Abnormal arterial blood gases (hypoxia, hypercapnia).The following are the nursing priorities for patients with asthma:Īssess for the following subjective and objective data: Open communication with the patient and family is maintained throughout these procedures. Nursing interventions include obtaining a medication allergy history, identifying current medications, administering prescribed medications, monitoring responses, providing fluids if necessary, and assisting with intubation and mechanical ventilation if acute respiratory failure occurs. Respiratory status is assessed by monitoring symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. Patients and their families may experience fear and anxiety due to dyspnea, emphasizing the need for a calm approach. Nursing care for patients with asthma varies depending on symptom severity, ranging from outpatient treatment for mild symptoms to hospitalization for acute and severe cases. If not corrected rapidly, asthma may become more difficult to treat, as the mucus production prevents the inhaled medication from reaching the mucosa (Hashmi et al., 2022). This leads to a significant increase in airway resistance, which is most pronounced upon expiration. The pathological process of asthma begins with the inhalation of an irritant or an allergen, which then, due to bronchial hypersensitivity, leads to airway inflammation and an increase in mucus production. Asthma can be triggered commonly and exacerbated through airway irritants, exercise, stress or emotional upset, rhinosinusitis with postnasal drip, medications, viral respiratory infections, and gastroesophageal reflux. Risk factors for asthma include family history, allergy, and chronic exposure to airway irritants or allergens such as grass, weed pollens, mold, dust, or animals. It is the most common chronic disease in childhood (Morris & Mosenifar, 2022). Asthma is a common chronic disease affecting approximately 26 million persons in the United States. This inflammation ultimately leads to recurrent episodes of symptoms of cough, chest tightness, wheezing, and dyspnea. Providing Patient Education & Health TeachingsĪsthma is a chronic inflammatory disease of the airways characterized by hyperresponsiveness, mucosal edema, and mucus production. Medical Administration and Pharmacologic Support Maintaining Patent Airways & Reducing Airway Inflammation Improving Breathing Pattern & Gas Exchange Gain valuable insights on nursing assessment, interventions, goals, and nursing diagnosis specifically tailored for asthma in this guide. Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with asthma.
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For example, the set of odd integers between 0 and 10 looks like this: A =. We usually name sets with capital letters. First, a set is a collection of objects joined by some common criteria. So, it seems appropriate to introduce a mini-version of set theory here. Union and intersection of sets is a topic from set theory that is often associated with points and lines. We also have C D ↔ ⊥ E F ↔ C D ↔ ⊥ E F ↔ the line containing the points C C and D D is perpendicular to the line containing the points E E and F F because both lines trace grid lines, which are perpendicular by definition.įinally, we see that C D ↔ ⊥ G H ↔ C D ↔ ⊥ G H ↔ the line containing the points C C and D D is perpendicular to the line containing the points G G and H H because both lines trace grid lines, which are perpendicular by definition. We can also state that A B ↔ ⊥ G H ↔ A B ↔ ⊥ G H ↔ the line containing the points A A and B B is perpendicular to the line containing the points G G and H H because both lines trace grid lines, which are perpendicular by definition. We know this because both lines trace grid lines, and intersecting grid lines are perpendicular. Therefore, we can safely say the following:Ī B ↔ ∥ C D ↔ A B ↔ ∥ C D ↔, the line containing the points A A and B B is parallel to the line containing the points C C and D D.Į F ↔ ∥ G H ↔ E F ↔ ∥ G H ↔, the line containing the points E E and F F is parallel to the line containing the points G G and H H.Ī B ↔ ⊥ E F ↔ A B ↔ ⊥ E F ↔, the line containing the points A A and B B is perpendicular to the line containing the points E E and F F. Additionally, all intersections form a 90 ∘ 90 ∘ angle. The grid also tells us that the vertical lines are parallel and the horizontal lines are parallel. Because they are on a grid, we assume all lines are equally spaced across the grid horizontally and vertically. The third way would be the most efficient way.ĭrawing these lines on a grid is the best way to distinguish which pairs of lines are parallel and which are perpendicular. From school to the post office or dry cleaners to home: first way A E ¯, E F ¯, F C ¯, C D ¯, D G ¯ A E ¯, E F ¯, F C ¯, C D ¯, D G ¯ second way A B ¯, B E ¯, E F ¯, F C ¯, C D ¯, D G ¯ A B ¯, B E ¯, E F ¯, F C ¯, C D ¯, D G ¯ third way A B ¯, B C ¯, C F ¯, F G ¯ A B ¯, B C ¯, C F ¯, F G ¯.The first way should be the most efficient way. From school to the library: first way A E ¯, E F ¯, F G ¯ A E ¯, E F ¯, F G ¯ second way A B ¯, B C ¯, C D ¯, D G ¯ A B ¯, B C ¯, C D ¯, D G ¯ third way A B ¯, B E ¯, E F ¯, F G ¯ A B ¯, B E ¯, E F ¯, F G ¯ fourth way A B ¯, B C ¯, C F ¯, F G ¯ A B ¯, B C ¯, C F ¯, F G ¯.It seems that the third way is the most efficient way. From school to the grocery store and home: first way A H ¯, H I ¯, I E ¯, E F ¯, F G ¯ A H ¯, H I ¯, I E ¯, E F ¯, F G ¯ second way A B ¯, B E ¯, E I ¯, I E ¯, E F ¯, F G ¯ A B ¯, B E ¯, E I ¯, I E ¯, E F ¯, F G ¯ third way A E ¯, E I ¯, I E ¯, E F ¯, F G ¯ A E ¯, E I ¯, I E ¯, E F ¯, F G ¯.Postulate 2: Any straight line segment can be extended indefinitely in a straight line.