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Thank you for your insight. Evaluating this patient’s symptoms, I would say he is experiencing an anaphylactic reaction, as he is having difficulty swallowing, tachypnea, and tachycardia, and his O2 levels are dropping, along with his blood pressure. Guo et al. (2021) explain that an anaphylactic reaction has respiratory and cardiovascular hallmarks, the same as this patient is experiencing; thus, I think anaphylaxis is a better diagnosis. Anaphylaxis can be fatal if not treated immediately. It is imperative that this patient gets a dose of epinephrine and secure the airway. Further treatment could include IV fluids, corticosteroids, antihistamines, and/or bronchodilators for symptom management. It is also important that this patient is closely monitored to prevent complications.
Thank you for sharing. Have a great weekend.
Guo, Y., Proaño-Pérez, E., Muñoz-Cano, R., & Martin, M. (2021). Anaphylaxis: Focus on transcription factor activity.
International Journal of Molecular Sciences
,
22
(9), 4935. https://doi.org/10.3390/ijms22094935
McLendon, K., & Sternard, B. T. (2023, January 26).
Anaphylaxis
. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK482124/
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Related Questions
Oceanic uptake of carbon dioxide is thus described:CO2 (g) + H2O ⇔ H2CO3, K = [H2CO3]/PCO2 = 3 x 10-2 M atm-1 H2CO3 ⇔ HCO3- + H+, K = [HCO3-][H+]/[H2CO3] = 9 x 10-7 moles/LHCO3- ⇔ CO32 - + H+, K = [CO32 -][H+]/[HCO3-] = 7 x 10-10 moles/LCharge balance equation:[H+] = [OH-] + [HCO3-] + 2[CO32 ]
If the CO2 concentration in the atmosphere is 300 ppm, what is the pH of the ocean?
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Solution 1 Solution 2
Solution 3
Solution 4
Solution 5
Concentration iron(III) nitrate
0.00200
0.00200
0.00200
0.00200
0.00200
[Fe(NO3)3] (M)
Concentration potassium thiocyanate
0.00200
0.00200
0.00200
0.00200
0.00200
[KSCN] (M)
Volume Fe(NO3)3 (mL)
5.00
5.00
5.00
5.00
5.00
Volume KSCN (mL)
5.00
4.00
3.00
2.00
1.00
Volume DI water (mL)
0.00
1.00
2.00
3.00
4.00
Initial concentration [Fe3+] (M)
0.00100
0.00100
0.00100
0.00100
0.00100
Initial concentration [SCN] (M)
0.00100
0.000800
0.000600
0.000400
0.000200
Absorbance
0.269
0.192
0.154
0.104
0.052
Equilibrium [FeSCN2+] (M)
0.000198
0.000141
0.000113
0.0000765
0.000038
Equilibrium constant Kc
Average Kc
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You have just started working in an Urgent Care Clinic as a nurse. Mom brings in her 3 year old little boy, Brandon. Mom states that Brandon has been having fever up to 104F and he isn't eating or drinking anything because he feels very sick to his stomach, not to mention crabby! He's also been pulling a lot at his right ear and sounds congested. At the last well visit with the Pediatrician (about 2 weeks ago), Mom states that Brandon weighed 32 pounds.
On exam today, his weight is 12.5 kg. Additionally his eyes are darkened and sunken, his mouth is dry with some white crusting around the lips. His temperature is 39C, other vitals signs are normal. Though he looks ill he appears to be medically stable. The doctor rushes in, quickly exams Brandon, diagnoses him with otitis media and then barks off orders to you that you then need to convey accurately to Mom. The orders include: push fluids, ibuprofen 10mg/kg every 6 hours if temp > 38C, and begin taking a 10-day course of…
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The maximum dose over 24 hours for OTC (over the counter use) of acetaminophen (medication in Tyleonol) is 4,000 mg. Many OTC and prescription medications contain acetaminophen along with other ingredients. Acetaminophen can be found in many cold medicines and in prescription painkillers such as Norco, which also contains the addictive opiod hydrocodone. Keeping track of sources and amount of acetaminophen is very important for your health. Abuse of Norco due to the opiod can also lead to toxic/lethal doses of acetaminophen. There are now strict regulations on the number of tablets of Norco that can be prescribed (7 day maximum per prescription, not refillable without another prescription).
