana a las personas con enfermedades raras cambia las prioridades de quienes que la realizan. Como hemos visto, por lo general las 81 tareas suelen concentrarse en pocas personas (muchas veces una), que ademбs suelen ser mujeres (madres, hijas, hermanas) que asumen una carga excesiva. Representante de entidad de afectados Cada dнa haces lo que puedes y das gracias y no puedes hacer mбs de lo que haces, hay desgaste del matrimonio, mi mujer y yo de momento estamos aquн y lo hemos podido llevar Cuidador principal de adulto con enfermedad rara Cuando tengo algъn fin de semana lo quiero para mн, para poder descansar. Cuidador principal de adulto con enfermedad rara La intensidad de los apoyos que ha de aplicar el cuidador/a principal, tiene grandes repercusiones en йste, tanto en su vida social, como laboral y formativa. Casi la totalidad, como consecuencia, dispone de menos tiempo libre, pero tambiйn (y lo que es mбs importante) en un 41,77% de los casos se han perdido oportunidades laborales, en un 37,10% se ha tenido que reducir la jornada laboral y en un 37,59% se han perdido oportunidades de formaciуn. Grбfico 26: Repercusiones de la enfermedad en el cuidador o cuidadora principal Pйrdida de oportunidades de empleo Reducciуn de su jornada laboral Pйrdida de oportunidades de formaciуn Disposiciуn de menos tiempo libre 0,0 Fuente: Elaboraciуn propia 41,77 37,10 37,59 99,51 20,0 40,0 60,0 80,0 100,0 Como es lуgico, hay una relaciуn estadнsticamente significativa entre mayor nъmero de бreas en las que se necesitan apoyos y costes de oportunidad para los cuidadores y, sobre todo, cuidadoras, tanto en lo que respecta a la pйrdida de oportunidades de empleo (R =,421; sig 0,000) y formativas (R =,434; sig 0,000), como a la necesidad de reducciуn de la jornada laboral (R =,329; sig 0,000) y, especialmente, la disposiciуn de menos tiempo libre (R =,529; sig 0,000). En la mayorнa de casos la mujer deja de trabajar, reduciendo los ingresos familiares y esto dispara el porcentaje dedicado a estas enfermedades, desbordando el gasto y bajando los ingresos Cuestionario a asociaciones 82 Los que reciben con mбs frecuencia apoyo de personal no especializado, ven menos significativa que el resto la pйrdida de tiempo libre (R = -,137; sig 0,008), ya que esa ayuda de personal auxiliar y de cuidados posibilita que los afectados puedan tomarse un respiro al menos parcial. Sin embargo, no se perciben diferencias en los costes de oportunidad laborales y formativos entre las familias que disponen del apoyo de profesionales no especializados para el cuidado del afectado/a y las que no disponen de dicho apoyo. Pasemos a analizar por separado cada uno de los costes de oportunidad laborales y formativos referidos que pueden experimentar los cuidadores/as de los afectados. En primer lugar, nos centraremos en la pйrdida de oportunidades de empleo experimentado por los cuidadores de un 41,77% de los afectados. Йsta difiere en funciуn del tipo de enfermedad del afectado, aunque en todas las enfermedades se da.
Often works closely with schools and 93 employers as well as with family members of the injured person antimicrobial natural order 200mg vantin. Occupational Therapy Occupational therapy is the therapeutic use of self-care infection vaginal generic vantin 200mg, work and play activities to increase independent function antimicrobial drugs quizlet vantin 100 mg cheap, enhance development and prevent disability; may include the adaptation of a task or the environment to achieve maximum independence and to enhance the quality of life antibiotics pancreatitis cheap vantin 100mg mastercard. The term occupation, as used in occupational therapy, refers to any activity engaged in for evaluating, specifying and treating problems interfering with functional performance. Optometrist A person with doctorate-level education trained and licensed by examination to diagnose and treat the eyes for disease, visual defects, impairments by prescribing medication and or corrective lenses or providing minor eye surgery, visual enhancement, neuro-optometric rehabilitation and optometric vision therapy. Orientation and Mobility Specialist Teach the concepts and skills necessary for visually impaired to travel safely and efficiently in their environments. Orientation skills enable people with visual impairments to use sensory information to know their location in different settings, and mobility skills enable them to travel in different areas. People travel to different destinations using different techniques (such as the sighted guide or trailing techniques) or by using assistive devices (such as the long cane and the wheelchair). Some physiatrists are experts in neurologic rehabilitation, trained to diagnose and treat disabling conditions. The physiatrist examines the patient to assure that medical issues are addressed and provides appropriate medical information to the patient, family members and members of the treatment team. Physical Therapist the physical therapist evaluates components of movement, including muscle strength, muscle tone, posture, coordination, endurance, and general mobility. The physical therapist also evaluates the potential for functional movement, such as ability to move in the bed, transfers and walking, and then proceeds to establish an individualized treatment program to help the patient achieve functional independence. Psychologist A professional specializing in counseling, including adjustment to disability. The psychologist may provide individual or group psychotherapy for the purpose of cognitive retraining, management of behavior and the development of coping skills by the patient/client and members of the family. Recreation Therapist Individual within the facility responsible for developing a program to assist persons with disabilities to plan and manage their leisure activities; may also schedule specific activities and coordinate the program with existing community resources. A specialist in social and vocational issues who helps the patient develop the skills and aptitudes necessary for return to productive activity and the community. Rehabilitation Nurse A nurse specializing in rehabilitation techniques as well as basic nursing care. Nurses assist the patient and family in acquiring new information, developing skills, achieving competence and exhibiting behaviors that contribute to the attainment of a healthy state. Social Worker A professional discipline that seeks to improve the quality of life and well-being of an individual, group, or community by intervening through research, policy, community organizing, direct practice, and teaching on behalf of those affected by poverty or any real or perceived social injustices and violations of their human rights. Vocational Rehabilitation Helping those who have disabilities or recovering from them reach their full potential and return to work through patient evaluation and testing, job analysis, patient counseling and understanding related laws. A comprehensive list of terms and their definitions used in the area of neuro-rehabilitation are listed below. Underlined terms are more common when working with the vision and eye systems of patients with brain injury. The Brain Injury Glossary is provided to assist optometrists in better communicating with and reporting to the various individuals on the brain-injured rehabilitation team. Abnormal egocentric localization: see egocentric processing dysfunction Abnormal posturing: an involuntary flexion or extension of arms or legs. There are three types: decorticate arms over chest; decerebrate arms extended at sides; opisthotonus head and back are arched backward. Abstract concept: An idea not related to any specific instance or object and that potentially can be applied to many different situations or objects. Persons with cognitive deficits often have difficulty understanding abstract concepts. Abstract thinking: Being able to apply abstract concepts to new situations and surroundings. Accommodative insufficiency: the inability to sustain focus on near objects in patients younger than 40. Older than 40, the same condition is considered a normal part of the aging process and is called presbyopia. Accommodative spasm: A condition in which the ciliary muscle of the eye remains in a constant state of contraction. The ciliary muscle cannot relax when viewing distant objects, causing vision to blur when attempting to view objects from a distance. Acquired brain injury: see brain injury Acute care: the phase of managing health problems as conducted in a hospital for patients needing medical attention.