A Brief Note On Atherosclerosis And Coronary Spasms

1. Ms. T sought medical attention mainly because of intolerable chest pain after climbing several flights of stairs; however, Ms. T has a history of conditions such as atherosclerosis and coronary spasms. Atherosclerosis is the buildup of fatty material known as plaque, along the walls of arteries causing the arteries to narrow (Taber’s pg 224). Therefore, angina pectoris can result with exertion. Also, coronary spasms can potentially be caused by plaque buildup and can occur in people who have high cholesterol such as Ms. T. Also, coronary spasms are known to cause angina pectoris in people (Taber’s pg 2171). Ms. T’s history of these conditions explains why she experiences episodes of angina. 4. The two predominant types of angina are†¦show more content†¦Propranolol HcL drug to drug interactions: general anesthesia, IV phenytoin, and verapamil may cause additive myocardial depression. Additive bradycardia may occur with digoxin. Additive hypotension may occur with other antihypertensives, acute ingestion of alcohol, or nitrates. Levels may be decreased with chronic alcohol use. Concurrent use with amphetamines, cocaine, ephedrine, epinephrine, norepinephrine, phenylephrine, or pseudoephedrinemay result in unopposed alpha-adrenergic stimulation (excessive hypertension, bradycardia). Concurrent thyroid administration may decrease effectiveness. May alter the effectiveness of insulin or oral hypoglycemics(dose adjustments may be necessary). May decrease effectiveness of beta-adrenergic bronchodilatorsand theophylline. May decrease beneficial beta cardiovascular effects of dopamine or dobutamine. Use cautiously within 14 days of MAO inhibitor therapy (may result i n hypertension). Cimetidine may increase blood levels and toxicity. Concurrent NSAIDs may decrease antihypertensive action. Smoking increases metabolism and decreases effects; smoking cessation may increase effects. May increase levels of lidocaine and bupivacaine. Nifedipine drug to drug interactions: Drug-Drug: Rifampin, rifabutin, phenobarbital, phenytoin, orcarbamazepine may significantly decrease levels and effects; concurrent use is contraindicated. Ketoconazole, fluconazole, itraconazole,clarithromycin,Show MoreRelatedMyocardil Effusion4228 Words   |  17 PagesNMC (2008) code of conduct, the name of the patient will be changed to Peter and the placement area will remain as an acute care setting. According to McFerran (2008) the term â€Å"acute† is described as a disease of rapid onset, severe symptoms, and brief duration. Acute Care refers to riding at a crossroads of coming sharply to a crisis; severe, not chronic (Allen, 2000). Acute problems may appear precipitously, striking a totally unsuspecting victim. Nurses must quickly detect changes in clientsRead MoreCase Study Essay33967 Words   |  136 Pages2001, 1996, by Mosby, Inc. an affiliate of Elsevier Inc. All rights reserved. CHAPTER 1 CARDIOVASCULAR DISORDERS CASE STUDY 2 Case Study 2 Managing Hypertension Difficulty: Beginning Setting: Outpatient clinic 1 Cardiovascular Index Words: coronary artery disease (CAD), hypertension (HTN), medications, patient education, laboratory values, lifestyle modification, risk factors, Internet resources X Scenario M.P. is a 65-year-old African-American woman who comes to your clinic for a follow-upRead MoreHesi Practice31088 Words   |  125 Pagesarm? A. Keep the casted arm warm with a light blanket. B. Avoid handling the cast for 24 hours or until dry. C. Assess pedal and posterior tibial pulses every 2 hours. D. Assess movement and sensation in the fingers of the right hand. 32. Following coronary artery bypass grafting, a client begins having chest fullness and anxiety. The nurse suspects cardiac tamponade and prints a lead â… ¡ electrocardiograph (ECG) strip for interpretation. In looking at the strip, the change in the QRS complex that wouldRead MoreSocm Study Guide Essay30404 Words   |  122 Pagesthe major differences between functional and structural (organic) disease. | Examples of Varying EffectsOf Structural and FunctionalDiseases | | Disease | Type of Disease | Nature of Manifestations | Tension headaches | Functional (muscle spasm) | Functional (pain) | Benign tumor of the breast that produces mass | Structural (tumor) | Structural (mass) | Exogenous obesity causedby craving for food | Functional (hunger) | Structural (obesity) | Cancer of the esophagusthat prevents eating

