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British Columbia Institute of Technology *
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Nursing
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May 24, 2024
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Practice Exam 11
151.
Immunosuppressant agents includes all of the following except a)
THAM
.
b)
Azathioprine (Imuran).
c)
OKT-3 (Orthoclane).
d)
ALG (Antilymphoblast globulin).
Keyword:
Heart Transplantation
Program Code:4
152.
Hypokalemia is a side effect of these diuretics except .
a)
Acetazolamide (Diamox).
b)
Chlorothiazide (Duiril).
c)
Spironolactone
(Aldactone).
d)
Furosemide (Lasix).
Keyword:
Renal Pharmacology
Program Code:4
153.
Verapamil has actions similar to those of:
a)
Bretylium.
b)
Dilantin.
c)
Norpace.
d)
Inderal
.
Keyword:
CPB Pre-op Pharmacology
Program Code:
4
154.
Dopamine hydrochloride (Intropin) is sometimes used in conjunction
with sodium nitroprusside (Nitride) to:
a)
Decrease high potassium (K+) levels after cardioplegia infusions.
b)
Release calcium (Ca++) originally bound by citrate.
c)
Improve myocardial function curves in the immediate postoperative phase.
d)
Previous coronary artery bypass surgery, cold agglutinin disease, or Humulin allergy.
Keyword:
CPB Physiology Pharmacology
Program Code:
4
155.
An example of an osmotic diuretic is .
a)
Ethacrynic acid.
b)
Spironolactone.
c)
Lasix.
d)
Mannitol
.
Keyword:
Renal Physiology
Program Code:4
156.
The following ·-adrenergic blocker depresses phase 4 depolarization.
a)
Amiodarone.
b)
Encainide.
c)
Propanolol
.
d)
Quinidine.
e)
None of the above.
Keyword:
CPB Pre-op Pharmacology
Program Code:
4
157.
Which of the following is used, usually in combination with other drugs, for its inotropic and vasodilator properties?
a)
Nitroprusside.
b)
Amrinone
.
c)
Nitroglycerin.
d)
Phenylephrine.
e)
THAM
Keyword:
CPB Physiology
Pharmacology
Program Code:4
158.
Which receptors acts as a presynaptic regulator of adrenergic neurotransmitter activity?
a)
Alpha-1.
b)
Beta-1.
c)
Alpha-2.
d)
Beta-2.
e)
Gamma-1
Keyword:
CPB Pre-op Pharmacology
Program Code:
4
159.
The mechanisms of action of the drugs known to be vasodilators include all of the following except .
a)
Relaxation of vascular smooth muscles directly.
b)
The stimulation of vascular adrenergic receptors.
c)
Depression of central (brain) sympathetic outflow.
d)
Inhibition of angiotensin converting enzyme.
160.
The alpha adrenergic blocking drugs which are effective in the diagnosis of pheochromocytoma are all of the following except .
a)
Phentolamine.
b)
Phenoxybenzamine.
c)
Prazosin (Minipress).
161.
The following is (are) cardioselective and preferentially inhibit ·-1 adrenoreceptors.
a)
Metoprolol
.
b)
Propanolol.
c)
Timolol.
d)
All of the above.
e)
None of the above.
Keyword:
CPB Intra-op Pharmacology
Program Code:4
162.
The following is (are) non-selective · antagonists .
a)
Propranolol
(Inderal).
b)
Metoprolol (Lopressor).
c)
Atenolol (Tenormin).
d)
All of the above.
Keyword:
CPB Pre-op Pharmacology
Program Code:
4
163.
All of the following are true about guanethidine (ismelin) except a)
Clinical use of this drug may cause immediate hypertension lasting several hours.
b)
Ultimately may cause a decrease in systemic arterial pressure.
c)
Ultimately may cause an increase in pulmonary arterial pressure.
d)
Chronic administration may cause cardiac output to return to
normal.
Keyword:
CPB Physiology Pharmacology
Program Code:
4
164.
Procainamide (Procan) is used clinically for the following except a)
Postural hypotension.
b)
Ventricular tachycardia.
c)
Atrial fibrillation and flutter.
d)
Paroxysmal atrial tachycardia.
165.
The principle pharmacological action of these drugs is relaxation of vascular smooth muscle, venous effects predominate but there is a dose dependent dilation of both arterial and venous beds.
a)
Cardiac glycosides.
b)
Nitrates
.
c)
Antiarrhythmics.
d)
Calcium antagonists.
