a) How is the brain of birds different from the brain of mam…
a) How is the brain of birds different from the brain of mammals in terms of how it looks, superficially? b) Researchers have examined the density of neurons in the brains of some birds in relation to the birds’ activities at different times within the annual cycle. Describe what has been found about how neuron density within the brain changes at different times of the year, and provide an example of how this change contributes to the studied species’ fitness (i.e. contributes to its survival or reproductive success)
Read DetailsMr. Peter Miller has a hx of HF and recently was started on…
Mr. Peter Miller has a hx of HF and recently was started on Entresto (sacubitril/valsartan). The patient followed the instructions to discontinue Lisinopril. He calls the office and reports that he is feeling a “little” short of breath, especially when he is walking up the one-flight of stairs to his bedroom. He also gained 3 lbs since he was seen last in the office 3 weeks ago. The NP orders lab and wonders what lab to order – a BNP or a NT-pro-BNP? Answer the following questions: 1. Which lab test should the NP order? 2. Explain the rationale for the correct lab order.
Read DetailsSusan Bridge is a 58-year-old Caucasian female who just rece…
Susan Bridge is a 58-year-old Caucasian female who just recently moved into town and is seeing the NP today to establish care and go over her medication and treatment plan. Susan checks her BP at home 3x a week and average home BP readings are 144/86 mmHg. PMH: HTN dx. 5 years ago, Hyperlipidemia dx. 5 years ago. OB hx: G:3, P: 3. Gestational DM, preeclampsia, menopausal 1 year Family Hx: Dad alive 88 y – DM type II, HTN, Hyperlipidemia, CVD with an MI at age 67. Mom alive 85 y – DM type II, Hyperlipidemia, depression Medications: Lisinopril 10 mg/day, Atorvastatin 40 mg/day, multi-vitamin Social Hx: non-smoker, ETOH wine 3 glasses/week, full-time work as an accountant, exercise – short walks 2-3 x a month. Doesn’t have time to cook – eats fast-food 2-3x a week, eats soup from a can 3-4x a week. Likes to reward herself on the end of the day with a couple of pieces of pie. Lipid panel – 1 week ago while on statin therapy: Total cholesterol 142 LDL 135 HDL 35 Non-HDL: 107 VS: BP: 158/84 mmHg. RR: 16 HR: 88 Pulse-ox: 95% RA BMI: 29 Address each question separately: 1. Identify risk factors. 2. Address why these are risk factors. 3. Is this patient at treatment goals for HTN? 4. What should be the BP goal? 5. What should the NP advice/prescribe to help the patient achieve her HTN goal? 6. Why did you choose the treatment described in question #5?
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