A tablet of Norco contains 325 mg of acetaminophen. Thirty tablets are in a week-long prescription post major-surgery to aid in recovery. How many grams of acetaminophen are in the 30 tablets?
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15/24
SCIENCE (086)
9
જે
SCIENCE
224
Science Project
Create a comprehensive and informative project on ' Natural resources' in the form of an artistically
crafted, decorated project file
Include pictures, illustrations,examples, surveys, advertisements, newspaper cuttings and headings
etc in your project to make your project appealing, relevant, easy to understand and memorable
Keypoints
. Introduction to Natural Resources
•
Air pollution and its causes
Water pollution and its causes
Soil pollution and its causes
. Biogeochemical Cycles
1. Oxygen Cycle
2. Carbon Cycle
3. Nitrogen Cycle
4. Water Cycle
Rain and effect of acid rain
.
Green-house Effect
Ozone Layer and reason for ozone depletion
Assignment Sheet
1.Look at Fig. 1.1 and suggest in which of the vessels A,B, C or D the rate of evaporation will be the highest?
Explain.
PDF to Long Images
PDF to Images
=
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1. Penicillin is hydrolyzed and thereby rendered inactive penicillinase, an enzyme present in some
penicillin-resistant bacteria. The molecular weight of this enzyme in Staphylococcus aureus is 29.6 kilo
Daltons (29.6 kg/mole or 29,600 g/mole or 29,600 ng/nmole) The amount of penicillin hydrolyzed in 2
minute in a 10-mL solution containing 109 g (1 ng) of purified penicillinase was measured as a function
of the concentration of penicillin. Assume that the concentration of penicillin does not change
appreciably during the assay. [Hint: Convert everything to the same concentration terms]
Show all calculations and include spreadsheets and graphs to determine Km, Vmax and kcat for this
enzyme. Make sure your final answers have correct units.
[Another hint: Note that [S] and amount hydrolyzed are already in concentration terms. So you don't
need to worry about the volume for calculating [S] and V. ]
Penicillin concentration (microM)
Amount hydrolyzed (nanoM)
1
110
3
250
5
340
10
450
30
580…
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Absorbed from the intestines into the blood, nitrites (NO2-) interact with the hemoglobin of the blood and block its respiratory function, turning part of the hemoglobin (HbFe2+) into
methemoglobin (HbFe3+), unable to transfer oxygen from the lungs to tissues. With the formation of a large amount of methemoglobin, oxygen starvation of tissues occurs, which can cause damage to the central nervous system.
10 to 20 % - of methemoglobin (HbFe3+) - asymptomatic cyanosis, 20 to 50% of methemoglobin (HbFe3+) -hypoxia develop, > 50% of methemoglobin (HbFe3+) - the person will die.
The body weight of the average person is 60 kg. Blood mass averages 8% of a person’s body weight; blood density ρ = 1,050 g/cm3, the hemoglobin (Hb) content in it is 14 g per 100 ml. molecular weight of hemoglobin 65-68 kg/mol (use 68 kg/mol for calculation). Assume that 1 mole of hemoglobin reacts with one mole of nitrite ion to form 1 NO molecule:
HbFe2+ + NO2- → HbFe3+ + NO
will a 290 mg dose of sodium nitrite…
arrow_forward
A 23-year-old woman with a history of asthma was brought to the emergency
department by ambulance. She was extremely short of breath. Her level of
consciousness was diminished greatly, and she was only able to respond to questions
with nods or one-word responses. She had a weak cough, with nearly inaudible
breath sounds. After drawing blood gases, she was placed on supplemental oxygen.
