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You are taking care of a 77-year-old patient with severe aor…

You are taking care of a 77-year-old patient with severe aortic stenosis in the cardiac intensive care unit. Surgical aortic valve replacement is planned for tomorrow. However, suddenly, he becomes severely short of breath and manifests signs of acute pulmonary edema. On auscultation, you can now appreciate a soft, short apical systolic murmur (in addition to his prior-appreciated murmur of aortic stenosis) that was not present previously. You suspect that he has suffered a ruptured mitral valve chordae and now has severe, acute mitral regurgitation. Which of the following parameters will likely increase due to his new severe mitral regurgitation?

A patient presents to the ED with a history of heart failure…

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?  

Give any horizontal or oblique asymptotes.    On your file u…

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)