Saturday, February 29, 2020

Cardioversion

Cardioversion Have you ever felt like your heart was racing, fluttering or skip a beat? This can be a sign of cardiac arrhythmia and it is common especially in older adults. If you experience this occasionally they are usually harmless. However, some arrhythmias that last longer can be critical and require management and treatment. Cardiac arrhythmia is a class of conditions in which the electrical activity of the heart is abnormal. One way to correct certain arrhythmias such as atrial fibrillation and atrial flutter is by performing a medical procedure called â€Å"Cardioversion†. As a group, we will like to explain why it is important to distinguish when cardioversion will be used versus defibrillation. According to heart.com website, â€Å"Arrhythmias can produce a broad range of symptoms, from barely perceptible to cardiovascular collapse and death.† There are different diagnostic tests used to confirm arrhythmias. We will also explain the two types of cardioversion procedures used to correct an irregular heartbeat and what occurs before, during and after cardioversion. We will discuss nursing implications including patient education throughout the process of a cardioversion procedure. An arrhythmia is a change in the rhythm of your heartbeat. Arrhythmias are more serious if you have other heart problems. Cardioversion is a corrective procedure to change or convert an irregular heart rhythm back to normal sinus rhythm. This procedure is usually elective, the patient is awake but sedated and a consent form must be signed prior to the procedure. According to heart.com website, cardioversions are done to treat atrial fibrillation (AFib) or atrial flutter (AFL) and non-life threatening irregular rhythms in the top of the heart. It is also used in less urgent cases to try to convert the rhythm back to normal. Defibrillation is for immediately life-threatening arrhythmias, the patient does not have a pulse such as ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT). The goal for both is to deliver electrical energy to the heart to shock the heart temporarily allowing a normal sinus rhythm to kick in via the hearts normal pacemaker. For cases where an electrical shock is needed, if the patient is stable, and you can see a QRS-t complex you will use (LOW ENERGY) synchronized cardioversion. However, if the patient is pulseless, or if the patient is unstable and the defibrillator will not synchronize, you will use (HIGH ENERGY) unsynchronized cardioversion (defibrillation). Patients who have arrhythmias can be asystematic. When arrhythmias last long enough to upset how well the heart functions, more serious symptoms can occur such as syncope or near-fainting spells, chest pain and fatigue. In severe cases, collapse and sudden cardiac arrest can emerge. Diagnostic tests used to confirm arrhythmia are chest x-rays, blood tests, stress test and electrocardiogram. There are other tests or procedures used to determine arrhythmias; however, an electrocardiogram is the most common. ECG is used to check for signs of heart disease. Its a test that records the electrical activity of your heart through small electrode patches that are placed on the chest, arms, and legs. The ECG diagnostic test is commonly used because it’s reliable, fast, safe and painless.

Thursday, February 13, 2020

NYPD CIA Anti-Terror Operations Assignment Example | Topics and Well Written Essays - 750 words

NYPD CIA Anti-Terror Operations - Assignment Example For example, were an inmate to be pardoned from his jail sentence—but was not, in turn, released as stated within the executive order—this would be one possible example of a violation of the executive order. If the directive in the executive order is not carried out—whether by omission or commission—that is also punitively considered as a direct violation of the executive order. In all seriousness, why this is important to grasp is because many individuals’ futures lie in the hands of the President, because signing executive orders is an at-will type of activity for the President; the President need not sign them, but the President does so out of volition to support a cause, help an individual, or protect various types of liberties which might be otherwise infringed upon unless signed. III. Why NYPD CIA Anti-Terror Operations Didn’t Constitute a Violation of the Executive Order #12333 The New York Police Department did not violate Executive O rder #12333 by conducting anti-terror operations. Of course, since the September 11th, 2011 attacks on the World Trade Center in NYC, of course the city became much more serious about ensuring that due diligence was given to being more security-conscious not very long afterwards. In part one of Executive Order #12333, the goal of the executive order states that â€Å"[t]he United States intelligence effort shall provide†¦necessary information on which to base decisions concerning the conduct and development of foreign, defense and economic policy, and the protection of United States national interests from foreign security threats. All departments and agencies shall cooperate fully to fulfill this goal.†2 Since the NYPD and the CIA are both organizations that cooperate with the government, it’s quite reasonable to presume that both are types of intelligence agencies—the NYPD, in its own right—responsible for guarding the United States against any typ e of terrorism threats of any kind. Also, information is free to be shared between and amongst any departments or organizations that would further the knowledge base about any impending or potential threats. Executive Order #12333 states that â€Å"†¦all agencies and departments should seek to ensure full and free exchange of information in order to derive maximum benefit from the United States intelligence effort.†3 This means that oversight should be clear, without any secrets kept unless they are of importance to national security. This is why the NYPD working with the CIA in anti-terror efforts are completely valid methods of having ensured the nation’s security. IV. Future Recommendations to Avoid Violating Executive Orders The HuffPost New York—a division of The Huffington Post Internet news blog—stated that people from certain ethnic neighborhoods were followed on purpose in order to see if their activities were legitimate. Pakistani cab drive rs were pulled over for the slightest infractions, such as red lights, and various mosques and other organizations were infiltrated as well. Some

