A school-age child with asthma is seen for a well child chec…

A school-age child with asthma is seen for a well child checkup and, in spite of “feeling fine,” has pronounced expiratory wheezes, decreased breath sounds, and an FEV1 less than 70% of personal best. The primary care pediatric nurse practitioner learns that the child’s parent administers the daily medium-dose ICS but that the child is responsible for using the short-acting beta2-agonist (SABA). A treatment of 4 puffs of a SABA in clinic results in marked improvement in the child’s status. What will the nurse practitioner do?

An adolescent who has asthma and severe perennial allergies…

An adolescent who has asthma and severe perennial allergies has poor asthma control in spite of appropriate use of a short-acting beta2-agonist (SABA) and a daily high-dose inhaled corticosteroid. What will the primary care pediatric nurse practitioner do next to manage this child’s asthma?

An adolescent who has exercise-induced asthma (EIA) is on th…

An adolescent who has exercise-induced asthma (EIA) is on the high school track team and has recently begun to practice daily during the school week. The adolescent uses 2 puffs of albuterol via a metered-dose inhaler 20 minutes before exercise but reports decreased effectiveness since beginning daily practice. What will the primary care pediatric nurse practitioner do?

The International Space Station is orbiting at an altitude o…

The International Space Station is orbiting at an altitude of about 370 km above the earth’s surface. The mass of the earth is 5.97 × 1024 kg, the radius of the earth is 6.38 × 106 m, and G = 6.67 × 10-11 N ∙ m2/kg2. Assume the orbit is circular. (a) What is the period of the International Space Station’s orbit? (b) What is the speed of the International Space Station in its orbit? (c) The ISS has a mass of approximately 4.45 × 105 kg. Calculate the total mechanical energy of the ISS in its orbit.