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A patient presents to the ED with a history of heart failure for management of symptoms of an acute exacerbation of heart failure.  Work-up notable for the following: Symptoms Dyspnea and non-productive cough Confusion – oriented to self only (normally oriented x4) Physical Exam Findings S3 and S4 gallops on auscultation +3 pitting peripheral edema Extremities cool with prolonged capillary refill time Blood pressure 84/62 Labs / Imaging / Diagnostics Troponin – 0.09 BNP – 965 (baseline ~200) Na – 130 KUB – ” Increased cardiothoracic ratio with bilateral Kerley B lines present” Based on this information, which medication would be the most appropriate first medication to order for this patient?  

Which of the following is a belief held by most Muslims?

Hannibal’s defeat in the Battle of Zama by Scipio Africanus took place in the 

Constantine

Give any horizontal or oblique asymptotes.    On your file upload all work should be shown for this problem.  If there is a slant asymptote, I should see the long division work.  If one or all are not present simply type “none.” You will only earn partial credit for this problem if you are missing steps in your work or there is no work.    HA: [none]  (if present, this should be an equation) OA: [twoxminustwo]  (if present, this should be an equation)

Proximity is only how close people or objects are in space

Using 

The net ionic equation (meaning equation with spectator ions removed) for the reaction of HNO3 with NaOH is

Which of the following does not exist as a diatomic molecule at room temperature?

Give any horizontal or oblique asymptotes.    On your file upload all work should be shown for this problem.  If there is a slant asymptote, I should see the long division work.  If one or all are not present simply type “none.” You will only earn partial credit for this problem if you are missing steps in your work or there is no work.    HA: [two]  (if present, this should be an equation) OA: [none]  (if present, this should be an equation)