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There are TWO parts to this question. 1. Describe the three factors affecting stroke volume. 2. In a patient with decreased venous return, which factor will primarily be affected?

Describe the EKG of a person with bundle branch block. (Think about where the bundle branches are in the cardiac conduction system). Remember you are not an EKG technician.  Answer this question based on the material covered in your course and at that level of detail…no more.

Balancing the value of self-determination is especially complicated when working with children.

What education would you provide to this patient?

The Quick HIV test was negative The Vaginal Swab/Wet Prep was negative for candida, trichomoniasis, and bacterial vaginosis An HSV Culture was sent out and came back positive for HSV-2 RPR – negative What is your primary and differential diagnosis?

What is your treatment plan, including medications, for this patient?

After asking your patient additional questions, you obtain the following information:  History of Present Illness: I started feeling bad about 4 days ago and the lesions first started 3 days ago.  I have never had this before.  Nothing seems to make it better and it really hurts, like a burning, throbbing pain, when I pee or when my clothes rub down there.”   Sexual History: I have been sexually active since age 18 and have had around 10 different sexual partners. Over the last 60 days, I have had three different partners, but two of them have been on again/off again partners for about one year.  I am not sure if any of my partners are bisexual.  The first time I had sex (vaginal and oral sex, no anal sex) with the new partner was about one month ago.  I have no history of sexually transmitted infections or HIV.   I use condoms sometimes and am on the shot. Medical History:  seasonal allergies, asthma that is well controlled with albuterol Surgical History: tonsillectomy Allergies: None Family History: Diabetes and High blood pressure Last Pap: 1 year ago Occupation: EMS dispatcher Alcohol: social use Illegal drugs: social use of marijuana, no IV drug use Tobacco use: None Medications: Albuterol inhaler, Cetrizine for seasonal allergies, Depo-Provera 150 mg IM Q 12 weeks, Calcium 600 mg daily What are your next steps?

Identify different critical issues facing children and families today.

Fetal Alcohol Syndrome (FAS) results in:

What complication of metabolic stressors can interfere with patients receiving adequate calories?