Vital signs: heart rate, 160 bpm; blood pressure, 120/84 mm Hg; temperature, 37°C;
and respiratory rate, 36/min. Her initial blood gas and total hemoglobin results were
as follows:
pH = 7.330
pCO2 = 25 mm Hg
pO2 = 58 mm Hg
HCO3 = 13 mmol/L
tHb = 12.4 g/L
QUESTIONS:
4. What clinical findings are most indicative of this patient’s impending
failure?
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OSHA's Hazard Communication Standard requires chemical manufacturers to evaluate hazards
relating to their products and provide a Safety Data Sheet in accordance to the Globally
Harmonized System (GHS) in which the use of pictograms (see Figure 1) is required to
communicate hazard information. Predict (with reasons) two (2) hazards related to each of
the two activities below, and assign two (2) relevant pictograms listed in Figure 1 to each of
the two activities.
Activity 1: Removing diethyl ether (last opened in 2019) using a rotary evaporator.
Activity 2: Using carbon monoxide gas as a reducing agent to reduce iron chloride.
Figure 1. Pictograms advised by the Globally Harmonized System for communication of
chemical hazards.
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Prompt 2- How can a new substance (a gas) be produced and the total mass of the closed
system not change?
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bo Carbonic anhydrase of erythrocytes (M, 30,000) has one of the highest turnover numbers known. It catalyzes the reversible
hydration of CO2
Macmillan Learning
H,O+CO, = H, CO,
This is an important process in the transport of CO, from the tissues to the lungs. If 5 μg of pure carbonic anhydrase catalyzes
the hydration of 0.15 g of CO, in 1 min at 37 °C at Vmax, what is the turnover number (kcat) of carbonic anhydrase?
I
kcal =
x10
TOOLS
min-1
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5.84 mL of solution is 3.23 torr at 37°C. What is the molar mass (in g/mol) of this unknown
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Given: Atomic masses: H = 1.008; C = 12.011; N = 14.007; Na = 22.99; O = 15.999;Cl = 35.45.
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Kk.274.
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9
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Iron(III) hydroxide (MM = 106.87 g/mol) has a Ksp of 6.3 x10-38. If 35.9 g Fe(OH)3 is stirred into 6,034.63 L H2O, how many micrograms of iron(III) hydroxide will dissolve?Report your answer to the nearest whole number.
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In order to avoid the possibility of 2-hour delays this winter, EKU will be stockpiling de-icing salts to help keep the roads and sidewalks clear. Facility Services has been quoted the following prices:
K2SO4: $5.35/kg
MgSO4: $4.55/kg
Which salt provides a better value? Support your answer with a calculation.
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For the reaction 4HCl(g) +O2(g) == 2Cl2(g) + H2O (g), Keq =889 at 480 o If 0.03 mole HCl , 0,02 mole O2 , 0.08 mole Cl2 and 0.07 mole H2O were mixed in 1 liter container, in what direction will the reaction proceed. Support your answer.
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SEE MORE QUESTIONS
Recommended textbooks for you

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Publisher:Cengage Learning
Related Questions
- Oceanic uptake of carbon dioxide is thus described:CO2 (g) + H2O ⇔ H2CO3, K = [H2CO3]/PCO2 = 3 x 10-2 M atm-1 H2CO3 ⇔ HCO3- + H+, K = [HCO3-][H+]/[H2CO3] = 9 x 10-7 moles/LHCO3- ⇔ CO32 - + H+, K = [CO32 -][H+]/[HCO3-] = 7 x 10-10 moles/LCharge balance equation:[H+] = [OH-] + [HCO3-] + 2[CO32 ] If the CO2 concentration in the atmosphere is 300 ppm, what is the pH of the ocean?arrow_forwardSolution 1 Solution 2 Solution 3 Solution 4 Solution 5 Concentration iron(III) nitrate 0.00200 0.00200 0.00200 0.00200 0.00200 [Fe(NO3)3] (M) Concentration potassium thiocyanate 0.00200 0.00200 0.00200 0.00200 0.00200 [KSCN] (M) Volume Fe(NO3)3 (mL) 5.00 5.00 5.00 5.00 5.00 Volume KSCN (mL) 5.00 4.00 3.00 2.00 1.00 Volume DI water (mL) 0.00 1.00 2.00 3.00 4.00 Initial concentration [Fe3+] (M) 0.00100 0.00100 0.00100 0.00100 0.00100 Initial concentration [SCN] (M) 0.00100 0.000800 0.000600 0.000400 0.000200 Absorbance 0.269 0.192 0.154 0.104 0.052 Equilibrium [FeSCN2+] (M) 0.000198 0.000141 0.000113 0.0000765 0.000038 Equilibrium constant Kc Average Kcarrow_forwardYou have just started working in an Urgent Care Clinic as a nurse. Mom brings in her 3 year old little boy, Brandon. Mom states that Brandon has been having fever up to 104F and he isn't eating or drinking anything because he feels very sick to his stomach, not to mention crabby! He's also been pulling a lot at his right ear and sounds congested. At the last well visit with the Pediatrician (about 2 weeks ago), Mom states that Brandon weighed 32 pounds. On exam today, his weight is 12.5 kg. Additionally his eyes are darkened and sunken, his mouth is dry with some white crusting around the lips. His temperature is 39C, other vitals signs are normal. Though he looks ill he appears to be medically stable. The doctor rushes in, quickly exams Brandon, diagnoses him with otitis media and then barks off orders to you that you then need to convey accurately to Mom. The orders include: push fluids, ibuprofen 10mg/kg every 6 hours if temp > 38C, and begin taking a 10-day course of…arrow_forward
- The maximum dose over 24 hours for OTC (over the counter use) of acetaminophen (medication in Tyleonol) is 4,000 mg. Many OTC and prescription medications contain acetaminophen along with other ingredients. Acetaminophen can be found in many cold medicines and in prescription painkillers such as Norco, which also contains the addictive opiod hydrocodone. Keeping track of sources and amount of acetaminophen is very important for your health. Abuse of Norco due to the opiod can also lead to toxic/lethal doses of acetaminophen. There are now strict regulations on the number of tablets of Norco that can be prescribed (7 day maximum per prescription, not refillable without another prescription). A tablet of Norco contains 325 mg of acetaminophen. Thirty tablets are in a week-long prescription post major-surgery to aid in recovery. How many grams of acetaminophen are in the 30 tablets?arrow_forward12:50 ← d2fcc1b0-17ba-42ff-a... 15/24 SCIENCE (086) 9 જે SCIENCE 224 Science Project Create a comprehensive and informative project on ' Natural resources' in the form of an artistically crafted, decorated project file Include pictures, illustrations,examples, surveys, advertisements, newspaper cuttings and headings etc in your project to make your project appealing, relevant, easy to understand and memorable Keypoints . Introduction to Natural Resources • Air pollution and its causes Water pollution and its causes Soil pollution and its causes . Biogeochemical Cycles 1. Oxygen Cycle 2. Carbon Cycle 3. Nitrogen Cycle 4. Water Cycle Rain and effect of acid rain . Green-house Effect Ozone Layer and reason for ozone depletion Assignment Sheet 1.Look at Fig. 1.1 and suggest in which of the vessels A,B, C or D the rate of evaporation will be the highest? Explain. PDF to Long Images PDF to Images =arrow_forward1. Penicillin is hydrolyzed and thereby rendered inactive penicillinase, an enzyme present in some penicillin-resistant bacteria. The molecular weight of this enzyme in Staphylococcus aureus is 29.6 kilo Daltons (29.6 kg/mole or 29,600 g/mole or 29,600 ng/nmole) The amount of penicillin hydrolyzed in 2 minute in a 10-mL solution containing 109 g (1 ng) of purified penicillinase was measured as a function of the concentration of penicillin. Assume that the concentration of penicillin does not change appreciably during the assay. [Hint: Convert everything to the same concentration terms] Show all calculations and include spreadsheets and graphs to determine Km, Vmax and kcat for this enzyme. Make sure your final answers have correct units. [Another hint: Note that [S] and amount hydrolyzed are already in concentration terms. So you don't need to worry about the volume for calculating [S] and V. ] Penicillin concentration (microM) Amount hydrolyzed (nanoM) 1 110 3 250 5 340 10 450 30 580…arrow_forward