Keyword:
CPB Intra-op Pharmacology
Program Code:4
166.
Which of the following is a true statement?
a)
The left atrioventricular valve is tricuspid.
b)
The leaflets of the atrioventricular valves are thinner.
c)
Lunule are found on the cusps of the semilunar valves.
d)
The papillary tissue into which the chordae tendinea insert are non-contractile in nature.
Keyword:
Heart Anatomy
Program Code:
4
167.
Which of the following structures are most dominate in the left ventricle?
a)
Subendocardial plexus.
b)
Thebesian vessels.
c)
Myocardial sinusoids.
d)
Thebesian veins.
Keyword:
Heart Anatomy
Program Code:4
168.
What is the proper order of aortic arch vessels (from proximal to distal)?
a)
R subclavian-R carotid L innominate.
b)
R innominate-L common carotid-L subclavian.
c)
R internal carotid-L subclavian-L internal mammary.
d)
R innominate-L subclavian-L common carotid.
Keyword:
Heart Anatomy
Program Code:4
169.
Which of the following is/a true statements?
a)
All pulmonary blood returns to the left atrium. ***
b)
Superficial bronchial veins precede pulmonary veins.
c)
Deep bronchial veins precede the azygos vein.
d)
Some bronchial return is to the right heart.
Keyword:
Heart Anatomy
Program Code:4
170.
Of the following arteries, which is most superior?
a)
Celiac
.
b)
Mesenteric.
c)
Renal.
d)
Iliac.
171.
In the case of a persistent left superior vena cava, which of the following statements is true?
a)
All venous return is through the superior vena cava.
b)
Blood return from the right side of the body flows into the superior vena cava system.
c)
Blood return from the left side of the body flows directly into the coronary sinus.
d)
Blood return from the left side of the body flows directly into the right atrium. Keyword:
Heart Anatomy
Program Code:4
172.
The most common form of cerebral edema is .
a)
Cytotoxic.
b)
Vasogenic
.
c)
Hydrocephalic.
d)
hemorrhagic.
Keyword:
Cerebral
Program Code:4
173.
Which of the following statements is NOT true regarding Carboxyhemoglobin (HbCO)?
a)
Increased concentration of HbCO will shift the oxygen dissociation curve to the left.
b)
CO will bind to the molecular site of hemoglobin more firmly
than oxygen.
c)
Increased amount of CO in the blood stream will result in decreased release of oxygen to the tissues.
d)
Carboxyhemoglobin, unlike oxygen, dissociates with difficulty.
Keyword:
Blood Gases
Program Code:
4
174.
The major branches of the left coronary artery are .
a)
The anterior descending and posterior descending.
b)
The marginal branch and the circumflex branch.
c)
The circumflex branch and the anterior descending branch.
d)
The marginal branch and the anterior descending branch.
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Related Questions
7 Ordered: atropine sulfate 1 mg bolus IV push, for a patient with bradyar-
rhythmia. Directions: Dilute to 10 mL SW for injection (total amount) and
give over 1 minute.
NDC 0002-1675-01
20 ml
VIAL No. 419
POISON
A TROPINE
SULFATE
INJECTION, USP
0.4 mg per ml
CAUTION-Federal (U.SA.J low
prohibits dispensing without
prescription.
a. How many mL of atropine will the nurse prepare?
DA equation:
Evaluation:
b. After dilution, how many seconds/ mL. will the atropine be injected?
DA equation:
Store 5" io BF (15" te 30°C)
Usuel Adult Dose-0.75 to 14 ml
injected subcutareously, intramusculerly,
e dowly introvenousiy. See iterature.
Eech mi contains Atropine Suliate,
CA mg with Chlorebutanel (Chloroform
Derivalve) 05 percent.
wV6731 AMX
Bly Cedionela, N425, USA
APPROXIMATE EQUIVALENTS
04 mi-0.16 mg
0.5 mi-0.2 mg
0.6 mi-024 mg
OE ml-0.32 mg
1 mi-04 mg
1.25 ml-0.5 mg
1.6 ml-0.65 mg
25 ml-1.0 mg
2.1 ml-1.25 mg
Exp. Date/Control No.
6-
10ml
BD
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ADDITIONAL
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1. A patient with iron deficiency anemia
experiences shortness of breath, weakness and
has a pale skin. Explain why anemic people
experience and share the same symptoms.