īefore we go further, we will define some of the symbols used in geometry in Figure 10.3:.Postulate 1: A straight line segment can be drawn joining any two points.He defined a point as “that which has no part.” It was later expanded to “an indivisible location which has no width, length, or breadth.” Here are the first two of the five postulates, as they are applicable to this first topic: The first definition Euclid wrote was that of a point. In order to write his postulates, Euclid had to describe the terms he needed and he called the descriptions “definitions.” Ultimately, we will work with theorems, which are statements that have been proved and can be proved. There were no formal geometric definitions before Euclid, and when terms could not be defined, they could be described. A postulate is another term for axiom, which is a statement that is accepted as truth without the need for proof or verification. In The Elements, Euclid summarized the geometric principles discovered earlier and created an axiomatic system, a system composed of postulates. These definitions form the foundation of the geometric theories that are applied in everyday life. In this section, we will begin our exploration of geometry by looking at the basic definitions as defined by Euclid. Determine union and intersection of sets.Express points and lines using proper notation.Identify and describe points, lines, and planes.(credit: modification of work “School of Athens” by Raphael (1483–1520), Vatican Museums/Wikimedia, Public Domain) Learning ObjectivesĪfter completing this section, you should be able to: Figure 10.2 The lower right-hand corner of The School of Athens depicts a figure representing Euclid illustrating to students how to use a compass on a small chalkboard. Please note that some of our products may contain chemicals known by the state of California to cause cancer and birth defects or other reproductive harm. We ship most orders within 12 hours of placement of the order and cannot guarantee that we can cancel every order. If you think you’ve ordered the wrong part, please send us a message on our contact-us page right away that includes your order number. If you are not sure, please contact us to double-check. Please make sure you are purchasing the correct part. We do not accept returns except in the event that we have sent you the wrong part. 2: Focus on door handle and hardware field. and/or once the package is in the hands of the delivery service. Pella 2 Point Bolt Mortise Lock Body, Storm Door - Choose Color Pella Storm Door Mortise Lock. We are not responsible for delays in shipping due to an incorrect address, weather, a pandemic, unforeseeable events, etc. In the event that we mistakenly do not have the product you ordered, we will either contact you with an option for a replacement part or cancel/refund your order. The Mortise Door Handle Lock is a durable and secure option for doors, and it provides added security over other types of locks. We do our best to keep all products in stock. We reserve the right to contact you about your order if it is unable to be shippedĪpplicable local/state taxes apply where necessary.Īll orders are processed within 1-2 business days. The available shipping rates and methods available to you will display on the checkout page and can vary depending on the product(s) you need to order. does our best to ensure that your products arrive quickly and safely. And ultimately, I’m not completely convinced that it provides a substantial enough base to weave a story upon. While the focus on economics and trade is interesting at times, and certainly presents a unique direction, the inherent complexities of economics often prove to be a source of confusion for the viewer. Overall, Spice and Wolf tries some interesting concepts, with some that work better than others. I could write a lot more about the characters, but I won’t bore you – suffice it to say, these elements come together in such a way that the conversations are by far the most refreshing and entertaining part of the series, and they were more than enough to overcome the more dry exposition and heavy filler that Spice and Wolf often seems to present. They each have a sort of depth to them that was nothing if not unexpected from Lawrence’s slight uneasiness and awkwardness about traveling with a deity, and Holo’s subtle fear of loneliness and rejection. The two characters have a unique, nuanced chemistry: both are laid back enough to take and dish out teasing, sarcasm, and friendly insults, but they aren’t all snark. And you have to keep in mind, Spice and Wolf is only thirteen episodes long!īut I’ve spent a lot of words on the series’ flaws, so let point out one thing that really works: The dialogue between Lawrence and Holo – when they aren’t spouting economic exposition – is some of the best written banter we’ve seen in a long time. The beginning is especially guilty of this, and as I finished the third episode I found myself saying, “I’m three episodes in and I don’t even know what this show is about because nothing important is happening!” The plot picked up almost immediately afterwards, but the fact still remains that there are entire episodes in this series that seem like nothing but thin filler. On the other hand, the economic focus of the series does lead in to my biggest complaint: The pacing is very slow. They at least appeared to make sense, which I suppose is the best that can be asked for. I don’t know, I’m a writer, not an economist, and the concepts that are brought up are fairly complex. Even so, the ultimate result of this unique direction does, on the whole, tend to make sense. This is especially glaring when the characters are discussing economic strategy while other fairly important things are going on in the background. This makes the