The Characteristics Of The Arnold Friend - 1436 Words

Many authors look for inspiration in ways such as reflecting on past experiences, art, movies, history, or even nature. There are endless ways to develop new ideas in our everyday lives. In 1966, author Joyce Carol Oates was inspired to write a short story in a very peculiar way. While reading Life Magazine, she stumbled across an article about a serial killer with a bazar style and personality, which prompted her to write one of her most famous works to date. In the short story â€Å"Where Are You Going, Where Have You Been,† Joyce Carol Oates uses characteristics of serial killer Charles Howard Schmid Jr. to develop her fictional character Arnold Friend. Charles Howard Schmid Jr. was convicted of murdering three girls in the mid-sixties. He†¦show more content†¦Charles Schmid’s accomplice came in the form of John Saunders, a close friend of Schmid’s. Together, Schmid and Saunders picked up Alleen Rowe, convincing her to get in the car and tag along on a double date with them and another girl. They later drove her out to the desert and beat her to death with a rock (Gribben). In the story, Arnold Friend also features an accomplice, a menacing creep named Ellie Oscar. Similarly to John Saunders, Ellie Oscar plays a quiet, right-hand-man role, letting his ally do most of the work. The unmistakable resemblances between Charles Schmid’s and Arnold Friend’s accomplices point towards Joyce Carol Oates directly basing her character on the tactics of the real life serial killer. Joyce Carol Oates also based Arnold Friend’s stature off of Charles Schmid, the Pied Piper of Tucson. Charles Schmid was well known for being a short, well built individual. He was small but very athletic, having an accomplished career in gymnastics (Moser). Charles Schmid’s build and background in gymnastics is what was able to give him the physical ability to perform the multiple murders. Oates likely wanted to give Arnold Friend thos e same characteristics to make the story as realistic and as similar to the actual murders as possible. We can tell that Arnold Friend also features a muscular appearance when Connie describes him: â€Å"He looked as if he probablyShow MoreRelatedThe Hidden Identity of Arnold Friend Essay824 Words   |  4 PagesThe Hidden Identity of Arnold Friend The world is full of people who portray themselves as someone or something else. People usually hide their identity to obtain things that they want. It is common to be fooled by someones appearance. In Joyce Carol Oatess, Where Are You Going, Where Have You Been, Arnold Friend is an example of someone trying to trick another person into believing that he is something that he is not. In the story, a girl named Connie is confronted by a man who is tryingRead MoreWhere Are You Going, Where Have You Been By Joyce Carol Oates1032 Words   |  5 Pagesthese people genuinely? Arnold Friend, in the short story, â€Å"Where Are You Going, Where Have You Been† by Joyce Carol Oates, managed to deceive with his false characteristics. Arnold Friend was brought to life from Oates’s imagination of the mischievous serial killer Charles Schmid. Arnold Friend and Charles Schmid similarly attempted to delude with false attributes, had an interest in women, deceived women, both tried to create a false imagine for themselves, however Friend knew about everything aboutRead MoreSimilarities Between The Devil And Arnold Friend907 Words   |  4 PagesCarol Oates’ â€Å"short story† â€Å"Where Are You Going, Where Have You Been?†, a fifteen year old girl named Connie comes face-to-face with a man named Arnold Friend. Oates successful ly portrays the similarities between Arnold Friend and the Devil through plot, setting, and characterization. Throughout the text, Oates shows the reader Arnold Friend’s characteristic sinister ability to draw in Connie and manipulate her through what she loves the most. The data reveals, â€Å"He lifted his friend’s arm and showedRead MoreArnold Friend In Where Are You Going, Where Hare You Been? Essay1161 Words   |  5 Pagesand depraved actions. None, however, have struck such a devastatingly creepy chord as Arnold Friend of Joyce Carol Oates Where Are You Going, Where Have You Been? Seducer of young girls and embodiment of Lucifer, Arnold Friend is anything but a friend. Arnold Friend is presented through both actions and appearances, and these combine to diminish his likeability, while adding to his devilish persona. Although Arnold Friends traits are never stated outright, they are presented through his speech andRead MoreEssay About Arnold Friend1388 Words   |  6 Pageslevel. â€Å"Where Are You Going, Where Have You Been?† is a short story written by Joyce Carol Oates. Through her writing, she expresses the devil with her use of the character, Arnold Friend. Throughout this story, one can tell Arnold Friend is a symbolic Satan through his description, use of language, and his knowledge. Arnold Friend’s physical description resembles Bob Dylan’s appearance, but the devil is known to take on tempting forms. One source goes on to claim that â€Å"Arnold’s â€Å"shaggy, shabby blackRead More Reality is Like A Dream in Where Are You Going, Where Have You Been by Joyce Carol Oates1520 Words   |  7 Pagesmet†(28). This daydreaming behavior is observable to the reader throughout the story. From theories about dreams, theories about subconscious thought, and the clues that Oates provides, the reader is lead to believe that Connie’s experience with Arnold Friend is a nightmare used to awaken her to the consequences that her behavior could result in. Have you ever experienced a dream or a nightmare that seemed like reality? Most people in the world today would say that they have. Although this realisticRead MoreThe Absolutely True Diary Of A Part Time Indian By Sherman Alexie1573 Words   |  7 PagesIn Sherman Alexie’s The Absolutely True Diary of a Part-Time Indian, Arnold is a teenager living on a reservation in Spokane Washington. There, Arnold grows up aware of his limitations as an Indian and understands the difficulties that his parents had to endure growing up. He keeps these in mind as he gets older and makes the decision to leave the reservation. Throughout his journey, Arnold acknowledges the people who helped him along the way and who encouraged him to surpass his fears and to overcomeRead MoreArnold Friend Symbolizes the Devil in Where are you Going, Where Have you been? by Joyce Carol Oates533 Words   |  3 Pagestrying to persuade her to take a ride with him. He introduces himself as Arnold Friend a nd kindly asks her to come with him but she refused. He then threatens Connie and her family. She is then forced outside and leaves with Arnold Friend. Arnold Friend clearly symbolizes the devil through his physical traits, his knowledge of Connie, and his power over her kind of like he was hypnotizing her to go with him. First, Arnold Friend’s physical traits portray him as Satan. Oates says that â€Å"There wereRead MoreThe Invisible Man Character Analysis1150 Words   |  5 PagesMan, is egotistical and selfish, but this is just his outer emotions. Throughout the story there are hints at a complex background behind the famed invisible man that contribute to the reason for his erratic behavior. This is the same with the Arnold Friend, the main antagonist for Wells short story Where Are You Going, Where Have You Been? For instance there are suggestions about Friend’s self hate of his appearance and actions. Therefore this might provide a reason for his unstable personalityRead MoreArnold Friend Character Analysis853 Words   |  4 PagesEnglish 21011 James Friend Spells ‘Sociopath’ The persona of a sociopath appears to be much like any human. In many cases, one would not be able to pick him out of a crowd. Their minds, however, differ greatly from the average mind. A sociopath is extremely smart and methodical and most often is very meticulous in the way in which he acts. While many people are not thinking beyond the norm, a psychopath thinks about his every breath, step, and word. In the short story Where are you