Saturday, February 1, 2020

Visual Arts and Film Studies Assignment Example | Topics and Well Written Essays - 1000 words

Visual Arts and Film Studies - Assignment Example I smiled at the answers I got and felt like nodding because, indeed, I see those things in myself as well. I will try to relay to you what they told me so far. Positivity. I was told that this is definitely one of my strongest characteristic. All three of my friends agreed that they feel lighter when they are around me. I was told that there were several times when they felt down due to a bad thing, and I would point out the good side of it and make them feel better. I know that most of the times, I see the brighter side of a dark situation. Individualization. My friends told me that I am one of those who hate stereotypes. They reminded me of the times when they would make generalized comments about a person based on fashion taste or circle of friends, and I would stand up for that person and insist that no one knows anything until we get to know that person well. I had been stereotyped a lot so probably that's why I hate to see it happening to anyone. Includer. I know that I have al ways been warm to everyone. My friends told me that I am always the one to invite a person to join a conversation, or an activity, etc. It makes me feel awkward to see anyone being left on the sides. I know that everyone has a potential and it makes me feel good to be the one to actually cause a person to show his or her skills in a group because of my welcoming attitude. Activator. My friends made me laugh on this one, because they told me they sometimes feel like having a hard time keeping up with my activities. I don't like dull moments and I always feel like there is still something better to do than just idle away. Developer. Friends say that if they ever need encouragement, they will just come looking for me. It is as if I know how they will best be able to flaunt their skills because of the ideas I give them. I like it a lot when people discover something in themselves, and I like it better when I know I am a part of that progress. 2. I feel that positivity is the overall cau se of all the other dominant themes of talent in me. I feel positive in me, for me, and for others, that I want everybody to act and feel the same. 3. I believe that being an activator develops most of the talents. This is because I always search for something new to do and learn. I always tap into the unknown, which I think is a good thing in loosening our imaginative freedom. I don't want to get stuck in something that is redundant, so I tend to be fearless in exploring and learning new things. 4. The surprising thing is how my friends see these dominant characteristics so well, and how they respond so positively to these. I never want to imagine that people see me as â€Å"overwhelming,† so it is nice to know that they enjoy my personality. 5. The talent that I want to develop more is â€Å"individualization† because I know that every person has their own qualities worth knowing about, and I would really like to be able to be one of those who makes a difference, and tap into those hidden talents that most other people choose to ignore and be prejudice about. However, I know that I need to work on my verbal interaction with people because despite these positive qualities, I know that there are still others who see me as just the quiet typical art student. II. Networking Event I went to a networking event, which is a screening of a short film entitled â€Å"Wallenda.† It is produced by RareForm pictures --- an independent film production company founded in 2009. The screening was held in Gnomon, last December 3, at around 7;00 p.m. The film is directed by V.W. Scheich, and written by V.W. Scheich and Uyen Le. You can find out more about the film at http://www.imdb.com/title/tt2094183/. I found out about