Gloria Observation

Lungs: Demonstrate good air entry. Faint end-expiratory wheeze throughout all lung fields. No rales or rhonchi. Symmetric chest expansion. Breathing nonlabored.

Language is a powerful ensemble of instruments that all eject different tones. How instruments are played, effect the tone that is given. The way language is used affects the feelings that are released. The power of language has different uses: it can hurt or heal, it can destroy relationships or build new ones, it can make a girl feel like nothing or make her feel as though she is on top of the world. No matter what language is used for, it can make a huge impact, how language is used determines whether the impact is positive or negative. In her essay “The Meanings of a Word”, Gloria Naylor’s effective depiction of language is revealed through syntax, diction, and imagery.

The rates are as following: newborns, 40-60 bpm; infants, 22-36 bpm; children, 18-24 bpm; adults, 12-20 bpm. The lung capacity is estimated 6000 mL of air. The tidal volume is estimated 500 mL at rest, with dead space taking up an estimated 150 mL, and alveolar air another 350 mL. The minute volume, the total air moved per minute, is calculated by the rate of breathing multiplied by the volume. While this calculation in particular is not used by EMTs, it is an important assessment item in general and should be known by EMTs. Consequences of inadequate breathing rate or depth includes cyanosis, or the skin taking on a bluish color due to poor oxygenation. It is the job of the EMT to keep the patient at a stable oxygen saturation of 94 percent or

Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,

hypotensive with a blood pressure of 82/44 mm Hg. His respiratory rate is 28 breaths/min

Data: Pulmonary function testing dated 2010 showed moderately severe obstruction with positive bronchodilators response. Normal lung volumes. Evidence of air trapping. Severely reduced diffusing capacity for carbon monoxide.

Check for normal breathing, taking no more than 10 seconds: Look for chest motion, listen for breath sounds, and

His Pulse ox of 94% reading is on the lower side, but still in normal range which indicated that there is less oxygen perfusion.

Assessment: the patient 's vital signs are 108/68, 125 beats per minute, respirations, even and non-labored at 14 breaths per minute, 92% on 2 liters of oxygen via nasal cannula, afebrile 98.5 F.

Lungs: Diminished breath sounds in all lung fields. Resonant to percussion. No wheezes, rales, or rhonchi. Symmetric chest expansion. Breathing nonlabored.

Per progress report dated 03/04/16, the patient complains of pain of pain in the neck and lower back. Current medication is for Norco and Gabapentin.

The right side of heart will increase in size as the muscle builds up and the heart rate will increase due to compensation for the left ventricle. With auscultation, the lungs will sound crackly from the liquid in the alveoli and interstitial space and when assessing respiration rate it is likely to be above thirty breaths per minute (Lewis et al., 2014). The patient may report that they are experiencing dyspnea, nocturia, fatigue, and a productive coughing. They may appear anxious and their skin may look pale (Lewis et al., 2014).

Record observations of how the initial pneumograph recording was modified during the various testing procedures described below. Indicate the respiratory rate, and include comments on the relative depth of the respiratory peaks observed.

Palestrina’s Gloria employs a homophonic setting with six voices divided into various combinations that allows for groups of three- and four-voice choirs. This division of the voices is evidence of an influence from a polychoral technique known as cori spezzati.

This resulted in an “increase in CO2 elimination, respiratory acidosis, haemodynamic instability.” To control this the “ventilatory settings were adjusted to achieve a tidal volume of 480 ml, positive end-expiratory pressure of 5mmHg and respiratory rate of 14/min.” BP,