2. A pacemaker is a small device that is placed in
the chest or abdomen to help control abnormal
heart rhythms. This device uses electrical pulses
to prompt the heart to beat at a normal rate. Who
are the patients greatly in need of this procedure
of having pacemaker built in their chest? And
why?
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Date
Pre-Lab Exercise 12-3
Pathway of Blood Flow through the Heart
Answer the following questions about the pathway of blood flow through the heart. Use your
textbook and Exercise 12-1 in this unit for reference.
1. Regarding veins:
a. Where do veins carry blood?
deoxygenated?
b. Is this blood generally oxygenated or
c. Does this rule have any exceptions? If yes, where?
2. Regarding arteries:
a. Where do arteries carry blood?
Is this blood generally oxygenated or deoxygenated?
c. Does this rule have any exceptions? If yes, where?
3. Where does each atrium pump blood when it contracts?
Right atrium:
a.
b. Left atrium:
4. Where does each ventricle pump blood when it contracts?
a. Right ventricle:
b. Left ventricle:
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Please answer all questions
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Answers for All Questions
a. Explain the metal-electrolyte and electrolyte skin interface. ?
b. What are Pre-amplifiers in ECG?
c. List out different types of transducers for measurement of velocity in the medical application?
d. What is the significance of the parameters in determining the performance of a medical instrument?
e. what are the bio-signals?.
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8) An order is written for 10 mL of a 10% calcium chloride injection and 10 mL of multivitamin
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Injection (MVI) to be added to1000 ml. of D5W. The infusion is to be administered over 6 hour*
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this infusion?
normal saine is0.9%odum chloriee
access
TPN/P Perisher
9) A nurse hangs a bag of D51/2 NS with 20meg kcl. The bag is a 1 liter bag and needs to be
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minutes before she can run the regular IV rate. She has an IV set that is 10gtts/ml. She gets off
work at 6pm and wants to know if she will need another bag of IV fluids before she leaves
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using an infusion pump, you need to set an hourly rate. In order to infuse the 100ml
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1. Illustrate the process behind Antithrombin activity assay. Write the interpretation of results.
2. Illustrate the process behind Antithrombin antigen level test. Write the interpretation of
results.
3. Explain the mechanism of the following etiologies of acquired antithrombin (AT) deficiency.
A. DIC
B. Nephrotic syndrome
C. Heparin therapy
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Scenario 1. You and your two other friends were hiking and along the trail
you saw a man who is unconscious, with blood oozing from his head.
a. What is the first thing that need to should do?
b. List the step by step procedures would need to do as the first
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1. How many milligrams should the nurse give Mrs. Simpson in one dose?
2. Procainamide is available in a 200-mg capsule. How many capsules would Mrs. Simpson need per dose?
3. What monitoring should the nurse do while the patient is taking disopyramide (Norpace)?
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Pls help me with the given question and explain how you get your right answer pls and thank you.
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112, 128, 108, 129, 125, 153, 155, 132, 137
a)What is s, the standard deviation of these data?
b)What is n, the sample size?
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d)Using the 2SE rule of thumb, calculate an approximate 95% confidence interval for the mean.
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Order : zosyn 3.375 gm IV q6h
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How many mL/hr will the IV infuse? ( round to nearest whole number)
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Discuss why the Valsalva maneuver is not recommended during exercise. Discuss what
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1. What might happen if the tourniquet is left for more than two minutes? How about if the tourniquet is tied too tight or too close to venipuncture site?
2. Why is collecting blood in the foot prohibited for patients with diabetes mellitus
LABORATORY ACTIVITY 5.2
1. Give the advantages and disadvantages of using the “open system” and “closed system” in venipuncture.
2. Why are specimens for bilirubin testing protected from light? Discuss handling procedures for bilirubin samples.
LABORATORY ACTIVITY 5.3
1. What are the consequences if an EDTA tube is filled first before a red top tube?
2. What must be done if an admitted patient refuses to blood extraction?
LABORATORY ACTIVITY 5.4
1. Why should we not label tubes prior to blood collection?
2. Compare and contrast “NPO” from “fasting”.
LABORATORY ACTIVITY 5.5
1. Why must a discard tube should be collected first before an anticoagulated tube when using a “butterfly” to collect blood?