Modified Calendar Issue Free Essays

Modifying a traditional school calendar essentially means that students attend school throughout the entire year with several mini-breaks rather than an extended summer break. There are both pros and cons involved in modifying the traditional school calendar. This essay will address the pros and provide rationale for selecting one calendar over another. We will write a custom essay sample on Modified Calendar Issue or any similar topic only for you Order Now Traditional School Calendar Growing up with a traditional school calendar, going to school from August until June and having the glorious three-month summer was something to look forward to as a child. According to Hsu’s article in the San Bernardino Sun, â€Å"Parents said a shorter summer would limit teens’ chances to work and do internships, and that families would have to cancel planned vacations† (2007). Community involvement is essential for a child to nurture ownership of the community and feel a sense of belonging. The extended summer calendar worked in the past, traditionally, and it would seemingly work now, except that things have changed over the years and a modified school calendar meets some needs of a changing world. Things that were not evident in the past have become apparent and a modified school calendar creates opportunity to address some of those needs whereas a traditional calendar does not. Modified School Calendar Many parents struggle with an age-old problem of coordinating breaks and vacations with their children. Many times children have longer breaks from school than the parents do from work. Shorter breaks are more reasonable and true to life in the business world, preparing children for a coming future. Harold Vollkommer, an assistant superintendent said, â€Å"Longer spring and winter recesses would provide time for students who were behind in school to take short, intensive remedial courses† (2007). This type of opportunity also helps by preparing students for greater responsibilities. Additionally, children learn how to manage their time. Working in internships and volunteering for the community becomes a year-round thing rather than just a summer thing. Conclusion Having experienced both calendars, I am in favor of the modified calendar. Traditions are nice and should never be forgotten; but, as time changes and new advancements are discovered and made, so must we be willing to modify a traditional way of doing things to accommodate our growth and potential. References Hsu, C. (2007). Board rejects proposed school calendar changes. Retrieved January 24, 2007 from, How to cite Modified Calendar Issue, Essay examples