Medical Problems as a Result of Chronic Cocaine Abuse and Alco Lab Report

Medical Problems as a Result of Chronic Cocaine Abuse and Alcoholism - Lab Report Example Initially, the client described the pain as stabbing rated 9/10; however, after administering 2 SL Nitro and ASA 325 mg, the pain gradually became â€Å"crampy† and is currently rated 1/10. In addition, the client was also given Lasix 40 mg IV. The client reported that she tried Excedrin PM and Tylenol PM at home to relieve the pain but was unsuccessful. A day prior to consulting, the client related that she tried taking 100 mg of Toprol XL, which provided no pain relief.Carissa had a history of uncontrolled hypertension and was diagnosed with congestive heart failure (CHF), dilated cardiomyopathy, and polysubstance abuse.- The client had a history of longstanding hypertension and polysubstance abuse.- In March 2005, the client was diagnosed with stage II left intraductal breast carcinoma, metastatic with 1/14 left axillary lymph nodes. The client was S/P left mastectomy, chemotherapy, and XRT. She had a history of depression in the same year.- In July 2006, the client was dia gnosed with congestive heart failure and dilated cardiomyopathy.   - On 11/7/2006 – 16/7/2006, the client was admitted in the ward for 5 days after presenting to the ED with complaints of chest pains and SOB. During her admission, the client’s cardiac enzymes, electrolytes, Mg++ levels are all WNL. Her EKG showed normal sinus rhythm with LA enlargement, LVH, and a prolonged QT interval (.514 sec) but no dynamic changes worrisome for cardiac ischemia. CXR showed marked cardiomegaly with some pulmonary vascular congestion. An ECHO was performed during this time revealing LA dilation (5.0 cm) with LV size at the upper limit of normal, severe impairment of LV systolic function with a calculated biplane EF of 14%. The LV diastolic filling pattern was felt to be â€Å"pseudonormal.† It was during this time that RT was started on an aggressive 5 drug regimen for heart failure and recommended to follow up with a cardiologist at the Myers Park Heart Failure clinic. She has followed up with the Heart Failure clinic two times since July.

Assingment for Law Enforcement Research Design class Assignment

Assingment for Law Enforcement Research Design class - Assignment Example The nine argument questions are also very important in qualitative, quantitative, and mixed methods of research (Marian, 2006). The fundamental roles of research design components are an important aspect of every research design. They include; introduction which has :statement of problem, study purpose, theoretical perspective, research questions or hypothesis, definition of terms, delimitations and limitations, literature review which has type of design, sample population and participants, data collection instruments variables and materials, data analysis procedures, Anticipated ethical issues in the study, preliminary studies or plot tests, and significance of the study. Last month I had the pleasure of briefing a large group of local and state  law enforcement  officials on the Islamic extremist threat in their area. My interaction with these professionals reminded me that they are THE  frontlinedefenders in the War on Terror and play an indispensable role in our Homeland Security. Joining me in speaking at this event was my friend and occasionalAmerican Thinker  contributor,  LTC Joseph C. Myers.  Ã‚  Ã‚  What struck us both is how quickly they "got it" when presented with the right amount of actionable information about what Islamic extremist groups were already operating in their communities. It was also impressive to see some of these agencies and departments who were doing very high-quality counterterror investigations even with limited personnel and financial resources. And in this case, those departments were working together to share that knowledge. Having been raised in a police family (both my father and brother are retired from the job), Im familiar with the unique instincts developed by police officers day-by-day as they go about their beat. Recognizing something or someone out of place and a natural curiosity are necessary tools to being a good