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explain the meaning and physiology of sodium potassium pump at Renin angiotensin aldosterone system
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2. RAAS –
3. 3. Regulation Of Body Fluid
a. A. Kidney
b. Endocrine
c. 3.Atrial Natriuretic Peptide (ANP)
d. GI regulation
e. Heart Blood Vessel
f. Lungs
4. Anti diuretic Hormone disorder
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b. Diabetes Insipidus
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Work 1. Scheme of the structure of the circulatory system.
Label in the scheme:
1. departments of the heart,
2. vessels of large and small circles of blood
circulation,
3. portal blood circulation of the liver,
4. sites of lymphogenesis,
5. the place where the lymphatic system enters the
bloodstream,
6. sections of the vascular bed, in which blood
becomes saturated with oxygen and gives off carbon
dioxide,
7. sections of the vascular bed, in which blood
gives oxygen and receives carbon dioxide.
Img. 47. The scheme of the structure of the circulatory system and its connection with the
lymphatic system.
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1. Give the normal differential count of the different blood cells seen.
2. Briefly define the following:
a. Crenation
b. Hemolysis -
c. Rouleaux formation -
Exercise No. 8
1. Differentiate the three (3) types of muscles; tabulated form.
2. Define the sarcoplasmic triad. Where can it be found?
3. What is an intercalated disc?
Exercise No. 9
1. What are neuroglial cells?
2. Differentiate axon and dendrite.
3. What are other nerve endings?
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The nurse is caring for a toddler with large, unrepaired
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findings should the nurse expect?
A. Hypotension
B. Tachycardia
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states that when she kisses her baby, the intants skin taste saltv.
2
C. Pulse oximetry reading within defined limits.
D. Blood pressure variance across extremities
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What statement by the nurse indicates understanding about the
difference between paclitaxel and nab-paclitaxel? Nab-
paclitaxel:
A. requires careful administration consideration in the elderly
B. uses the body's own albumin transport mechanisms.
C. causes central nervous system toxicity.
D. accumulates in the adipose tissue.
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Sheridan
Faculty of Applied Health
and Community Studies
1. After being stabilized and monitored in the hospital, Mr. Zane is discharged home.
Mr. Zane's primary care physician prescribes him a long-acting calcium channel
blocker as first-line monotherapy. Why are calcium channel blockers recommended
as first-line therapy for African American people with hypertension? Explain.
2. Mr. Zane's blood pressure remains elevated after being started on the calcium
channel blocker. Mr. Zane is started on 50 mg of the thiazide diuretic,
hydrochlorothiazide daily. Discuss the antihypertensive effects of
hydrochlorothiazide.
3. What information must you share with Mr. Zane to increase adherence and decrease
the adverse effects of hydrochlorothiazide? What should Mr. Zane be educated
about concerning his disease process and the impact of adherence to the drug
therapy regimen?
4. Mr. Zane's physician is trying to establish a medication regime to best control Mr.
Zane's primary hypertension, and the…
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RNSG 1301 Pharmacology
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a. Which of these medications would you want to avoid if the client was pregnant?
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Work 3. Exchange of fluid between blood and tissues in the microcirculatory bed.
37
In the diagram, indicate with
arrows:
movement
of fluid in the
bloodstream,
• the release of fluid into the tissue
and return to the blood capillary,
• the transfer of tissue fluid to the
lymphatic capillary,
• identify the forces which support
microcirculation processes.
Lymphatic capillary
Blood capillary
Arteriole
Venule
Img. 48. Proccesses of microcirculation.
What will be the changes of microcirculation (fluid outlet into the tissue and return to the
bloodstream) in the following conditions:
V in case of decreased oncotic pressure
V in case of increased venous pressure
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You receive a medication order that reads "vancomycin 500 mg in 100 mL N.S. over 30 minutes."
6. What volume would you need to draw up if you have vancomycin 50 mg/mL reconstituted solution
available?
7. How many milliequivalents of sodium ion is the patient receiving per minute? Round to the nearest
thousandths place.
8. What is the drip rate, if a 15-drop set is being used?*
9. Express the final concentration of vancomycin, as a percent concentration (w/v). Round to TWO
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Hli 55%
Specific module 4 - BASIC LIFE SUPPORT p...