- Absorbed from the intestines into the blood, nitrites (NO2-) interact with the hemoglobin of the blood and block its respiratory function, turning part of the hemoglobin (HbFe2+) into methemoglobin (HbFe3+), unable to transfer oxygen from the lungs to tissues. With the formation of a large amount of methemoglobin, oxygen starvation of tissues occurs, which can cause damage to the central nervous system. 10 to 20 % - of methemoglobin (HbFe3+) - asymptomatic cyanosis, 20 to 50% of methemoglobin (HbFe3+) -hypoxia develop, > 50% of methemoglobin (HbFe3+) - the person will die. The body weight of the average person is 60 kg. Blood mass averages 8% of a person’s body weight; blood density ρ = 1,050 g/cm3, the hemoglobin (Hb) content in it is 14 g per 100 ml. molecular weight of hemoglobin 65-68 kg/mol (use 68 kg/mol for calculation). Assume that 1 mole of hemoglobin reacts with one mole of nitrite ion to form 1 NO molecule: HbFe2+ + NO2- → HbFe3+ + NO will a 290 mg dose of sodium nitrite…arrow_forwardA 23-year-old woman with a history of asthma was brought to the emergency department by ambulance. She was extremely short of breath. Her level of consciousness was diminished greatly, and she was only able to respond to questions with nods or one-word responses. She had a weak cough, with nearly inaudible breath sounds. After drawing blood gases, she was placed on supplemental oxygen. Vital signs: heart rate, 160 bpm; blood pressure, 120/84 mm Hg; temperature, 37°C; and respiratory rate, 36/min. Her initial blood gas and total hemoglobin results were as follows: pH = 7.330 pCO2 = 25 mm Hg pO2 = 58 mm Hg HCO3 = 13 mmol/L tHb = 12.4 g/L QUESTIONS: 4. What clinical findings are most indicative of this patient’s impending failure?arrow_forwardOSHA's Hazard Communication Standard requires chemical manufacturers to evaluate hazards relating to their products and provide a Safety Data Sheet in accordance to the Globally Harmonized System (GHS) in which the use of pictograms (see Figure 1) is required to communicate hazard information. Predict (with reasons) two (2) hazards related to each of the two activities below, and assign two (2) relevant pictograms listed in Figure 1 to each of the two activities. Activity 1: Removing diethyl ether (last opened in 2019) using a rotary evaporator. Activity 2: Using carbon monoxide gas as a reducing agent to reduce iron chloride. Figure 1. Pictograms advised by the Globally Harmonized System for communication of chemical hazards.arrow_forward
- Prompt 2- How can a new substance (a gas) be produced and the total mass of the closed system not change?arrow_forwardbo Carbonic anhydrase of erythrocytes (M, 30,000) has one of the highest turnover numbers known. It catalyzes the reversible hydration of CO2 Macmillan Learning H,O+CO, = H, CO, This is an important process in the transport of CO, from the tissues to the lungs. If 5 μg of pure carbonic anhydrase catalyzes the hydration of 0.15 g of CO, in 1 min at 37 °C at Vmax, what is the turnover number (kcat) of carbonic anhydrase? I kcal = x10 TOOLS min-1arrow_forward(Q71) The osmotic pressure of a solution containing 36.0 mg of an unknown protein dissolved in 5.84 mL of solution is 3.23 torr at 37°C. What is the molar mass (in g/mol) of this unknown protein? (The molar mass of the protein will be relatively high - express to 5 sig figs).arrow_forward
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Recommended textbooks for you
- Chemistry: The Molecular ScienceChemistryISBN:9781285199047Author:John W. Moore, Conrad L. StanitskiPublisher:Cengage Learning

Chemistry: The Molecular Science
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ISBN:9781285199047
Author:John W. Moore, Conrad L. Stanitski
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