series a bit obtuse at times, and while the exposition and explanations of medieval economics is usually well presented, it can also be a bit difficult to comprehend. While some anime will focus largely on action and fight scenes, and others on suspense and drama, and still others on less substantial things like… fanservice, Spice and Wolf throws a curve ball by spending quite a lot of its time on economics. Perhaps the most unique thing about Spice and Wolf is the overall focus of the series. The rest of the series chronicles Lawrence and Holo’s often well-thought-out but increasingly hazardous attempts to strike it rich as traveling merchants. Now, the town no longer needs her services thanks to advances in agricultural technology, and she wishes to return to her homeland in the north. According to her, she came to Lawrence’s country long ago and agreed to provide bountiful harvests to a small, out of the way town. Lawrence first meets Holo when he finds her sleeping in the back of his cart one night, and she begs him to take her along on his travels. And not at all a glaring reminder that taking that economics class was a mistake.įor those of you who didn’t hit the back button the moment the word “economics” showed up, Spice and Wolf is a thirteen episode series depicting the misadventures of an ordinary traveling peddler named Lawrence and his not-so-ordinary companion, the wolf-deity-in-human-form, Holo. What do you suppose you get when you take late Medieval economics, sprinkle in some character drama, add a lot of snark, and throw in some fantasy elements about wolf gods? And then, just for good measure, what if you give it a name that sounds like a bad 90s pop-band? If your answer is “not a whole damn lot,” well… you really should be right, but somehow, Spice and Wolf exceeds all expectations by actually being entertaining. YouTube tops the 2022 teen online landscape among the platforms covered in the Center’s new survey, as it is used by 95% of teens. Meanwhile, the share of teens who say they use Facebook, a dominant social media platform among teens in the Center’s 2014-15 survey, has plummeted from 71% then to 32% today. Some 67% of teens say they ever use TikTok, with 16% of all teens saying they use it almost constantly. A new Pew Research Center survey of American teenagers ages 13 to 17 finds TikTok has rocketed in popularity since its North American debut several years ago and now is a top social media platform for teens among the platforms covered in this survey. The landscape of social media is ever-changing, especially among teens who often are on the leading edge of this space. Here are the questions used for this report, along with responses, and its methodology. The survey was fielded by the GfK Group on its KnowledgePanel, which was later acquired by Ipsos. The trend data in this report comes from a Center survey on the same topic conducted from Sept. teens ages 13 to 17 who live with parents by age, gender, race, ethnicity, household income and other categories. The survey is weighted to be representative of U.S. Ipsos recruited the teens via their parents who were a part of its KnowledgePanel, a probability-based web panel recruited primarily through national, random sampling of residential addresses. This research was reviewed and approved by an external institutional review board (IRB), Advarra, which is an independent committee of experts that specializes in helping to protect the rights of research participants. The survey was conducted online by Ipsos from April 14 to May 4, 2022. For this analysis, we surveyed 1,316 U.S. Pew Research Center conducted this study to better understand teens’ use of digital devices, social media and other online platforms. 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Your Neighborhood Economy Bronx 103 Your Neighborhood Economy Bronx 104 Neighborhood Breakdowns Your Neighborhood Economy Bronx 101 Your Neighborhood Economy Bronx 102 Elected officials and policy makers can use this chart to track citywide trends, as well as pinpoint specific neighborhood needs in order to tailor solutions that create inclusive and equitable citywide economic development. Community based organizations in different neighborhoods can build power by working with other groups across the city and call for changes and resources. While each neighborhood economy is unique, the problems they experience are not exclusive to their communities. Equitable Economic Development implements targeted policies, programs, and strategies that create economic opportunity for those communities that have historically faced barriers in accessing jobs, building wealth, and achieving financial security and stability.Ĭommunity groups, residents, stakeholders, officials, and policy makers can use the information captured in this chart to see what challenges and opportunities their neighborhood economy faces. How can we better ensure economic opportunity for all New Yorkers?Įconomic development has historically overlooked the needs and capacity of low-income communities, communities of color, and immigrants while focusing on increased revenue. Who are our economic development policies not reaching? What are the challenges and pathways to economic opportunity in your communities? With JunkCarsUs, you’ll tick all the boxes and can junk your car in Staten Island without a hassle and with the best conditions on the market.How is economic opportunity threatened in your neighborhood? Your best option is a reasonable price offer with free towing services, paperwork handling, and same-day cash payment included. Thus, some companies might come up with higher initial quotes but will make you pay for towing and processing services afterward.
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