Assessment
1. A 65-year-old male is on a short ladder changing a light and suddenly collapses. He is
unresponsive. What is the next step?
a) Call 9-1-1
b) Begin CPR
c) Begin mouth-to-mouth ventilation
d) Check pulse
2. CPR is initiated and the victim's pulse returns but he is not breathing. What ventilation rate
should be used for this patient?
a) 8 per minute
b) 12 per minute
c) 20 per minute
d) Depends on his color
3. The child begins to breath spontaneously at a rate of 18. Her pulse is 50. What is the next step?
a) Faster rescue breaths
b) Carotid massage
c) Begin CPR
d) Monitor breathing
4.) Geeno, a 21-year-old intoxicated college student turms blue and collapses while eating a hot dog at a
bar. What is the most likely cause?
a) Cardiac arrest
b) Alcohol poisoning
c) Choking
d) Drug ingestion
5. You assess that the patient still has a pulse, what is the next step in managing this case?
a) Begin CPR
b) Open airway
c)…
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#2
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What is the low safe dosage per day? (2] meglday
What is the high safe dosage per day? (3] megiday
is this medication safe to give? (4)
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- Date Pre-Lab Exercise 12-3 Pathway of Blood Flow through the Heart Answer the following questions about the pathway of blood flow through the heart. Use your textbook and Exercise 12-1 in this unit for reference. 1. Regarding veins: a. Where do veins carry blood? deoxygenated? b. Is this blood generally oxygenated or c. Does this rule have any exceptions? If yes, where? 2. Regarding arteries: a. Where do arteries carry blood? Is this blood generally oxygenated or deoxygenated? c. Does this rule have any exceptions? If yes, where? 3. Where does each atrium pump blood when it contracts? Right atrium: a. b. Left atrium: 4. Where does each ventricle pump blood when it contracts? a. Right ventricle: b. Left ventricle:arrow_forwardPlease answer all questionsarrow_forwardAnswers for All Questions a. Explain the metal-electrolyte and electrolyte skin interface. ? b. What are Pre-amplifiers in ECG? c. List out different types of transducers for measurement of velocity in the medical application? d. What is the significance of the parameters in determining the performance of a medical instrument? e. what are the bio-signals?.arrow_forward
- The nurse is caring for Mr. Adrian, an 82-year-old man with CHF who has a past medical history of diabetes and renal insufficiency. He is prescribed digoxin (Lanoxin) 0.125 mg IV and then 0.125 mg PO daily. a. What are the therapeutic effects of cardiac glycosides? b. Is this patient at risk for digoxin toxicity? Explain. c. What are the adverse effects of digoxin? Discuss the nursing considerations for digoxin administration.arrow_forwardNursing math dosage calcarrow_forward8) An order is written for 10 mL of a 10% calcium chloride injection and 10 mL of multivitamin o) An order is written for 10 mL of a 10% calcium chloride iniection and 10 mL of multivitamin Injection (MVI) to be added to1000 ml. of D5W. The infusion is to be administered over 6 hour* me iv set delivers 10 drops/ mL. What should be the rate of flow in drops per minute to deliver this infusion? normal saine is0.9%odum chloriee access TPN/P Perisher 9) A nurse hangs a bag of D51/2 NS with 20meg kcl. The bag is a 1 liter bag and needs to be infused at 120ml/hour. She needs to deliver a bolus of fluid first of 200ml to be infused in 30 minutes before she can run the regular IV rate. She has an IV set that is 10gtts/ml. She gets off work at 6pm and wants to know if she will need another bag of IV fluids before she leaves work. It is currently noon. The bag of fluids will run out at what time?arrow_forward
- Order: Pantoprozole 40mg IV q12h. According to the IV drug guide, you need to add the 40mg /10mL dose to a 100 mL minibag of 0.9% NS for administration. The recommended rate of infusion is 30 minutes. If you administer the pantoprazole using an infusion pump, you need to set an hourly rate. In order to infuse the 100ml minibag in 30 minutes, what hourly rate would you set on the pump?arrow_forwardACTIVITY NO. 14: ASSAYS OF ANTITHROMBIN TEST 1. Illustrate the process behind Antithrombin activity assay. Write the interpretation of results. 2. Illustrate the process behind Antithrombin antigen level test. Write the interpretation of results. 3. Explain the mechanism of the following etiologies of acquired antithrombin (AT) deficiency. A. DIC B. Nephrotic syndrome C. Heparin therapy D. Liver dysfunctionarrow_forwardActivity 1. Administering First Aid Scenario 1. You and your two other friends were hiking and along the trail you saw a man who is unconscious, with blood oozing from his head. a. What is the first thing that need to should do? b. List the step by step procedures would need to do as the first persons to arrive at the scene.arrow_forward
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